Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and
analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
CA Technologies (NASDAQ: CA) creates software that fuels transformation for companies and enables them to seize the opportunities of the application economy.
Software is at the heart of every business, in every industry. From planning to development to management and security, CA is working with companies worldwide to change the way we live, transact and communicate—across mobile, private and public cloud, distributed and mainframe environments.
A fundamental people-process-technology transformation enables businesses to remain competitive in today’s innovation economy. Initiatives such as advanced security, fraud detection services, connected consumer Internet of Things (IoT) devices, augmented or virtual reality experience, machine and deep learning, and cognitively enabled applications drive superior business outcomes such as predictive marketing and maintenance. Superior business outcomes require businesses to consider IT a core competency. For IT, an agile, elastic, and scalable IT infrastructure forms the crucial underpinning for a superior service delivery model.
Dell EMC’s Intelligent Automation powered by Intel® Xeon® Platinum processor simplifies the management and maintenance of its PowerEdge server hardware. Designed to drive down the cost and resources associated with server lifecycle management, Intelligent Automation relies on integrated Dell Remote Access Controller(iDRAC) and OpenManage server management soft
Predictive analytics has come of age. Organizations that want to build and sustain competitive advantage now consider this technology to be a core practice.
In this white paper, author Eric Siegel, PhD, founder of Predictive Analytics World, reveals seven strategic objectives that can only be fully achieved with predictive analytics.
Read this paper to learn how your organization can more effectively:
Compete – Secure the most powerful and unique competitive stronghold
Grow – Increase sales and retain customers competitively
Enforce – Maintain business integrity by managing fraud
Improve – Advance your core business capacity competitively
Satisfy – Meet today's escalating consumer expectations
Learn – Employ today's most advanced analytics
....and finally, render your business intelligence and analytics actionable.
Data analytic solutions help improve the value of health and human services, drive better decision-making and lower costs. See how the right solutions can contribute to millions of dollars saved through fraudulent claims detection, offer insights into the social determinants of health and benefit social programs.
Gain a bird's-eye view of how online fraud affects the airline industry
Fraud continues to be a major source of revenue loss for the global airline industry. With airlines pushing for more direct bookings and the accelerating use of mobile as a booking platform, incidence of fraud is rising, albeit only slightly. Despite these factors, many airlines are not devoting the necessary resources and tracking the required metrics to measure and control fraud.
CyberSource partnered with Phocuswright to benchmark global metrics and trends in fraud management and protection among airlines. The study also explores airline awareness of various fraud-related issues and examines their approaches to and implementation of fraud management tools and services.
To learn more, download the study today
The digital economy is dramatically changing how consumers shop and interact with businesses.
They expect a fast, convenient and highly secure digital experience. With the average company lifespan decreasing rapidly, merchants have to operate as a true digital enterprise to stay competitive and to stay in business.
Payment and fraud management is no longer a back-office utility. It is a prime differentiator, critical to achieving competitive advantage, improving customer experience and reducing risk. Digital transformation is not simply a market buzz word. It is real. And those who don’t embrace it are in a position to lose. By 2020, eCommerce sales as a percentage of retail sales are forecast to be 12.4% compared to 8.0% in 2016, according to eMarketer. And engaging customers digitally across channels remains a top digital initiative. While there are several drivers of growth in the digital economy, none are more significant than the force of mobile and cloud technologies. Innovation
Digital technology is creating change at a pace never seen before. Customers now expect speed, ease, choice and a personalised service. It makes customer experience key to success. And it sets merchants a challenge. To survive, and thrive, businesses need to stay agile in everything they do –including how they manage fraud. As the people who set the strategy that determines if an order is
accepted or not, fraud teams have a pivotal role to play in improving customer experience and reducing risk. This makes fraud management more than a back-office utility. It’s a way to differentiate your business and achieve a competitive advantage.
This is the question we put to three specialists from CyberSource – as well as Chris Monk from digital literacy agency Decoded. This report reflects their expert opinion, and explores:
• The changing landscape for businesses.
• The key challenges for fraud teams.
• How to develop an agile fraud solution
The digital economy is dramatically changing how your customers buy products and services, and how they interact with your business. As customers increasingly use multiple devices (including
Smartphones) to make their purchases, they expect fast, consistent and highly secure experiences – and you need to deliver. At the same time, you should remain vigilant about fraud. Effective fraud management is critical, not only for reducing risk, but also for accepting more good customer orders, improving customer engagement, controlling costs and achieving competitive advantage.
Published By: Concur ENT
Published Date: May 11, 2018
VAT rules can be complex, HMRC – a gauntlet. In this eBook, we demystify some of the facts around
compliance, tax and expense management.
The British economy has gone from boom to bust. The recession followed by a long period of austerity
and caution has altered spending behaviours while the government has increasingly cracked down
on tax evasion and fraud. HMRC has become more focused on assisting businesses of all sizes to
comply with their policies and implement good governance when it comes to finances.
Nevertheless, the reality can sometimes be confusing and the penalties for getting it wrong – severe.
Many businesses outsource their tax management to experts or muddle through, running the risk of
non-compliance. There’s a real need for unambiguous, helpful advice about expenses, VAT and
We’ve created this guide to help shine some light on the processes, practices and behaviours around
tax and expenses based on some of the frequently asked questions we receive. Wh
Published By: MarkLogic
Published Date: Jun 21, 2017
Remember Y2K – the IT “problem” that should have brought businesses to a screeching half? Despite the hype, the preparation led to widely documented business benefits and uncovered new opportunities that transformed organizations worldwide.
Similarly in today’s highly regulated Financial Services industry, enabling GRC by integrating data from silos can be the driver for future business use cases like machine learning and anti-fraud detection services. GRC can be your catalyst for new opportunities.
Listen in as our panel of financial services experts discuss the keys to reinventing your data strategy.
How to align your GRC strategy with a business transformation agenda
How to ensure your organization’s approach to data management isn’t just a one-off solution, but a comprehensive one adaptable to changing regulations
How to navigate the increasing regulatory demands for granular data security
How to turn your compliance spend into new opportunities to earn revenue
People on the frontlines of public-sector fraud management have considerable need to detect, monitor and prevent fraud in real time. They recognize that speed in analysis, detection, investigations and simulations is the key to minimizing taxpayer dollars lost to fraud. Read the report to learn more.
The IBM Counter-Fraud Management for Insurance solution is designed to help insurers prevent and intercept attempted fraud while detecting, identifying, and building the case against past fraudulent activity and improper payments.
The combination of legislation, market dynamics, and increasingly sophisticated risk management strategies requires you to be proactive in detecting risks like fraud quicker and more effectively.
Dynamic detection systems need to adapt to evolving compliance regulations, scale to deal with growing transaction volumes, detect sophisticated risk specific patterns, and reduce false-positives. TIBCO's Risk Management Accelerator uses a combination of predictive analytics, streaming analytics, and business process management to deliver a powerful and cost-effective system for detecting anomalies.
Download this solution brief to learn more.
Published By: Attachmate
Published Date: Mar 20, 2013
Traditional fraud detection methods, such as application logging, can’t address the scale and sophistication of today’s threats. Find out how to get the visibility you need to better and manage enterprise risk with Luminet.
Published By: Attachmate
Published Date: Mar 20, 2013
Insider threats continue to challenge organizations, particularly as BYOD brings complexity to enterprise risk management. The latest Ponemon research highlights recent trends, risk factors and what organizations need to do now to reduce risk.
Learn why an Enterprise Fraud Management Platform allows for data to be shared more efficiently while simultaneously applying analytics to prioritize workflows, which will increase productivity per employee and assist insurers in detecting emergent fraud patterns in order to reduce loses.
The Payment Card Industry Data Security Standard (PCI DSS) is a global security program created to increase confidence in the payment card industry and reduce risks to PCI members, merchants, service providers and consumers. It was developed by the major credit card companies as a guideline to help organizations that process card payments prevent credit card fraud.
Read this paper to learn how to combine powerful analytical techniques with your existing fraud detection and prevention efforts and deploy results to the people who can use the information to eradicate fraud and recoup money.