Case Study: Pan-Asian Insurer achieves higher straight-through claims processing and real-time fraud detection with Shift Technology's Claims Fraud Detection

Asian Insurance Company - Customer Case Study

Asian Insurance Company, a fast-growing pan-Asian insurer and the largest online insurer in Singapore, faced rising fraud, waste and abuse across its Employee Benefits claims, which required manual review of hundreds of thousands of claims. To improve real-time detection, increase straight-through processing (STP) and speed up payments, the insurer selected Shift Technology’s Claims Fraud Detection solution.

Shift Technology implemented its AI-native, SaaS Claims Fraud Detection platform, consolidating data from three legacy systems, enriching it with third-party data and deploying an initial suite of 14 fraud models (with five more added later). The solution analyzes over 500,000 claims annually, delivered a positive ROI within six months, saved the carrier more than $100k in the first months, flagged fraud cases that would previously have gone unnoticed (80% of suspicious cases), and increased same-day STP rates and overall customer experience.