The ability of insurance companies to detect fraudulent claims by cross-checking them in “all-claims” databases will become keener as insurers adopt new methods of reporting and coding claims, according to the Insurance Services Office.
More than 4,000 insurers, self-insured entities and third-party administrators now report claims to ISO ClaimSearch, the antifraud information system established by ISO for auto, property and liability claims. By cross-checking new claims against the 147 million records in the ISO ClaimSearch system, users can detect staged-accident rings, multiple claims for the same loss and other types of fraud. The universal format allows ISO ClaimSearch to issue reports to insurers in a single, easy-to-read format for all types of claims. It also makes it easy to update claim reports monthly, enabling claims professionals to determine the status of a claim.
To facilitate conversion to the universal format, ISO offers insurers three ways to obtain the new specifications: online at www.iso.com; via e-mail at firstname.lastname@example.org; or in hard copy form by calling 800/399-2585.
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