FRISS Fraudcast

What are the latest insurance leaders' trends? Why insurers must move away from the distrust-by-default approach? Christian van Leeuwen answers these questions in AI in Business podcast series by Emerj Artificial Intelligence Research. He spoke with Daniel Faggella about recent trends, changes and challenges, and expectations customers have of insurance companies today.

Investigations and the people running them are changing. Partly this is due to the new generation of investigators and the knowledge they start with. Partly this is due to modern solutions in place to support investigations. Fact-finding specialists Tommy Hansen, Crime Officer at the Danish Insurance Association, and Simon Staadegaard, Business Development Manager at FRISS, sit together with Ruud van Gerwen to discuss the future of insurance fraud investigations. Learn why even to investigators, preventing investigations is more important than running the actual investigation.

Our news is out! Celebration continues for FRISS with the great news that we acquired Polonious Systems Insurance Division. Watch the full video announcement below!

Gaining public support and market confidence is always important in the fraud-fighting community and a strong ethical foundation is a great way to do so. In this weeks Fraud leadership video, Duncan Minty expert on ethics and insurance sits down with Andrew Vogeney to discuss ethics in the counter fraud community and the importance of having a good ethical culture to secure the trust of the public and their consumers.

From avoiding a career in the FBI to working in Public service, Michelle Rafeld has had an interesting and exciting journey in her career. This week Andrew Vogeney sits with Michelle Rafeld Assistant Director of Fraud, Enforcement & Licensing at Ohio Department of Insurance to discuss her story and how she became extremely passionate about the field of insurance. Watch as they discuss the over two decades of experience that she has gained.

Catching and detecting fraud has really transformed over the past three decades, especially now during the COVID-19 pandemic with virtual interactions becoming the new normal. In this week's Fraud Leadership video, Andrew Vogeney sits down with Jim Barbieri CEO of Claims Advantage to discuss how far technology has come in helping investigators, and the advantages and challenges that they may face when trying to detect fraudulent people.

To run major insurance fraud rings, you need cash. But did you know that many well-known, Fortune-500 banks knowingly help fraudsters? Frank Goldstein, Managing Partner at Goldstein Law Group sits with Andrew Vogeney to discuss money laundering and what banks should be doing to stamp out fraud. Watch to find out how banks help fraudsters who are looking who are to make money off honest insurers in this week's Fraud Leadership Video!

Versicherungsbetrug verursacht pro Jahr Schäden in Höhe von vier bis fünf Milliarden Euro in Deutschland. In dieser Folge des Digital Insurance Podcast spricht Jonas Piela mit unserem Senior Project Manager Olcay Krandaoglu wie FRISS Softwarelösungen mittels KI und Daten aus vergangenen Betrugsfällen analysiert und somit Wahrscheinlichkeitsaussagen über aktuelle Betrugsversuche treffen können.

One might suspect that fraud schemes have evolved over the years, but it's more about how the fraud is committed. Michelle Rafeld, Assistant Director of Fraud, Enforcement & Licensing at Ohio Department of Insurance discusses how the digital age has changed how investigations operate and how fraudsters are caught. Find out more about the ‘Blessings and Curses' of this new digital age of insurance investigations in this week's Fraud Leadership Video!

Across the country, major Rental Vehicle Fraud Rings are operating to try and scam truck rentals out of millions of dollars in insurance cheques. How does this happen? Frank Goldstein, Managing Partner at Goldstein Law Group sits down with Andrew Vogeney to discuss the effects of this scam on the average renter, and see how this very common scam could also be potentially deadly. Listen now to learn more about the dangers of this rental truck ruse in this week's Fraud Leadership Video!

Why would a customer decline help after a bad accident? Cornelius Young, VP of Product management at TrueMotion, helps us understand how telematics and location data help the insurer spot suspicious crashes in a sea of legitimate ones in FRISS' latest fraud leadership video. Watch as he discusses the latest way of catching fraud, by using location data sources as an insurer to keep insurance honest.

Are regulators in the U.K. and U.S. finally shutting down data practices that they think have gone too far? Duncan Minty, expert on ethics and insurance, tackles the challenges of information rights, specifically secondary use, in FRISS' latest fraud leadership video. Watch as he explains how conflicts of interests, like performance bonuses within counter fraud divisions, also need to be managed properly in order to avoid unethical practices.

Frank Goldstein, managing partner at Goldstein Law Group, talks about a new and upcoming scam ravaging trough United States. Auto glass repair shops ran by former convicted felons, promise to replace your unbroken or slightly damaged windshield for free. What's the catch, you may ask? They are actually trying to cash in for unnecessary repairs from your insurance company! Listen to this episode and find out more about this scam as well as who are seen as the most vulnerable!

Duncan Minty, Ethics Consultant at Duncan Minty Consultancy sits down with Andrew Vogeney and uncovers the concept of virtuous circle of trust between public and insurance companies. He highlights two important aspects of building this circle, namely Ethical Fraud Detection as well as Ethical tackling of fraudulent cases. How do these work together in building the trust between public and insurance companies? Listen to the podcast below!

In career talks we put you, our colleagues in the spotlight. Career talks is about your career stories and what does growth mean to you, and how do you experience this within FRISS. Our guest today is Cecko Hansen.

Michael Curcio of EY, discusses the benefits of technology in modern insurance. "Technology will only change how people are allocated... It opens up new opportunities that didn't exist decades ago". Find out how SIU and Claims might be getting the upper-hand in this new 6-minute interview! And discover how to do things more efficiently by "Getting rid of the noise."

Watch as FRISS' Andrew Vogeney sits down with Michael Curcio from EY to discuss challenges that come with speedy innovation. "Everybody wants to do things quickly but that's where inaccuracies happen". So what does a carrier need to do to solve that? If you want to learn more about how to make insurance processes more simple, efficient, and safe, listen to this episode!

In career talks we put you, our colleagues in the spotlight. Career talks is about your career stories and what does growth mean to you, and how do you experience this within FRISS. Our guest today is Rita Verduin.

In career talks we put you, our colleagues in the spotlight. Career talks is about your career stories and what does growth mean to you, and how do you experience this within FRISS. Our first guest is Marco Mancino.

Find out why Michael Curcio of EY describes the future of claims processing as "the art of the possible"! In this new 5-minute interview with FRISS, discover where to start on your path to customer service automation. It's time to move away from legacy systems and towards more "out-of-the-box solutions from your customer's perspective".

Greenberg Traurig's Fred Karlinsky is back to talk about public policy concerns with workers' compensation. "We have to stay vigilant" in order to keep up with the unpredictability. Watch now to find out more about how state and federal governments are challenging our notions of the industry!

Fred Karlinsky, of international law firm Greenberg Traurig, speaks about unprecedented workers' comp claims. Over a year into the pandemic, some carriers are still struggling with the financial aspect of paying these out. They aren't charging policyholders enough, which may be setting the industry up for failure. Watch now if you're interested in learning more!

Kelly Paxton, speaker and fraud consultant, tells us how to prevent embezzlement from long-term, trusted employees and how the fraud triangle influences these situations. Moreover she explains why only 50% of embezzlement cases get reported in a year and dives into the reasons behind this. Can you trust anyone? Find out in this 5-minute interview

With 15 years of experience in the insurance industry, Martyn Griffiths is here to explain how you can utilize software to produce better results throughout the underwriting and claims processes. He reveals that understanding the behavior of your customers is what enables insurers to make better decisions. With FRISS technology, as an underwriter you have the ability to flag suspicious behavior at the point of sale in real time. Now, add 3rd party data to that. You not only will see better outcomes for your portfolio, but you see an enhanced customer experience and you'll save money too. By starting to take steps to detect fraud, you can help create better results for you and your stakeholders beginning today!

Jeff Thomson, a Senior Intelligence Officer at the Canadian Anti-Fraud Centre, tells us how to avoid being the victim of an online scam. "Recognize, reject, report", the CAFC's Fraud Prevention Month slogan encourages Canadians to think before they act. In 2020 alone over 100,000 instances of fraud were reported nationwide. Find out why in this new 5-minute interview with FRISS.

Joe Stephenson, Social Media Expert and Director of Digital Intelligence at Intertel, warns about the dangers of posting everything online, especially if you're committing unemployment fraud or illegally filing for workers comp. Regular posting could equal deniable claims. Find out why, here.

Jim Quiggle, the Director of Communications at the Coalition Against Insurance Fraud, warns us about the dangers of telemedicine today. "Don't deal with strangers. There's a good chance you're getting recruited for a scam" he says. Find out how to stay on top of your privacy and avoid false billings here.

Jeffrey Rapattoni, Share Holder and Member of the BOD at Marshall Dennehey, exposes the reality of current litigation. In this 4 minute interview, he explains what we can do as an industry to put an end to bad case law, and keep our customers out of the courts. "Better customer service equals better customer retention" and technological transformation might be the answer.

Martyn Griffiths continues this series concerning the impact of the pandemic on insurance fraud by looking at how economic impacts will further influence this trend.

Martyn Griffiths, our Sales Manager UK, has more than 15 years of experience in the insurance industry. He shares his light over the impact of COVID-19 on insurance fraud in the UK in 2020. Martyn touches upon the fraud triangle and how this can used to explain the predicted increase in insurance fraud.

Joe Stephenson, the Director of Digital Intelligence at Intertel and internationally recognized social media expert, describes how a new wave of privacy concerns can be attributed to the pandemic resurgence of social media. "People were so starved of attention and human interaction that they were willing to give up security for more engagement."

Jim Pattillo, a litigation attorney at Christian and Small, talks about the impact of an EUO, which stands for Examination Under Oath. Insurance carriers get claims and execute initial investigations. If there are still suspicions near the end of the investigation process, the policy usually allows to sit down with the claimant and conduct an examination under oath.

Jim Quiggle, Director of Communications at the Coalition Against Insurance Fraud, outlines the new ways scammers are taking advantage of the COVID-19 financial crisis. He highlights new trends within insurance fraud and educates listeners on how to keep an eye out for unlikely scams.

Modern customer experiences require a new way of thinking. Abby Anderegg, Senior Solutions Director at Duck Creek, discusses the prevalence of insurtech vendors and the impacts they're making in the industry. From damage estimation to medical bill processing, touchpoints within the claims lifecycle can now be automated and advanced to achieve lofty customer service goals. Abby offers suggestions on how to best integrate vendor partners and important data to solve important problems and keep your customers happy.

Joe Stephenson is Director of Digital Intelligence at Intertel. He points out that we're at the beginning of a revolution. Everybody uses the term big data, but what we are really talking about is the growth of mass collection that is taking place today. How do we manage the incredible amounts of data we have access to today?

Tommy Hansen is Senior Consultant SIU at the Danish Trade Organisation and explains how insurance fraud is impacted by COVID-19. On social media he sees a rise in groups where people discuss COVID-related claims. Fraudsters derive inspiration from such platforms to benefit from the global pandemic.

The push to modernize really started happening instead of days or weeks, instead of the planned months. Abby Anderegg, Senior Director at Duck Creek Technologies, points out that these rapid innovations occurred specifically in the claims handling process. In the age of COVID, the number of face to face interactions had to be reduced.

Are women more honest than men, or less honest? Pink Collar Crime Expert Kelly Paxton shares her ideas. She points out you should never fall into stereotypes of good or bad. Honest people can make bad choices.

An interview with attorney Jeffrey Rapattoni from Marshall Dennehey, about reinventing insurance business models to work in a virtual environment. Jeffrey is Senior Vice President and Board Member at law firm Marshall Dennehey.

Andrew Vogeney is the Marketing Manager at FRISS. In this episodes he joins us to share his responsibilities as Marketing Manager at FRISS and how the company helps in keeping insurance honest. He describes his journey, why he was interested in having a career in broadcasting, and what led him to join the insurance industry. He discusses the need for honesty to be rewarded with ease and convenience, especially when it comes to claims. Andrew also explains how their fraud-checking system works and how they rate users according to their honesty. This podcast was created by Spot On Insurance.

Even billionaires fall victim to embezzlement. Kelly Paxton, a seasoned fraud consultant and public speaker, explains how anyone can be embezzled. And it is not necessarily the typical bad guy trying to steal from you. During her career in law enforcement, Kelly saw regular looking moms and dads setting up financial scams. So what do you do if you are embezzled? It will change your life, but it doesn't need to change it in the worst way possible.

Even honest people will commit insurance fraud if they can strongly justify it. Matthew Smith, Executive Director at the Coalition Against Insurance Fraud, warns insurance companies to be aware of their behavior during COVID-19. Actions taken today could backlash on the business after the crisis. He answers to the question: what might be the long-tail impacts of COVID on insurance?

Fraud is not always black and white. We often see claims that are not exactly fraudulent, but have been padded up. During the COVID-19 pandemic, many people lost their jobs and got financially pinched. How are jurors going to deal with the impact from the coronavirus? Jim Patillo looks ahead and talks about the way jurors should treat COVID-related cases that contain an element of fraud.

It's that spooky time of the year again: HALLOWEEN!

COVID-19 has a major impact on insurance, and thus on the claims process. In this episode Andrew Vogeney talks to Jeffrey Rapattoni, Senior Vice President and Board Member at Marshall Dennehey. Jeffrey explains why the current unknown has such a big effect on the workflow at insurers. He answers to the question: "is this an opportunity for courts to reinterpret the conditions of insurance policies?"

The two biggest buzz letters in insurance today are AI. In this episode Andrew Vogeney talks to Matthew Smith, Executive Director at the Coalition Against Insurance Fraud. Matthew explains why artificial intelligence is going to be the biggest determiner in the fight against fraud. What are the pros and cons of applying AI and how can insurers implement it safely?

One of the most effective uses of data and analytics in insurance is to prevent fraud both at the point of underwriting and from claims. Jeroen Morrenhof founded FRISS in 2006 and today the company has over 180 implementations of its technology around the world. Identifying potential fraud creates savings direct to the bottom line - Jeroen believes FRISS has saved its clients over 1 billion dollars. Join Matthew Grant from InsTech London as he finds out what motivated Jeroen to start the company and lessons from the last 14 years. Topics include the choice between bootstrapping and bringing in external funding, understanding the "fraud funnel", keeping ahead of the latest approaches to fraud during Covid-19, and using third-party data sources and in-house experience.

Max Bazerman is an author and academic who specializes in business psychology. He is the Jesse Isidor Straus Professor of Business Administration at Harvard Business School. In this episode he talks to Dan Gumpright (VP of Products at FRISS) about honesty in insurance, from a psychologist's perspective. Max explains how honest insurance is only achievable when there is full transparency between insurers and their customers.