Audience
Shift Technology’s Claims Fraud solution is ideal for insurers, SIU leaders, and claims executives who need AI-driven tools to detect, investigate, and prevent fraud with speed and accuracy
About Shift Claims Fraud
Shift Technology’s Claims Fraud solution helps insurers detect and prevent fraudulent activity with AI-powered precision. By analyzing patterns across carriers, policies, and external data, it identifies suspicious claims in real time. The platform accelerates investigations, reduces false positives, and improves overall decision-making accuracy. With the Insurance Data Network, insurers gain a unique industry-wide view to uncover complex fraud schemes that would otherwise go unnoticed. Trusted by over 115 insurers worldwide, Shift has detected more than 13 million suspicious claims and saved billions in potential losses. Its technology empowers claims leaders, SIU teams, and executives to fight fraud faster and more effectively.
Other Popular Alternatives & Related Software
Fraud Barrier
Bad debts, as well as collection and recovery costs, can be reduced by avoiding overrated risk segment assignment for unfair applicants who put false information in application. Reduce serious fraud losses and write-offs generated by fraudulent applicants to the minimum. Fraud identification should not compromise customer service and speed of decision making. Investigating suspicious cases, analyzing application assessment results and making decisions. Automation of fraud detection and investigation workflows and decision flows. Easy to manage user interfaces for minimal resource requirements and operational expenses. Automatically assigns cases for investigation and assigns score based on likelihood of Fraud.
Learn more
NetMap
Discover the hidden relationships and connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud. Powerful analytics and data visualization technology help SIU analysts discover intricate patterns of fraudulent activity quickly. NetMap compresses weeks of analysis into hours, helping streamline organized claims fraud investigations and reduce the time from detection to referral.
Learn more
Guidewire ClaimCenter
Guidewire ClaimCenter is a leading claims management system designed to streamline the entire claims lifecycle for property and casualty (P&C) insurers. It offers comprehensive functionality from initial claim intake to resolution, enabling insurers to process claims efficiently and accurately. Key features include automated workflows, embedded analytics, integrated fraud detection, and real-time performance monitoring, all of which enhance operational efficiency and improve customer satisfaction. ClaimCenter supports various lines of insurance, including personal, commercial, and workers' compensation, and can be deployed as a standalone solution or as part of the Guidewire InsuranceSuite. By leveraging ClaimCenter, insurers can accelerate claims processing, make data-driven decisions, and adapt to evolving market demands.
Learn more
aiReflex
Fraud.com's aiReflex determines which transactions are legitimate in real-time using a multi-layer defence coupled with explainable AI to fight fraud & improve customer trust.
The detection layer analyses your transactional data in real-time to deliver unmatched risk-scoring accuracy. The multi-layer defence identifies suspicious transactions using our adaptive machine learning algorithms, adaptive rules & next-generational behavioural engine to create hyper granular profiles for every individual to identify abnormal behaviour.
aiReflex's Response layer manages fraud centrally via an omnichannel case manager, automating tasks & decision-making to reduce fraud, friction & fraud team inefficiencies. Investigators become superheroes with a 360-degree view of the customer and explainable AI to manage a case with great accuracy & speed, with intelligent search, reporting, queue management & link analysis.
Contact us at fraud.com to learn how we can improve your fraud defences.
Learn more
Integrations
No integrations listed.
Company Information
Shift Technology
Founded: 2014
France
www.shift-technology.com/products/claims-fraud
Videos and Screen Captures
Other Useful Business Software
Our Free Plans just got better! | Auth0
You asked, we delivered! Auth0 is excited to expand our Free and Paid plans to include more options so you can focus on building, deploying, and scaling applications without having to worry about your security. Auth0 now, thank yourself later.
Product Details
Platforms Supported
Cloud
Training
Documentation
Live Online
In Person
Support
Phone Support
Shift Claims Fraud Frequently Asked Questions
Shift Claims Fraud Product Features
Fraud Detection
Custom Fraud Parameters
For Insurance Industry
Investigator Notes
Pattern Recognition
Transaction Approval
Access Security Management
Check Fraud Monitoring
For Banking
For Crypto
For eCommerce
Internal Fraud Monitoring