Insurance providers are now caught in a unique market and business dynamic: the goal of driving new revenue and maximizing customer satisfaction, while avoiding waste and fraud. With optimization efforts focused on increasing revenue streams, insurance companies are lagging behind in cost minimization, specifically in the domains of fraud, waste, and persistent financial loss. Outdated, labor-intensive methods based on hard-coded procedures are not keeping up with complex rules changes in the insurance industry and increasingly sophisticated fraud schemes.
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