Practical AI
that drives results

Mitigate Fraud

Mitigate Fraud

Identify and Address Waste

Identify and Address Waste

Generate Insights to Prevent Future Fraud

Generate Insights to Prevent Future Fraud

Case Study

Transaction Fraud Prevention for Top Credit Card Issuer

Implementation
  • Processed up to 4,000 transactions per second to check for likely fraud.
  • Incorporated over 1,000 signals to better capture behavioral trends and anomalies.
  • Built and integrated a robust UI within client systems to provide real-time BI.
Results
  • 40% improvement in fraud detection rate against previous benchmark
  • $60M incremental annual savings
  • Improved average detection cycle by 5 days against previous benchmark

 

Case Study

Auditing Medical Claims for Top US Insurance Provider

Implementation
  • Maximized payment integrity by identifying fraudulent up-charging, duplicate billings and other errors​
  • Incorporated patient diagnoses, physician specialties, and other model inputs to maximize prediction accuracy.
  • Successfully deployed across 10M monthly claims, 800K physicians, and 15K unique procedures
Results
  • Identified $200M in incremental annual revenue impact​
  • 20% improvement in error detection across all claims