Case Study: a top 10 Singapore health insurer reduces fraud, waste and abuse with Qantev

Top 10 Singapore Health Insurer - Customer Case Study

a top 10 Singapore health insurer faced significant challenges with an inefficient, manual system for detecting fraud, waste, and abuse. Their rules-based process resulted in a high proportion of false positives and an estimated 5% leakage, with FWA increasing by 20% since the pandemic. They partnered with Qantev to address these issues and implement a more effective solution.

Qantev deployed its Fraud, Waste and Abuse module and its Claims Registration module within the insurer's ecosystem in under six months. The results were substantial, including a 45% year-on-year increase in detected suspicious claims with a total value of 7M SGD and a 60% average hit rate. The solution achieved a positive ROI after just six months and enabled a 25% increase in the number of alerts investigated by the SIU team.