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ease
features
design
support

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Description

NEMESIS is an advanced AI-driven technology for anomaly detection that specializes in identifying fraud and inefficiencies. This next-generation platform not only highlights opportunities for improved efficiency within your business management systems, but it also serves as a customizable enterprise solution that allows business analysts to quickly convert data into meaningful insights. By harnessing the capabilities of artificial intelligence, NEMESIS addresses challenges including overstaffing, medical inaccuracies, care quality, and fraudulent claims. With its continuous process monitoring, NEMESIS reveals various risks, from anticipating quality concerns to uncovering waste and misuse. Utilizing machine learning and AI, it effectively identifies fraudulent activities and schemes before they can impact your financial resources. Furthermore, NEMESIS enhances your ability to manage expenses and track budget discrepancies, ensuring ongoing transparency regarding waste and abuse. This comprehensive approach not only improves operational efficiency but also fosters a more accountable financial environment within your organization.

Description

Uncover the concealed links and associations between claimants, providers, and businesses to assist in detecting systemic insurance fraud. The sophisticated analytics offered by NetMap significantly bolster the SIU's capacity to uncover fraud networks within their organization's claims. This software rapidly assesses claim data, public documents, and additional information to highlight patterns that suggest fraudulent behavior. With robust analytics and data visualization tools, SIU analysts can swiftly identify complex patterns of deceitful activities. By condensing weeks of investigative work into just a few hours, NetMap not only enhances the efficiency of organized claims fraud probes but also accelerates the process from detection to referral, ensuring a more effective approach to combating fraud. Moreover, the application of these tools can lead to more informed decision-making and improved overall outcomes for the insurance industry.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Amazon Web Services (AWS)
IBM Cloud
Microsoft Azure

Integrations

Amazon Web Services (AWS)
IBM Cloud
Microsoft Azure

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Aviana

Founded

1994

Country

United States

Website

nemesisbyaviana.com

Vendor Details

Company Name

Verisk Analytics

Founded

1971

Country

United States

Website

www.verisk.com/insurance/products/netmap-analytics/

Product Features

Data Analysis

Data Discovery
Data Visualization
High Volume Processing
Predictive Analytics
Regression Analysis
Sentiment Analysis
Statistical Modeling
Text Analytics

Financial Risk Management

Compliance Management
Credit Risk Management
For Hedge Funds
Liquidity Analysis
Loan Portfolio Management
Market Risk Management
Operational Risk Management
Portfolio Management
Portfolio Modeling
Risk Analytics Benchmarks
Stress Tests
Value At Risk Calculation

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

Product Features

Fraud Detection

Access Security Management
Check Fraud Monitoring
Custom Fraud Parameters
For Banking
For Crypto
For Insurance Industry
For eCommerce
Internal Fraud Monitoring
Investigator Notes
Pattern Recognition
Transaction Approval

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LexisNexis