Lifestyle Data Can Really Help Combat Potential Insurance Fraud

Mädchen die Einkaufen waren
 Spotting gaps between claims data and social media lifestyle can really highlight a few red flags, here’s the the word;
Cytora, the leading digital risk processing platform, has partnered with Pilotbird, a provider of lifestyle analytics to reduce claim leakage and improve payout accuracy.
The collaboration will allow commercial and P&C insurers utilizing Cytora’s digital risk processing platform to seamlessly integrate Pilotbird’s actionable insights into their claims workflows. Pilotbird’s technology analyzes open-source to improve claims payout accuracy and to evaluate claims with publicly available data. This integration directly augments the claims submission intake digitized by Cytora (covering FNOL and post-FNOL intake), enabling insurers to immediately leverage crucial context when evaluating claims.
By combining Cytora’s claims digitization capabilities with Pilotbird’s intelligence, customers can payout claims faster and more accurately while identifying ineligible cases for further review. Furthermore, this allows insurers to allocate adjuster time only on the most impactful claims, improving the overall efficiency of resource deployment. The real-time delivery of actionable insights derived from social data points supports informed decision-making in managing claims.
This partnership is the latest agreement Cytora has reached as it continues to build one of the world’s most comprehensive data ecosystems for insurers. It follows a period of significant growth for Cytora, including major collaborations and the recent launch of enhancements leveraging agentic AI to bring new levels of performance and explainability to risk assessment.
Juan de Castro, COO at Cytora, said: “Integrating predictive fraud data is crucial for automating complex workflows, particularly in the claims space. Our partnership with Pilotbird embeds cutting-edge lifestyle analytics directly into our claims digitization workflow, allowing carriers to dramatically improve their detection of ineligible claims, reduce false positives, and ensure adjuster resources are focused only on the most impactful cases. This immediate access to open-source evidence is key to driving efficiency and delivering improved loss ratios across products like Workers’ Compensation and Auto Claim.”
Evgeny Aleksandrov, CEO at Pilotbird, said: ” Our partnership with Cytora is vital for embedding sophisticated claims intelligence directly into the digital claims lifecycle. Pilotbird’s open-source intelligence platform delivers ~14x-56x ROI by improving payout accuracy, cycle time and loss control. Pilotbird’s integration with Cytora’s AI-powered workflow provides commercial insurers rapid claims intake, evidence-based triage, and improved adjusters productivity for Workers’ Compensation and Auto Claims “

About alastair walker 18414 Articles
20 years experience as a journalist and magazine editor. I'm your contact for press releases, events, news and commercial opportunities at Insurance-Edge.Net

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