This seminar focuses on upgrading strategies to combat medical claims fraud. We aim to establish a robust fraud risk control framework aligned with insurers' zero-fraud strategy. By prioritizing detection, investigation, deterrence, and prevention, we'll fortify fraud defense and its contributing success factors.
- Introducing a novel fraud scorecard format for accurate performance indicators, allowing retrospective analysis and future fraud threat forecasting.
- Plotting a roadmap to fraud resilience, embracing automated anti-fraud technologies and addressing weaknesses in fraud controls.
- Discussing investment areas and fraud KPIs embedded in incentive systems.
- Highlighting forward-attacking fraud defense and robust investigation methods to control and mitigate excessive claims fraud losses.
- Emphasizing prevention, deterrence, and the importance of evidence-based fraud dossiers for favorable financial outcomes.
Join us to explore effective strategies for detecting, preventing, and investigating medical claims fraud. Together, we'll strengthen our defense against fraudulent activities in the medical insurance industry.