DEVK implements real-time claims fraud detection system

Wednesday, 05 August 2020

German ICMIF member DEVK successfully implemented FRISS Fraud Detection at Claims earlier this year in order to have a future-proof, AI-powered SaaS solution to fight insurance fraud and serve honest customers in the best possible way.

At the time of the implementation (May 2020), more than 400 claims people at DEVK were screening about 160.000 motor claims each month. Each claim handler is responsible for the complete processing of a claim, from first notification of loss to investigation. They are now able to work with FRISS and receive the claim insights in real-time via a seamless integration with DEVK’s SAP core claims solution.

Now, 96% of all motor claims at DEVK are scored green and can be processed quickly, providing an excellent customer experience for sincere clients. The FRISS system has a combination of powerful AI, text mining, predictive models and tailor-made expert business rules, which means each claim handler receives a holistic view for the claim, making the whole process very efficient.

DEVK considered building their own solution but decided that a proven business solution would provide them with additional benefits according to a press release from FRISS. The integrations with HIS (Hinweis- und Informationssystem), the insurance info database of the German Insurance Association (GDV), to connect to fraud data in real time was a prerequisite. Besides that, a technical connection to Control€xpert was provided to enhance DEVK’s own database.

Peter Boecker, Director Claims Management at DEVK, said: “From day one, our employees were enthusiastic about the AI-based support. If our experience with FRISS continues to be positive, we could imagine connecting further business lines.”

Gülnur Cevik, Senior Project Manager at DEVK, added: “It was a great experience for me and my team to work on an AI-based Fraud Detection Solution. The collaboration with the FRISS team was very professional.”

Olcay Krandaoglu, Senior Project Manager at FRISS, stated: “DEVK’s demand is “Said. Done. Helped.”. I strongly believe, that with FRISS we help them in living this statement. For each claim handler we deliver all the actionable insights, so they really know what is behind the claim. This helps them in turning a moment of misery into a moment of magic for those claimants, that need their service most. Although we faced some challenges in the project, I’m happy to see that with the strong partnership and cooperation in the project teams we turned these into a success and have very good results. I’m looking forward to working with DEVK in their other lines of business as well.”