NETWORKING NEWS

Insurers are getting better at it but, by nature, you almost have to be burned before you find the fire.

Story on page 10

FRAUD DETECTION IS BASIC to insurance operations, and never more so than during a down economy. In addition to ongoing efforts to ferret out organized fraud rings, carriers need to be on the lookout for increased instances of soft fraud, as debt-rid-den and desperate consumers pad otherwise legitimate claims.

Since the upswing in fraud
slices through all personal and
commercial lines business, in-
cluding P&C, workers’ comp
and health, carriers are more
diligent than ever in their efforts
to thwart the bad guys.
Fortunately, they now have a
bevy of technological options,
including predictive analytics
and visual link analysis, to add
to their traditional array of
fraud detection tools. Read on
to see how carriers are melding
state-of-the-art with time-test-
ed investigative techniques to
separate fraudulent claims from
legitimate ones, and improve
their bottom lines.

>>COVER STORY Fraud Screening:

The Hunt for

Suspicious Data

Story on page 10

By Bill Kenealy

6
Driving Automation

Insurance.com’s use of continuous monitoring improves the precision and efficiency of call center decisions.

8
Customer Satisfaction

A survey reveals that many customers would recommend their current auto insurance provider to friends or family.

Social network analysis can help insurers understand factions often connected to criminal behavior.

Link Analysis
14
15
2010 IT Priorities

U.S. insurer budgets and projects for 2010 focus on policy admin, agent portals and business intelligence.

>>RISK MANAGEMENT

By Daniel Joelson
Reinsurers Put Risk
Under the Microscope

>>POLICY ADMINISTRATION

By Joe McKendrick

Policy Admin Systems
Gear Up for New Realities

Will insurers without a comprehensive strategy will be at a competitive disadvantage?

Embracing Web 2.0
19

RECENT NATURAL DISASTERS and the current economic crisis have forced reinsurers to review their risk models and rethink their risk placement choices.

Reinsurers are facing added complexities and challenges never encountered before, such as pleasing stricter rating agencies and

keeping track of layered business transactions. However, companies such as Transamerica Reinsurance and Guy Carpenter use a number of sophisticated technologies and processes to better assess and manage the range of risks now facing them. Find out how.

PROCESSING A COMMERCIAL lines policy carries with it a host of integration points that touch a multitude of similar and dissimilar systems, tools and back-office functionality.

In reality, there is no single magic bullet for policy administration systems integration: For every 10 companies,

there are 10 different integration strategies, from gradual approaches to take-no-prisoners implementations.

INN investigates how successful commercial lines carriers use technology standards to simplify the growing complexities inherent in their core processing.