Case Study: MAPFRE achieves faster fraud detection in health reimbursement requests with MJV Technology & Innovation

MAPFRE processes 10,000 reimbursement requests a day with MJV Technology & Innovation

The customer, MAPFRE, one of the largest insurance companies in Latin America, faced the challenge of transforming a high volume of health reimbursement request data into valuable information to combat fraud. To address this, they partnered with vendor MJV Technology & Innovation, which utilized its analytics expertise and an Oracle Database structure to process the data.

MJV Technology & Innovation implemented a solution that integrated and processed data from reimbursement systems to create a fraud propensity indicator. This resulted in real-time dashboards that allowed MAPFRE to identify and analyze irregular claims, interrupting payments for deeper investigation. The solution provided a more agile and assertive decision-making process, significantly reducing costs associated with overpayments and fraud.

MAPFRE