CIA application qualified Pilotbird as Top 10 US InsurTechs
Fraud Analytics In Insurance

Benefits for fraud and SIU teams

01

Lifestyle Risk Scoring

Prioritize with facts using audit
trail for each suspicious flag

02

Lifestyle Risk Scoring

Detect 5x non-eligible claims with an automated monitoring process on the entire portfolio

03

Lifestyle Risk Scoring

Use with joy an intuitive platform without set-up and within current workflow

Business Impact

Fraud leakage

Reduce ~3% of portfolio

Reserves

Release ~$250k per case

Sample use cases

Fraud with death

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.

Disability Insurance Fraud

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.

Fraud with supplementary income

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.

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