National Insurance Crime Bureau launches online coronavirus fraud resource

National Insurance Crime Bureau | March 26, 2020

National Insurance Crime Bureau launches online coronavirus fraud resource
After detecting an influx of insurance fraud cases tied to the recent COVID-19 outbreak, the National Insurance Crime Bureau (NICB) has created a new page on its website to serve as a resource to inform the public about these scams. The new “NICB COVID-19 Resource Center” hosts the latest information on emerging fraud scams involving the coronavirus. It also has information about what is happening in other states from an insurance fraud perspective. “Catastrophes bring out the good in people. Unfortunately, they also bring out the bad actors that take advantage of the most vulnerable,” said NICB president and CEO Joe Wehrle. “With the help of our partners, our goal is to use our proven data analytics and investigative abilities to identify those bad actors and help bring them to justice.”

Spotlight

The insurance market and the tourism industry have not always had reputations for embracing the latest technology. But things are changing and digital advances such as geo-location and data analytics will only help accelerate the pace of change. Technology is transforming the travel insurance sector for its most important stakeholders – insurers; consumers; tour operators; medical and emergency service providers.

Spotlight

The insurance market and the tourism industry have not always had reputations for embracing the latest technology. But things are changing and digital advances such as geo-location and data analytics will only help accelerate the pace of change. Technology is transforming the travel insurance sector for its most important stakeholders – insurers; consumers; tour operators; medical and emergency service providers.

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INSURANCE TECHNOLOGY

Shift Technology Automates and Optimizes Decision Making Across the Policy Lifecycle

Shift Technology | January 28, 2021

Shift Technology, a supplier of AI-driven decision automation and optimization solutions for the global insurance industry, today declared availability of both new products and moves up to existing solutions inside the Shift Insurance Suite (Shift Technology Automates and Optimizes Decision Making Across the Policy Lifecycle). The Shift Insurance Suite is a bunch of cloud-based AI solutions which backing improved decision making by insurance representatives across divisions. Shift spearheaded the utilization of Artificial Intelligence (AI) to help insurers not just better spot possible fraud in the claims cycle yet in addition settle on more educated decisions about how best to react to these dubious claims. The capacity to rapidly decide whether a claim ought to be explored and assuming this is the case, recognize the ideal analytical methodology infuses huge productivity and exactness into the general claims measure. The organization based on its achievement in fraud detection to address the insurance industry's longing to eliminate grating from the claims cycle and advance toward low-contact, no-contact, and completely computerized claims settlement from first notice of loss (FNOL) through to payment. Today, Shift Claims Automation and Shift Claims Fraud Detection are the lead products in the Shift Insurance Suite. "AI is ideally suited to help insurance professionals make the best decisions possible in support of their customers and their business," stated Marcel Gordon, vice president, Product, Shift Technology. "The ability to ingest and organize massive amounts of structured and unstructured data, understand relationships and connections between individuals, and then do sophisticated analysis enables Shift to provide insurers with a new generation of tools. Shift is putting AI in the hands of operational teams at insurers around the globe." With the declaration of the Shift Insurance Suite, the organization is expanding on its accomplishment in fraud detection and claims automation with the presentation of new products focusing on extra cycles in claims and across the approach lifecycle. To help workers all the more rapidly and precisely recognize openings for subrogation, the organization is presently offering Shift Subrogation Detection. Outside of claims, Shift Underwriting Fraud Detection is intended to give basic data valuable in concluding whether to give insurance inclusion to an individual or business. The organization's new Financial Crime Detection product underpins against illegal tax avoidance, worker fraud detection, and other consistence activities. Shift's products are explicitly intended to incorporate with, and increase the value of, existing center claims management systems. "Insurance is a business of decisions, and making the optimal decision can drive incredible benefits," explained Eric Sibony, chief scientific officer and co-founder, Shift Technology. "Through our work with some of the leading insurance companies in the world we have been able to demonstrate the exceptional power of AI to both optimize and fully automate some of the most important insurance decisions, driving significant value for carriers and their policyholders." To address the decision optimization and automation necessities of the global insurance industry, Shift has assembled its solutions around a powerful AI decision engine that can break down numerous sorts of structured and unstructured data given by the insurer, the insured, and/or external third parties. This may incorporate claims data, including claims handlers' notes, photos and other checked pictures, and unique reports, to give some examples. Shift has reliably exhibited its solutions beat decides based just methodologies that can't coordinate the precision and productivity given by insurance-explicit AI. At press time, the organization has insurers at different phases of sending for every one of its decision automatization and optimization products. The Shift Insurance Suite is comprised of: Shift Claims Fraud Detection: This award-winning technology is in use by more than 80 of the world's leading insurance companies including CSAA Insurance Group and MS & AD Insurance Group to name only a few. On top of the proven capability to detect fraud using data and documents, new capabilities introduced with the launch of the Shift Insurance Suite put the power of Shift's rich insurance data model, with all of the insurer's data denoised, reconstructed and linked together, in the hands of investigators. There is expanded support for the use of images and documents in the detection of fraud, as well as visual exploration of data using a network graph and the ability to search and browse through the complete data model. Shift Claims Automation: Available in two deployment models - Digital Journey and Augmented Adjustment - this solution uses AI to automate the claims process from FNOL through to final settlement. Digital Journey empowers policyholders directly, delivering a self-service claims experience - FNOL, tracking and settlement - with AI decision-making built in. The claims experience is customized to each insurer to match their claims process, handling policies and branding. Augmented Adjustment integrates AI-supported decision making directly into the Claims Management System, decreasing turnaround time and optimizing claims handlers' time during the claims process. Through its application of advanced OCR technology, Shift Claims Automation is particularly focused on removing the need for manual document review throughout the claims process. Shift Subrogation Detection: This new addition to the Shift Insurance Suite uses AI to quickly and accurately discover opportunities to recover costs from third parties. The technology not only finds those claims for which subrogation is possible but also generates actionable cases supported by concrete evidence. Shift Subrogation Detection improves on manual and simple rules-based subrogation identification processes by focusing on coverage (reviewing every single claim), consistency (checking against known subrogation scenarios) and precision (leveraging internal and external data, from police reports to recall lists, using AI). The result includes reduced claim loss and improved deductible recovery, while freeing the claims team to focus on resolving claims. Shift Underwriting Fraud Detection: Designed to optimize decision making at the point of sale, Shift Underwriting Fraud Detection applies AI to the policy underwriting process to detect inaccurate or non-compliant policies. Actionable alerts help to minimize fraudulent policies, avoid undesired risks, and assign appropriate premiums. Shift Underwriting Fraud Detection leverages Shift's rich data model, sophisticated data analysis and deep insurance expertise to give the Underwriting team a complete view of the policy, policyholder and risk while highlighting anomalies. First Central has adopted Shift Underwriting Fraud Detection to support the carrier's auto line of business. Shift Financial Crime Detection: Insurance is a critical part of the financial system, resulting in significant scrutiny from regulators. Shift Financial Crime detection enables insurers to better understand the status of all participants in its ecosystem, including employees, to identify and investigate potential criminal behavior, including money laundering. Shift Financial Crime Detection addresses these challenges for insurers, who have little transaction data to rely upon, by making maximal use of internal and external data about all participants in the insurance process. Used together with Shift's fraud solutions, Shift Financial Crime Detection enables insurers to build an overall picture of - and response to - risk from bad actors across their business. About Shift Technology Shift Technology delivers the only AI-native decision automation and optimization solutions built specifically for the global insurance industry. Addressing several critical processes across the insurance policy lifecycle, the Shift Insurance Suite helps insurers achieve faster, more accurate claims and policy resolutions. Shift has analyzed billions of insurance transactions to date and was presented Frost & Sullivan's 2020 Global Claims Solutions for Insurance Market Leadership Award.

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CORE INSURANCE

Diversity and Equality Fuels Charitable Giving by Preferred Employers Insurance

Preferred Employers Insurance | January 25, 2022

Preferred Employers Insurance and the W. R. Berkley Charitable Foundation have donated a matched total of $4,092.54 to Growing The Table, an organization that supports California farms owned and operated by BIPOC (Black, Indigenous, and People of Color), Women, LGBTQ+, and Organic or Regenerative Practitioners. This donation honors their efforts in the nourishing of families in need, helping to reduce food waste, and saving farms during the COVID-19 crisis. "It was important for us to give back to an industry who has trusted us as their workers' compensation insurance provider for over 20 years. We're especially proud to support a group dedicated to diversity while also providing food sources to those in need", -Dennis Levesque, President of Preferred Employers Insurance. About Preferred Employers Insurance Preferred Employers Insurance, a Berkley company, was founded in San Diego, CA in 1998. The company is known for serving its customers with the best combination of price, workplace risk management, and medical provider services available in California's workers' compensation insurance industry. Preferred Employers Insurance Company is rated A+ (Superior) by A.M. Best Company, the global rating agency of insurer financial strength. Please contact your insurance broker to access the workers' compensation insurance products and services of Preferred Employers Insurance in California.

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CORE INSURANCE

Patriot Growth Insurance Services Meaningfully Expands in Florida With Key Acquisitions

Patriot Growth Insurance Services | January 10, 2022

Patriot Growth Insurance Services, LLC ("Patriot"), one of the country's largest and fastest-growing national insurance agencies, announces the addition of several key partners to its Florida operations, including Kolisch Marine, Depace Insurance, MacLeish Insurance, Focus Insurance Agency, Herndon Carr & Company, and Crosslet Insurance Services. These six partnerships will work within Patriot's Shapiro Insurance Group (SIG) platform, and significantly expand Patriot's expertise and capabilities throughout the Southeast region. Kolisch Marine, located in Coral Gables, specializes in marine insurance. Moving forward, Joe Kolisch and the team will share their yacht insurance expertise with Patriot's 1,300 employees across the U.S. Patriot will assist Kolisch Marine clients with a broader array of resources and services to fulfill their insurance needs. Bob MacLeish and his team join us with over 30 years of industry experience. Based in Orlando, the agency is immersed in community involvement while specializing in both personal and commercial lines. All staff will remain as SIG provides added carriers, technology, and back-office support. Located in Coral Springs, Depace Insurance provides a full array of personal lines insurance and services to its clients. Founders Joe and Susan Depace will transition to retirement while the entire professional team will continue providing their exceptional level of service. Working with Patriot, Depace will receive significant upgrades to their office automation and administrative support. Located in Plantation, Florida, Focus Insurance specializes in personal lines with a group of professionals that is fluent in five languages! The entire client service team remains to support existing and new clientele. Herndon Carr & Company have served the Fort Myers area since 1974. Reed Herndon and Thomas Carr are partners at Patriot and will play a critical role in southwest Florida through their work in personal lines, commercial lines, and employee benefits. Their entire team will remain in place, servicing existing clients and synergizing with other agencies in the region as services expand. Serving Tampa, St. Petersburg, Clearwater, and surrounding areas, Crosslet Insurance Services will provide ongoing expertise for business and residential communities. SIG broadens the carrier lineup for clients in this region while providing marketing and other essential services. "These six partner agencies joining the Patriot family represent a milestone in growing our talent and reach across the entire state of Florida, Each of these agencies and leadership teams bring a unique expertise and are closely aligned with the communities that they serve. We are beyond thrilled to welcome them to the Patriot family." -Steve Carroll, SVP of M&A for Patriot. "We're delighted to add Crosslet, Depace, MacLeish, Kolisch, Focus, and Herndon Carr to our continuously growing operations in the Florida region. Their diverse expertise and significant experience will further expand our reach and enhance our relationships throughout the Florida marketplace, We deeply value these partnerships, driving strategic priorities forward while complementing our culture and community growth." -Joel Shapiro, President of SIG. "We're thrilled to welcome these exceptional teams and their clients to Patriot as we expand our leadership in the region. They share our vision and drive for superior quality of service, making them excellent partners, We continue to search for passionate, driven and engaged agency partners like MacLeish, Depace, Focus, Crosslet, Herndon Carr, and Kolisch to share best practices and benefit from collaboration opportunities across Patriot's platform." -Matt Gardner, Founder and CEO of Patriot. About Patriot Growth Insurance Services Founded in 2019, Patriot is a growth-focused national insurance services firm that partners with employee benefits and property & casualty agencies across the United States. In its second year of operation, Patriot was ranked in the top-40 largest insurance brokers in the U.S. by Business Insurance. With over 1,350 employees operating in 110 locations across 19 states, Patriot's collaborative model delivers resources and strategic support to its agencies, whose leaders continue to operate with a high degree of autonomy in their local markets. Patriot creates true alignment with its partner agencies, and its operating philosophy fosters enhanced career opportunities for its dedicated and professional team. Patriot is backed by GI Partners and Summit Partners.

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