Pilotbird Claims Monitoring
Use lifestyle data to reduce ineligible claims.
Benefits for fraud and SIU teams
01
Detect 5x non-eligible claims with an automated monitoring process
02
Prioritize with facts using audit
trail for each suspicious flag
03
Collaborate in teams within an intuitive portal without set-up
Sample use cases
Recipient's end of life.
Recipient's end of life
Pilotbird leverages social data points to support claim teams at Fortune 500 carrier by reconciling death records of the recipients. Pilotbird engages with a national carrier to identify recipients who have recently passed away but beneficiaries who continue to cash in benefits check.
Active lifestyle.
Active lifestyle
Pilotbird engages with a Fortune 500 carrier to identify its disability benefit recipients with active lifestyle. Pilotbird analyzes tens of millions social data points to identify inconsistencies between policyholders disclosed lifestyle and their actual activity. The results are expected to reduce claims leakage by ~2% over time.
Employment status.
Employment status
Pilotbird leverages social data points to support claim teams at Fortune 500 carriers by flagging inconsistencies in lifestyle. Pilotbird engages with a national carrier to identify individuals who may have secondary jobs but chose not disclosed the secondary source of income while on disability coverage.