James Ruotolo is the Principal for Insurance Fraud Solutions in the Global Fraud & Financial Crimes Practice at SAS®. He is responsible for fraud detection and investigation management solutions for the property, casualty, life and disability insurance markets worldwide.
Financial institutions evaluating fraud management solutions face a crowded vendor landscape. Dozens of vendors claim to offer various pieces of the puzzle. With so many choices available, how will you sort through the marketing rhetoric to find the best fit for your organization? You could assemble a team of analysts
At this year’s America’s Claims Event (ACE) conference in New Orleans, Gary Gilver, Vice President of Claim Operations at Cincinnati Financial referenced in-database processing and predictive analytics as two key technologies that will dramatically influence the future of claims processing. He urged insurers, “if you’re not having conversations about these
In my last post, I described how the insurance fraud landscape is shifting toward a greater focus on organized ring activity. In order to deal with the changing nature of insurance fraud exposure, the insurance industry needs to shift its thinking. But there are multiple hurdles to overcome in order
Occasionally, I give presentations to analysts and investigators in the insurance industry regarding how they can use social media websites like Facebook and Twitter during their investigations. Special Investigation Units (SIU’s) are increasingly turning to social media websites during their research as discussed in this recent Los Angeles Times article.
This year, SAS joined the Coalition Against Insurance Fraud (CAIF). Not long ago I had a chance to attend my first CAIF meeting and I was very impressed with what I saw and heard. Fraud continues to be a thorn in the side of the insurance industry. The most recent
