Nemesysco | RA7

Fraud hurts. Time to fight back.

Know Your Customers™

RA7 system for risk assessment detects in insurance claim calls the unique vocal characteristics that may indicate a high probability of fraud or concealment of information.

Unbiased • Informing • Precise

RA7 solutions are designed as a combination of software elements and carefully designed conversation scripts made to cover each insurance case from all angles, measuring the claimant’s emotional reactions and consistent indications for the list of relevant topics.

What can RA7 do for your organization?

Identify fraudulent claims in real-time

See effective results from day one

Get a realistic picture of the current level of fraud

100% calls coverage maximum detection

Minimal training and mentoring
(agents & managers)

What DOES the RA7 Software do?

Should the RA7 analysis engine identify a topic which carries a significant emotional load and repeating risk indications, it will be flagged for deeper investigation. This way, through a simple phone call, all incoming claims can be screened in real-time for potential fraud, with no extra burden on the existing business process – and effectively prepare the grounds for a deeper investigation should there be a need for it.

RA7 is installed on claim handlers’ PCs, and connects the PC to the phone using Nemesysco’s special phone connector or VOIP interface.

To operate RA7, a copy of the RA7 software is installed on the agent’s PC and connects to the physical phone using Nemesysco’s physical or software based phone connector.

 

3 Powerful Reasons why RA7 system was designed for

Increase fraud detection rates

Significantly increase your organization’s fraud detection rates

Improve customer service

Improve your customer service and speed up claims settlement time

Streamline & standardize

Optimize your risk detection, investigation and settlement processes

RA7 USING THIRD PARTY SERVICES

Risk Management services with RA7.

In some territories, Nemesysco cooperates with professional 3rd parties dedicated service centers, easing the RA7 integration into your claim processing system. Please contact us to learn more about this venue and its availability in your territory, or if you wish to operate a Nemesysco service center in your region.

RA7 IN-HOUSE SYSTEM

The technology and processes are used by the insurer’s staff and managed internally:

  • Phase 1: Call center agents use tailored conversation scripts for each type of claim handled by phone.
  • Phase 2: Claims manager quickly identifies claims with repeating risk indications and clears quickly Low Risk clients for payment.
  • Phase 3: Special Investigations Unit (SIU) follows the leads detected in the first call & investigation quality improves: Less irrelevant cases to follow / Investigators can conduct telephone interviews with RA7 online analysis, saving expensive time and resources.

Local partners needed!

Nemesysco is always looking for new suitable partners to grow our network of service centers around the world. If you would like to join us, please send your company profile to bizdev@nemesysco.com and we will be happy to evaluate your request!