Claim Scoring

10/13/2025 - 1 min read

New Claims Page Filters for Rules and Reason Codes

Claim Scoring subscribers can now filter on specific Rules and Reason Codes triggered on scored claims from the last 90 days, providing enhanced visibility into high risk and potential fraud flags that align with their unique business needs.

7/28/2025 - 1 min read

Rule Description Updates

We're thrilled to introduce a powerful new enhancement for Claim Scoring subscribers! We’ve enhanced the existing Advisory List and NICB Forewarn Alert Rule descriptions to specify matching entity names, data elements and reasons for additional clarity!

7/8/2025 - 1 min read

New Claim Scoring Triage View

We’re pleased to announce a valuable enhancement for our Claim Scoring subscribers: a newly introduced Claims Page View designed to improve visibility and access. With this update, users can now benefit from a read-only view into claims associated with their TPA agreements, providing greater transparency while maintaining appropriate access controls.

6/6/2025 - 0 min read

Customize the ClaimSearch Indicator

Claim Scoring subscribers can now customize the score ranges that define the ClaimSearch Indicator, providing enhanced flexibility in assigning risk levels that align with their unique business needs.

1/3/2025 - 1 min read

Enhancements to Pilot Scoring to Better Evaluate Claim Scoring Performances

We’re thrilled to introduce a new enhancement to our Pilot Scoring system! Now, customers can easily evaluate claims submitted prior to Pilot Scoring enablement, eliminating the need for extra development resources and resubmission. This feature grants the user greater visibility into past claims. Previously, claims submitted to ClaimSearch before Pilot Scoring activation…

12/10/2024 - 1 min read

New Rule Enhancements and Additions Targeting Prior Hail Losses

We have implemented several updates to existing rules while introducing four new ones to efficiently identify prior hail related losses at both the involved party and vehicle levels of granularity. These enhancements are designed to aid investigators in detecting potentially suspicious claims and mitigate risks of hail related fraud Since 2019, approximately…