Insights

The Nuts & Bolts of Programmatic Fraud

Programmatic fraud is when a person or organization reverse engineers an online claim form and writes computer code to automatically submit claims using fake aliases. These aliases may include computer (AI) generated First Names and Last Names; actual or fake addresses; properly set up or fake email addresses and phone numbers that are often active. The code can solve claim validation questions on the claim form and bypass CAPTCHA technology. These claims are near impossible to distinguish from legitimate claims and fraudsters are constantly improving their technology to push a greater number of fraudulent claims through final payout.

INTRODUCING A TECHNOLOGICAL SOLUTION TO COMBAT FRAUD


Using ClaimScore has Lead to Millions in Savings When Compared to the Industry Standard Review Process


ClaimScore's claim validation system is capable of identifying Bad Actors and Programmatic Fraud alike. Effectively distinguishing between fraudulent claims and legitimate ones is critical to the validity of the Class Action Settlement process. ClaimScore's Real Time Claim Validation product can be integrated into any Claims Administrators' digital claim form, will review claims in real time and provide review results instantly back to the Administrator. ClaimScore's Retro Claim Validation product includes reviewing claims after they are completed via file upload. Both products include access to our live, interactive dashboard that presents aggregated results. ClaimScore can also conduct a Mid-Case Consultation. During a Mid-Case consultation, ClaimScore will review the claims for a case and provide advanced reporting, including a declaration, and full backup documentation of review results.