The company implemented the FRISS Case Management Tool and Claims Fraud Detection solution in 2020. Now, TD Insurance is expanding upon its manual and analytics-based fraud detection and prevention capabilities, to include FRISS's AI-supported fraud risk scoring, and to better detect fraudulent claims during the adjudication process. This integration activated real-time fraud risk scoring and flagging of potential suspicious activity.
FRISS's automated technology augments TDI's existing detection capabilities, which already includes internally developed AI-analytics, as well as partnering with Layer 6 and FRISS for solutions to combat fraud at each step of the process. The company is also a participant in Équité Association, a consortium created by and made up of Canadian insurers to fight fraud. Together, these capabilities create a multi-layered approach to identifying and managing fraud and suspicious claims.
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