USE CASE

Tackling insurance fraud the Desilian way

Would you be able to spot one of the following?
  • How quickly could you spot if someone was claiming too much for rental cars?
  • Would you know if several people had made a claim for the same vehicle/house?
  • Could you tell if someone was pretending to be someone else?
THE CHALLENGE

Insurance fraud

Insurance fraud in the UK is currently estimated to be excess of £ 1.25b per year with an average scam value of £12,000. With many disparate systems, diverse data stores (both digital and traditional paper) and a world of unstructured data to sort through, it's an ever-increasing challenge for insurance companies to detect these crimes.

Organised fraud is constantly coming up with new ways to hide their tracks. From Ghost Brokers and deliberately staged accidents to organised liability fraud, the techniques used are getting harder and harder to spot from the legitimate claims without large numbers of highly experienced investigators spending even larger amounts of time trawling through the data.

THE SOLUTION

Desilian Core

Wouldn't it be great to have a partner on your side to help you fight crimes like these? One who had the ability to detect the hidden clues, and that has services that are always running and yet be as easy to use as an Internet search.

No need to imagine, such advanced form of algorithms, selective machine learning combined with natural language processing is all delivered with a simple drag and drop style user interface that anyone can setup in a matter of minutes. This is Desilian Core.

The market for tools that help companies to better understand the data that they already have, is exploding. These "Big Data" analytics technology, as they are popularly called, fall into many different categories as each technology tries to focus on solving a specific problem. These come in many shapes and formats and most significantly, have the propensity to create as many new problems as it has solved, such as creating disconnected repositories of data, incompatible pieces of software and processes that have created huge IT projects, which in turn, often fail to deliver on the promised return of investment.

ACCORDING TO CIFAS - IN 2018 THE BIGGEST CAUSES OF FALSE CLAIMS CAME FROM HOUSEHOLD AND MOTOR CLAIMS - WITH A 25% AND 45% INCREASE RESPECTIVELY.

Desilian is approaching this problem from a different angle, through our all-in-one solution for eDiscovery, BI and RPA that focuses on innovating new ways to discover the hidden value in unstructured data and automating relevant repetitive processes to reduce costs and errors.

Desilian is quickly gaining universal praise from everyone who sees it as a game changing product that allows one tool to achieve significantly better results in less time and for less cost than any other product or products on the market.

Desilian does all this with a simple four step process

Ingest

Firstly, getting the data into the platform is as easy as dragging and dropping the files you want to work on into the user interface or by setting up data connections and APIs to be ingested. Your unstructured data is now processed by our advanced OCR and ready for searching. In addition, you can set up a direct feed from your existing data sources for real time analysis or even connect to third party data sources.

Enrich

Desilian goes even further in turning your unstructured data into structured data with a simple mark-up process that allows you to grasp the contents of documents, enabling you to understand insurance documents and identify a policy number, a claimant’s name, or a broker’s details. Creating aliases for the multiple ways to define the same data means that even deliberate attempts to disguise an identity will still be found. With Desilian it’s no longer just data, it’s now Smart Data.

Discover

Searching through the data is as simple as searching with everyday Internet search engines, but again Desilian goes further with an expression builder that allows you to create simple and complex keyword searches and filters to drill down into rules which will watch for their occurrence and alert the user whenever they are found.

Interrogate

Get a unique visual perspective on your data with a graphical representation of your data and finding the links between that data across multiple degrees of separation. Drill down through that network of links to expose new queries for further analysis and find the hidden links in the data that typically would not even have been considered.

ACCORDING TO THE ABI - 1,300 SCAMS ARE UNCOVERED EVERY DAY, BUT THERE ARE ONLY TWO CRIMINAL CONVICTIONS OR CAUTIONS PER WEEK. A CONVICTION RATE OF JUST 0.0002%, DISPITE THE INDUSTRY SPENDING £250M A YEAR TO COUNTER FRAUD.

To top all this off, Desilian can also provide you with an integrated best in class graphical business analytics capability that allows full reporting on everything to do with the state of your business, from how many claims are being investigated to where the most claims are being raised. And with all of this data plotted over time, new trends can be quickly spotted and investigated.

All of this is provided in a single platform, totally secure, fully audited, easy to use and hosted ready to deploy in just a few days, with no need for a major IT project, leading to higher quality, less errors and all for a reduced cost.

DESILIAN DELIVERS

Data compliance and
retention secured

Assisting in your data compliance procedures for access and audits to your personal and business critical data.

Increase efficiency by
removing manual tasks

Automatic searching against your rules to alert an operator for further investigation.

All your data can be
accessed instantaneously

Every piece of data that you have, both structured and unstructured is instantly available to be analysed.

Identification of suspicious
activity

Duplicate claims, modified identification details and other red flag indicators can be constantly monitored.

Data is far more
secure

Compliant with your own requirements for security and all access fully audited.

Significantly lower
costs

From initial setup to ongoing customisations, Desilian does it quicker and at a lower cost.