Product/Health Claims Detection

CLAIMS DETECTION

Detect Fraudulent Insurance Claims 12x Faster

Curacel's Claim Detection is an AI-powered insurance fraud detection SaaS that identifies and prevents fraudulent insurance claims 12 times better than in-house detection systems and resulting in approximately 25% lower payouts.

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INSURANCE FRAUD DETECTION

Curacel's Claim Detection is a powerful, artificial intelligence-based insurance fraud detection solution delivered as a Software-as-a-Service (SaaS). It helps insurers identify and prevent potentially fraudulent insurance claims, performing up to 12 times better than any in-house fraud detection systems and resulting in approximately 25% lower payouts.
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With Curacel Detection, insurers can view a comprehensive list of vetted claims, with indicators for flagged claims, falsified medical history, exaggerated loss, faked incidents, etc., all on a single, user-friendly dashboard. This makes it easier for claims handlers to conduct thorough quality assurance..

$3M+

FWA Saved

$100M+

Transaction Value

5000+

Health Providers Nework

25+

Insurers

FRAUD DETECTION BENEFITS

Why Curacel's Claims Detection?

Efficient Cost-saving

Achieve cost-saving and optimize payouts by eliminating fraudulent insurance claims and waste by at least 20%.

No More Claims Backlogs

Our AI-driven insurance fraud detection software speeds up your adjudication and claims vetting process by 90%.

No Process Change

Curacel’s Claims Detection software works in your backend by seamlessly integrating with your existing system, hence no need for new learnings or process change.

Accurate Claims Vetting

With accuracy of up to 99%, our claims detection will automate your claims vetting resulting in a 12x faster process with less human errors.

Improving technology

Our AI technology keeps learning and improving to make your claims processing better and faster as you grow with Curacel.

Customizable system

Curacel's Claim Detection is fully customizable and can be adapted to how you operate as a business with the aim of optimizing your processes and reducing costs.

Frequently Asked Questions

Pricing

No initial investment required. You pay as you go, and only pay for what you use. It enables you to scale your health claims operations without incurring unnecessary cost.

Is it an ERP?

Curacel's health claims management system is more than an ERP or CRM. You are enabled to automate and optimise your operations and gain valuable insights into your claims data for better decision making.

Integration

Integrating with the Curacel’s health claims management API is swift, with an on-time support at every stage, unlimited. And at no extra cost. Our system gives your team a quality time to value.

Security

To ensure the security and protection of your data, we have implemented several measures including:

1. Encrypting all data transmitted between our systems and your devices with SSL encryption and AES 2048-bit keys.
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2. Detecting and preventing unauthorized access to our systems with intrusion protection.
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3. Protecting against DDos attacks, which could disrupt the availability of our servicesIsolating different functions and data through a compartmentalization architecture.
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4. Automating security tasks with the use of Amazon Macie to detect potential security risks in our data stores.