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Fraud Detection

Donna Sanchez
In Fraud Detection

Fraud and Anomaly Detection

According to Sumsub's report published on BusinessWire, in 2022, fraud has dramatically increased in five countries, with 5.1% in the USA alone. The report stated that fraud in the banking sector has increased nearly 100%. Account takeovers and chargeback fraud are popular schemes used by…
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Avijit Datta
In Fraud Detection

Ghost Patients Detection

In July of 2022, the Department of Justice announced criminal charges related to "ghost patients" for more than $1.2 billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment schemes. Additionally, the Centers for Medicare & Medicaid Services, and Center for…
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Avijit Datta
In Fraud Detection

Medical Identity Theft Detection

Roughly 2.3 million Americans are victims of medical identity theft per year and have to pay an average of $13,450 in out-of-pocket expenses–two-thirds of those patients reported paying over 13,500. Medical identity theft is estimated to cost the healthcare industry over $30 billion a year.…
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Fan Yang
In Fraud Detection

Auto Claim Fraud Detection

According to the California Department of Insurance, the Fraud Division received 15,112 suspected fraudulent claims (SFCs), assigned 532 new cases, made 201 arrests, and referred 317 cases to prosecuting authorities from 2020 to 2021. The potential loss amounted to $215,383,939. However, auto insurance fraud is…
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