The holistic approach to insurance fraud prevention and detection. #insurancefraudsolution

3. • First Notification of Loss (FNOL)
• Third Party Capture (TPC)
• Claims Management
• All Segments of Insurance
• External Supplier Management
• Professional Repair Liaison
• Enhanced Courtesy Provision
Professional Claims Management Operation

4. • Professional Service
• Agreed Labor Rates
• Industry Repair Protocols
• Genuine Replacement Parts
• Repair Warranty
• Courtesy Transportation
• Collection and Delivery
Professional Auto Body Repair Network

5. • Vocational Training
• VDA Accreditation
• CPD
• VDA Software Training
Vehicle Damage Assessment

6. • Insurance fraud is any act committed with
the intent to obtain a fraudulent outcome
from an insurance process.
• This may occur when a claimant attempts
to obtain some benefit or advantage to
which they are not otherwise entitled, or
when an insurer knowingly denies some
benefit that is due.
The Scourge of Insurance Fraud

7. ‘CPS’ The Insurance Fraud Search Engine
• CPS methodically searches claims data and
is programmed to recognize fraud.
• CPS ensures consistent quality of data
across all insurance claims data entry.
• CPS automates the timely delivery of all
new insurance claims to ensure maximum
search integrity.
• CPS is built around a scalable
construction, its performance can be
easily improved as demand increases
• CPS works consistently at an optimum
processing rate and continuity.

8. Claimant Profiling Service (CPS) Provides the Answers
• Who is the Insured?
• Who was Driving?
• Accident History?
• Drivers History?
• Owners History?
• Claims History?
• Other History?

9. Test Drive CPS
2009-08-19
ROSE OTIM OBITA
PO BOX 8255 KAMPALA
UAJ 498E

10. • Premium Underwriting
• Claims Integrity
• Life and non Life
• Statistical Reporting
• Market Intelligence
• Operational Efficiency
• Regional Implementation
Claimant Profiling Service (CPS) Applications

11. Claimant Profiling Service (CPS) Technical Security
• Secure user access
• Tracked Data Access
• Secure transmission of claims data to CPS
• Secure data processing
• Secure results retrieval
• Simultaneous backup
• Limited and managed access
• Secured database server using a data
channel for webserver access and is
secured to prevent external access.
• Strong and complex passwords and
unique keys.

12. Claimant Profiling Service (CPS) Technical Support
• CPS is supported by iN Connecting an award
winning company based in Kampala part of Foris
Telecom International Group. The group holds
internet licenses in several different countries,
mainly across Africa.
• iN Connecting is the winner of the KACITA award
for best internet provider for 2011 and 2014
• CPS is supported and monitored by the iN
Connecting Support Centre 24/7
• Our co-operation with iN Connecting provides a
simple fast deployment and maintenance free
operation of CPS.
• Deployment
• Connectivity to the Data Base
• CPS hosting and support
• All inclusive without additional cost to the
enquiry
• No additional resources required
 FREE CONNECTION
 FIRST ROLL-OUT AND INTEGRATION
 HI SPEED LINES
 LOCAL HOSTING
 ALL INCLUSIVE COST IN SERVICE

13. Claimant Profiling Service Integrity Policy
• It is our policy to store all data with the highest
degree of security to ensure its continued
integrity.
• Further we maintain the strictest level of
confidence and do not under any circumstances
share any data with third parties except for
authorized Courts of Law.
• Being mindful that certain jurisdictions do not
allow blanket or wide limitation of liability or
the exclusion or limitation of certain damages
and or loss, notwithstanding, any liability
imputed on us will be limited to the maximum
extent permitted by the law in such
jurisdictions.