Life and health
Protect the policyholder experience from the cost of fraud
Life and health insurance fraud occurs at every stage – application misrepresentation, non-disclosure, fraudulent claims, provider co-conspiracy - with billions lost annually. Genuine customers absorb the cost. The answer isn't more friction. It's better insight at the moment a decision needs to be made. Clearspeed provides real-time insight into risk so you can enable trust across your ecosystem.
Fraudsters know the gaps. Customers feel the friction.
What isn't disclosed can't be flagged, while segmentation models assess the profile, not the person. The operational response to that gap – more data purchases, more tests, longer review cycles – adds cost and friction without closing it. Genuine policyholders absorb the burden while fraud adapts.
Get a better signal on fraud risk and act with confidence
EARLY
Reduce exposure early
The most financially impactful intervention is upstream - before the policy is written. With Clearspeed, identify misrepresentation, concealment, and deliberate non-disclosure that standard checks aren't designed to catch.
SPEED
Clear the path for genuine applicants
Underwriting processes built around data purchases, lab tests, and extended review cycles add cost and slow down the majority who don't warrant the scrutiny. A real-time risk indicator at application means genuine applicants move faster, and resources concentrate where they're actually needed.
SCALE
Settle claims fast. Find fraud faster.
Claims fraud takes many forms - beneficiary fraud, exaggerated injuries, duplicate claims. A real-time risk indicator at triage changes the calculation: settle genuine claims without delay and direct investigative attention to the cases that warrant it.
PROVIDER FRAUD
Ghost the ghost patients
Prevent persistent and embedded fraud threat from provider schemes. Clearspeed can be deployed at provider onboarding, credentialing, and ongoing monitoring, to surface real-time indicators of billing misconduct, compliance risk, and ghost patient schemes.
