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CNA (Chicago) has selected Shift Technology’s (Paris) FORCE fraud detection solution to automate the insurer’s fraud detection capabilities. CNA is the first U.S.-based commercial insurer to adopt Shift’s AI-native, SaaS-based application.
“CNA continues to focus on, and invest in, technology and analytics to advance claims,” comments Rob Thomas, Senior VP of Claim Analytics, Finance and Operations for CNA’s Worldwide P&C Claim unit. “By partnering with Shift Technology, CNA will optimize its special investigations efforts by focusing on the most suspicious cases with pre-identified paths for investigation.”
Shift describes FORCE as using advanced AI and data science to not only detect potentially fraudulent claims but also provide contextual guidance for investigation and resolution. Unlike other technologies which rely heavily on the use of static business rules to identify those claims which may be non-meritorious, FORCE uses AI to analyze vast amounts of data from multiple sources, the vendor elaborates. The result, according to Shift, is a dynamically generated fraud score for each claim that indicates how suspicious the claim is, contributing factors, and how the claim could be investigated.
Improving Customer Experience through Efficiency
“Forward thinking insurers, like CNA, are consistently exploring how new technology can significantly improve the customer experience by making their processes more efficient,” stated Jeremy Jawish, CEO and co-founder, Shift Technology. “By delivering deep insight into the claims our clients are processing and making the connections that would otherwise not be made, we’re offering a powerful tool that is changing how potential fraud is identified and investigated.”