AustraliaFinance and insurance2022 – ongoingHannover Life Re of Australasia
Fortiro Protect for claims-document fraud detection
Hannover Life Re of Australasia detected a fraudulent claim in its first live week with Fortiro
Problem
The insurer's claims assessments had focused on policy eligibility and health disclosures. Staff had paid less attention to whether submitted financial documents were genuine.
Approach
Hannover Life Re of Australasia began working with Fortiro in 2022 and tested historical claims documents. It subsequently integrated Fortiro Protect into claims assessment and customized detection rules. Its claims head said all financial claims documents then passed through the system.
Results
No published figures
Takeaway
Document checks added a separate control to claims assessment. The insurer reported an early fraud detection without disclosing the financial loss prevented.
Categories
- Size
- Large enterprise
- Industry
- Finance and insurance
- Business function
- Finance, risk and legal
- Innovation type
- Process innovation
- AI technology
- Predictive analytics and ML
- Adoption
- Vendor solution
- Goal
- Quality and risk
- Evidence
- Vendor case study
Sources
Source summaries
Fortiro published an interview with the insurer's claims operations head. She said every financial claims document passed through Protect and that staff detected a fraudulent claim during the first live week.
Fortiro dated the collaboration to 2022 and described testing followed by operational implementation. It explained checks on document content, visual layout and digital structure.
Full details are in the original sources.
