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Managing fraud investigations is a complex and complicated process — one that insurers and their Special Investigations Unit (SIU) staffs face every day.
 Investigations require careful planning, documentation, and analysis. Claims handlers identify suspicious claims, and managers approve cases and assign them to their field staff. Investigators write reports and send appropriate data to various agencies to comply with regulatory requirements. Managers monitor and summarize investigations and their results. And throughout the process, companies must comply with antifraud program guidelines and reporting requirements from state fraud bureaus.
To help you perform all these tasks, ISO is pleased to debut an exceptional fraud investigations system — SIU Case Manager.
SIU Case Manager is a powerful tool that offers the automation you need to manage claims and fraud cases more efficiently. This browser-based, comprehensive system automates and integrates the many tasks involved in managing claims and underwriting investigations.
With SIU Case Manager:
- Investigators can document case progress, report on case activities, and summarize outcomes. The application tracks such detail as daily activity, to-do lists, and expenses.
- Managers can refer casework to their investigators, oversee staff activities, and compile case statistics.
- Senior management can use the system to support enterprise-level reporting. The tool also helps refer cases to state fraud bureaus and the National Insurance Crime Bureau (NICB) for investigation and prosecution.
SIU Case Manager features an activity log to document all case-related activities. Investigators can enter log notes on all activities they perform throughout an investigation. And to help investigators plan their daily schedules and eliminate missed activities, the application includes a diary function they can use to keep a list of activities they need to complete. SIU Case Manager can also help you compile case reports for each assignment.
With SIU Case Manager, you'll increase SIU productivity, fight fraud more effectively, meet regulatory-compliance requirements, and improve your bottom line.
For more information . . .
. . . on SIU Case Manager, call ISO ClaimSearch Sales at 1-800-888-4476. Or send e-mail to
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. And for other information or services, refer to the ISO ClaimSearch Service Directory. |
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