How does the fraud funnel work?

LISA Claims delivers a fraud scoring where the following stages are analyzed through a funnel.

  • Fingerprint analysis of the insured’s email (determines whether this is a disposable email or not).
  • Documentary Analysis (documents that have been adulterated can be detected).
  • Video Story (The emotion of the insured is analyzed).
  • Static database (blacklists managed by the company).
  • Ecosystem database (Companies that wish to contribute to this collection of anonymized information will be able to detect fraudulent claims).

With all this information, LISA Claims will be able to provide a scoring that reflects the probability that the claim is fraudulent. Throughout this process, our platform will be able to appeal to the claimant to desist from the process if it detects a possible fraud.

What happens if there is pending documentation from the insured?

LISA Claims will notify the insured and the insured will be able to upload it to the platform.

Is there flexibility to configure claims rules by product type, line of business, policy or coverage?

Yes, all this is configurable directly in the platform through rules according to the company’s requirements: by line of business, coverage, type of policy, among others.