Admiral is an intelligent software solution,
which
helps insurance companies prevent, detect and resolve fraud. Admiral
analyzes damage claims that the health care service providers submit to
the insurance company. Thanks to its advanced approaches, Admiral is
able to look for known fraud types and suspicious inconsistencies that
are potentially connected with new fraud types.
Admiral is an indispensable tool for health insurance supervisors.
Admiral checks every single loss event and alarms the supervisor in
case of suspected fraud or anomalies. It directs companies to the most
suspicious claims and claims with the highest damages by means of
intelligent classification methods. Admiral complements each case with
explanations, reports, documents and advanced visualisation that help
the supervisor understand the situation. And armed with such
evidence,
the supervisor can proceed against the offenders very
credibly.
Admiral has an automatic update function and is designed to learn from
the supervisors and experts that participate in fraud detection.