I've already discussed some of the issues surrounding the optimization of medical claims: the need for structured data and the need for performance indicators. In this interview with Insurance Networking News, I discuss the need for a data-centric...

Last week, I introduced the idea of an anti-fraud program for insurers. Today, I'll talk about some of the analytics that can be implemented as part of these initiatives. Business rules and anomaly detection Typically, the first line of defense ...

In a recent issue of Claims Magazine, I wrote an article called Analytics and claim fraud: Assembling the proper toolbox to prevent and detect scams. In it, I discuss some strategies that insurers can use to deal with claims fraud. Over the next t...

In a March 2010 article for Claims Magazine, I talked about the challenges in optimizing medical claims. Last month, I discussed the need for key performance indicators. This week, I will talk about the need for structured information. Methodolog...

In a recent issue of Tech Decisions, my colleague John A. Koepke, senior executive in Insurance at Accenture, talks about the importance of data migration to the industry. Whether acquiring another business, upgrading a legacy system or outsourcin...

This is the last in a series of posts about cloud computing for the high performance insurer. In part one, I provided an overview of cloud computing. In part two, I discussed two types of cloud computing: infrastructure and software. And in part t...