Insurance claims management: A case study in improving investigations and outcomes

Up-to-date, precise identity data is critical to identifying fraudulent activity and improving insurance claim investigations. A Special Investigative Unit ( SIU) for a major rental vehicle provider relies on IDI for the insights they need to uncover and prevent fraud before it results in losses.

Challenge

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Inefficient investigations
and relationship blind spots

With more than twenty-five thousand claims submitted each year by drivers across a fleet of rental vehicles, efficient and accurate data collection is mission-critical when managing the high volume of investigations resulting from these claims. Insurance investigators tasked with identifying relationship linkages between the drivers and occupants of both the rented and personal vehicles involved in each accident faced a monumental effort requiring on-demand access to fresh contact and location data. Challenges were further compounded by the current data provider’s low contact rates of involved parties, leading to time wasted through investigative dead-ends and not flagging potential fraud at the onset.

Criminal identification
and investigator safety

Another challenge the SIU faced was the inability to identify accurate criminal histories of those involved in claims. This not only hindered identifying potential fraudsters, but it inadvertently put field investigators in harm’s way when following up on claims in person.

Solution

The insurance SIU adopted idiCORE as their primary investigative solution, giving them on-demand access to identity, contact information, criminal histories, and relationship insights on nearly 100% of the adult U.S. population. Mobile app capabilities and access to criminal photos has been a valuable bonus for in-field investigators.

As the go-to solution for insurance investigations, idiCORE effectively leverages credit header, public record, publicly available data, and proprietary data to streamline claims workflows and reveal the previously unseen connections that power better, faster results.

Results

The insurance company has seen improvements in claims investigations and outcomes through more reliable identity information, specifically:

  • Better contact rates with current phone numbers and physical addresses
  • Relationship mapping of relatives and other associates
  • Comprehensive criminal histories

I would strongly encourage anyone who is looking for a user friendly, comprehensive, and affordable due diligence solution to assist in their investigations to give idiCORE a shot. You will not be disappointed.

— SIU Manager

For more information about this case study or to learn more about IDI and its solutions, please contact IDI at 855.842.1410, by email or sign up for a trial.