Alternatives to Shift Claims Fraud
Compare Shift Claims Fraud alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Shift Claims Fraud in 2026. Compare features, ratings, user reviews, pricing, and more from Shift Claims Fraud competitors and alternatives in order to make an informed decision for your business.
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aiReflex
Fraud.com
Fraud.com's aiReflex determines which transactions are legitimate in real-time using a multi-layer defence coupled with explainable AI to fight fraud & improve customer trust. The detection layer analyses your transactional data in real-time to deliver unmatched risk-scoring accuracy. The multi-layer defence identifies suspicious transactions using our adaptive machine learning algorithms, adaptive rules & next-generational behavioural engine to create hyper granular profiles for every individual to identify abnormal behaviour. aiReflex's Response layer manages fraud centrally via an omnichannel case manager, automating tasks & decision-making to reduce fraud, friction & fraud team inefficiencies. Investigators become superheroes with a 360-degree view of the customer and explainable AI to manage a case with great accuracy & speed, with intelligent search, reporting, queue management & link analysis. Contact us at fraud.com to learn how we can improve your fraud defences. -
2
Guidewire ClaimCenter
Guidewire Software
Guidewire ClaimCenter is a leading claims management system designed to streamline the entire claims lifecycle for property and casualty (P&C) insurers. It offers comprehensive functionality from initial claim intake to resolution, enabling insurers to process claims efficiently and accurately. Key features include automated workflows, embedded analytics, integrated fraud detection, and real-time performance monitoring, all of which enhance operational efficiency and improve customer satisfaction. ClaimCenter supports various lines of insurance, including personal, commercial, and workers' compensation, and can be deployed as a standalone solution or as part of the Guidewire InsuranceSuite. By leveraging ClaimCenter, insurers can accelerate claims processing, make data-driven decisions, and adapt to evolving market demands. -
3
NetMap
Verisk Analytics
Discover the hidden relationships and connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud. Powerful analytics and data visualization technology help SIU analysts discover intricate patterns of fraudulent activity quickly. NetMap compresses weeks of analysis into hours, helping streamline organized claims fraud investigations and reduce the time from detection to referral. -
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Fraud Barrier
Scorto
Bad debts, as well as collection and recovery costs, can be reduced by avoiding overrated risk segment assignment for unfair applicants who put false information in application. Reduce serious fraud losses and write-offs generated by fraudulent applicants to the minimum. Fraud identification should not compromise customer service and speed of decision making. Investigating suspicious cases, analyzing application assessment results and making decisions. Automation of fraud detection and investigation workflows and decision flows. Easy to manage user interfaces for minimal resource requirements and operational expenses. Automatically assigns cases for investigation and assigns score based on likelihood of Fraud. -
5
Shift Claims
Shift Technology
Shift Technology’s Claims solution uses Agentic AI to transform how insurers handle claims from start to finish. It combines automation with human collaboration to assess, triage, advise, and process claims across both simple and complex cases. Shift’s AI Agents are trained with insurance expertise and continuously learn through its “insurance common sense layer.” They handle tasks like policy coverage review, liability evaluation, fraud detection, and damage assessment. Seamlessly integrated with existing claims systems, the platform ensures no disruption while improving efficiency and accuracy. The result is faster resolution, lower costs, and better customer satisfaction for insurers and policyholders alike. -
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Insurance Data Network
Shift Technology
The Insurance Data Network (IDN) is an innovative cross-carrier data exchange that provides insurers with real-time insights to enhance fraud and risk prevention across the claims lifecycle, resulting in improved operational efficiency and reduced losses. By facilitating cross-carrier visibility, IDN enables insurers to spot patterns and trends across multiple carriers, offering a comprehensive view of fraudulent activities and claims behavior, thus enhancing informed decision-making and effective risk mitigation. Leveraging AI-driven data mapping and entity resolution, IDN delivers highly accurate, actionable insights seamlessly integrated into insurers' workflows. It automates the transformation of data into actionable intelligence, eliminating the need for manual analysis and streamlining decision-making processes. Importantly, IDN ensures that insurers and their customers retain complete ownership and control over their data, providing full visibility into its usage. -
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Curacel
Curacel
Curacel’s AI powered platform enables insurers track fraud and automate claims seamlessly. Collect your claims from your Providers in real-time and easily auto-vet the claims. Curacel Detection helps you detect and curb fraud, waste and abuse in the Claims Process. Collect claims from their providers and prevent fraud, waste and abuse in the claims process. We studied the Health Insurance industry to understand where the most value is lost by Insurers. This was identified to be the Claims Process. The Process is mostly manual and is fraught with a lot of fraud, waste and abuse. Our solution, driven by AI, helps to curb wastage and make the Insurer more efficient, thereby making them unlock hidden value. ravel insurance is peculiar in that it is built on on-demand policies that cover relatively short periods of time. Should a policy holder want to make a Claim, both the insurer and the insured want claim settlement to be as efficient and accurate as possible. -
8
FraudManager
ISoft
Fraud Manager was chosen by top European banks to deploy their risk management solutions and fight fraud in France and abroad. Fraud schemes are complex and multi-channel. Using real-time behavioral analysis, assess the risk based on all available information and provide an immediate response to fraud schemes. Automate the best ML algorithms on a large scale to detect outliers. Analyze your data in-depth, develop customer knowledge and flag suspicious behavior immediately. Fraud Manager was designed to let risk experts and data analysts limitlessly create and cross all business unit indicators for risk assessment. Develop your strategies to respond to threats through a drag & drop interface that does not require any programming. Thanks to Fraud Manager’s real-time technology and explainable AI, assess and directly refine the relevance of your threat response scenarios. Keep an overview of the fraud that was stopped and the impact on the customer path. -
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The insight you need to guard business integrity and avoid suspicious transactions with high-risk third parties. With powerful Big Data screening software from SAP, you can improve the detection and prevention of anomalies, leading to mitigated fraud risk and fewer losses. The SAP Business Integrity Screening application helps you identify anomalous activity quickly using flexible rule sets and predictive analyses that can help uncover potential fraud patterns. Protect revenue and reduce fraud-induced losses by screening high volumes of transactions for anomalies with analytics capabilities that result in fewer false positives. Analyze exception-based scenarios and behavioral analytics to avoid reoccurrence and determine effective approaches for mitigating future anomalies and fraud. Refine your detection strategies with calibration and simulation features to perform what-if analyses on historical data and assess which approaches are most effective.
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10
Protector
Equinox Information Systems
Globally, telecom fraud costs companies nearly $40 billion every year. Just one incident of fraudulent international calls can inflict a $50,000 hit on your bottom line. Manual processes are labor-intensive and lack automated interventions to detect and stop fraud quickly. Protector, the most installed fraud management system in the U.S., is a powerful solution built upon years of experience and enhancements. A comprehensive, scalable solution now in its 11th generation, Protector leverages decades of experience mitigating the risk of fraud at hundreds of carriers. With Protector, you have the tools to stop fraud in progress, investigate and resolve cases quickly, and, most importantly, enjoy rapid and significant return on investment. In direct support of rapid ROI, Protector is fully integrated with the PRISM database of IRSF test numbers, which allows you to often block IRSF attacks before they even start. Identify suspicious network activity. -
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FRISS
FRISS
Today’s digital world is a fraudster paradise, yet an insurer nightmare. And with 18% of all claims said to contain elements of fraud, it is not a victimless crime. FRISS protects insurers by enabling safe digital transformation straight from their core systems to make insurance more honest, grow healthy portfolios and increase customer satisfaction. Because we believe insurance is a beautiful thing. We provide ease of use and alignment with the digital world by providing an extremely simple interface. Data gathering is enriched and simplified, aggregating information from traditional and nontraditional sources to build a true picture of each risk. We take on the chore so you can focus on the core, quality underwriting. Our software calculates risk based on current conditions and uncovers violations, business practices, and previously hidden information. This classification helps ensure honesty, and verify necessary licenses and inspections. -
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Group-IB Fraud Protection
Group-IB
Join 500+ mln users already empowered by Group-IB Fraud Protection solution and leverage the power of fraud intelligence, device fingerprinting, and behavioral analysis against advanced digital fraud. Protect your business from a wide range of fraud attempts with advanced detection capabilities. Minimize the impact of fraud with automated threat response and proactive prevention. Improve user satisfaction and trust with seamless and secure interactions. Leverage the automated defense systems to combat AI-driven attack frameworks. Often prioritize identifying suspicious activities, leading to a higher rate of false positives by flagging legitimate user actions as potentially fraudulent due to their focus on anomalies. It causes inconvenience for legitimate users, pollutes their experience, and wastes valuable resources. Group-IB Fraud Protection takes a different approach, prioritizing user authentication before delving into fraud detection. -
13
MediConCen
MediConCen
The ultimate insurance claim automation solution powered by patented blockchain technology. Claims are the moment of truth for all insurance, and with our solutions, everything has been craftily designed to automate insurance claims for insured and insurers with unbeatable accuracy and speed, from claim estimation before a claim occurs, to making the right claim decision and settling the payments. MediConCen is a leading insurance technology that automates insurance claims and makes insurance usable for insurance companies, medical networks, and clinics using Hyperledger Fabric blockchain. We empower claim assessors with powerful AI models and expert knowledge decision rule engines so that fraud and abuse can be spotted instantly and clean cases can be approved right away for consistently perfect claim cost management and unbeatable efficiency. Be in the know with powerful claim analytics that simply work for underwriting and product development. -
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Simility
Simility
Simility is a cloud-based fraud detection software solution that helps accelerate business, block fraud, and foster loyalty. Combining the power of real-time fraud intelligence, adaptive data ingestion, and visualization and smart decisions, Simility helps analyze millions of transactions on a daily basis and flag those activities that are recognized as suspicious. Founded by Google's fraud-fighting teams, Simility enables users to define undesirable behaviors as fraud and help them detect more subtle behaviors like inter-member harassment and policy violations. -
15
eOxegen
eOxegen
eOxegen is an AI-powered claims management system designed to streamline and enhance the efficiency of health insurance operations. Automating claims processing through a Straight Through Process (STP), reduces manual intervention, leading to faster claim settlements and improved accuracy. It incorporates advanced fraud detection capabilities, utilizing AI algorithms to identify and flag potentially fraudulent activities early in the process. Additionally, eOxegen offers features such as provider contracting and empanelment, pre-authorization management and adjudication, and robust reporting with business intelligence analytics dashboards. Its AI-driven workflow automation ensures consistent task completion, minimizes repetitive activities, and enhances overall productivity. By integrating these functionalities, eOxegen empowers insurance companies and third-party administrators to optimize their claims management processes, and reduce operational costs. -
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NEMESIS
Aviana
NEMESIS: Next-generation AI-powered anomaly detection technology designed to recognize fraud and waste. NEMESIS: Next-generation AI-powered anomaly detection technology pinpoints efficiency opportunities in your business management systems. Powered by AI, NEMESIS is an enterprise-ready configurable business solution platform, empowering business analysts to swiftly transform data into actionable insights. Allow the power of AI to solve your problems of overstaffing, medical errors, quality of care, and claims fraud. Benefit from NEMESIS’s uninterrupted process monitoring, unearthing a wide range of risk elements, from predicting quality issues to waste and abuse. Employ machine learning and AI to detect fraud and fraud schemes before they drain your finances. Exercise more robust controls over expenses and budget deviations, through continuous visibility of waste and abuse. -
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Respond faster to new threats and reduce false positives for a better customer experience. Our end-to-end fraud detection and prevention solution supports multiple channels and lines of business, enabling enterprisewide monitoring from a single platform. The solution simplifies data integration, enabling you to combine all internal, external and third-party data to create a better predictive model tuned to your organization's needs. Bringing together this data on a single technology platform gives you the flexibility to scale up or out as your business changes, and respond faster to new threats as they arise. Stay on top of shifting tactics and new fraud schemes. Embedded machine learning methods detect and adapt to changing behavior patterns, resulting in more effective, robust models. Key technology components let you easily spot anomalies for each customer. In-memory processing delivers high-throughput, low-latency response times.
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NetGuardians
NetGuardians
As payment channels have multiplied, so have the routes open to fraudsters; increasing banks’ potential liabilities. Adoption of real-time payments, Open Banking and digital-led interactions exacerbates these problems. Traditional anti-fraud practices find it all but impossible to efficiently prevent payment fraud. Most rely on hundreds of static, reactive rules that fail to detect new fraud patterns and trigger too many poor hits. Leveraging award-winning 3D artificial intelligence (3D AI) technology, NetGuardians’ platform NG|Screener monitors all of the bank’s payment transactions in real-time catching more fraud with fewer false positives. It identifies suspicious payments coming from social engineering techniques or scams (such as invoice redirection, love scams, CEO-fraud) and ties this in with digital banking fraud indicators (such as eBanking/mBanking sessions redirected by malware, hijacked by hackers or account takeover fraud resulting from identity theft). -
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Atmantara
Atmantara GmbH
Atmantara is an enterprise AI infrastructure platform built for financial institutions, banks, insurers, and fintechs, to deploy and scale custom ML models securely and efficiently. Designed for regulated, data-rich environments, Atmantara streamlines the full ML lifecycle from ingestion to production through a unified, developer-friendly platform. Prebuilt & custom models for: • Fraud Detection • Credit Risk Scoring • Churn Prediction • Claims Automation • Debt Collection • Portfolio Optimization • Regulatory Compliance • Payment Optimization • Document Understanding • Customer Insights With real-time pipelines, secure model deployment, and full auditability, Atmantara lets your teams operationalize AI with speed and confidence.Starting Price: $199/month -
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Qantev
Qantev
Automated end-to-end claims platform with AI decision models for data acquisition, policy & coverage checks, medical coding & consistency checks. Reduce leakage and improve your loss ratios with our robust & specialized AI fraud, waste, and abuse detection models for health and life. Qantev enhances the performance of health and life insurers around the globe, helping them reduce losses, optimize their processes, and increase client satisfaction. By blending artificial intelligence with medical expertise, our team of specialized data scientists and engineers has built innovative solutions that boosts the claims management process and uncover instances of fraud, waste, and abuse. Specialized and contextual AI-driven tools to capture, clean, enrich & digitize data from any type of claims document, in any language. Improve your medical provider network's performance through automated AI-driven insight, pricing gap detection, strategy recommendations, simulations, and more. -
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FraudPoint
LexisNexis
Stay ahead of evolving threats with advanced fraud detection technology, while reducing costs and increasing efficiency. LexisNexis FraudPoint solutions detect fraudulent applications by using advanced analytics that leverage comprehensive and dynamic identity and digital intelligence. Data is updated continuously, giving you the opportunity to get ahead of fraudsters. FraudPoint solutions allow organizations to identify fraud incidents before the application is booked, detecting synthetic identity and other types of fraud resulting in significantly reduced fraud incidents and losses. FraudPoint minimizes administrative costs associated with inefficient and unnecessary investigation to improve your bottom line. With access to some of the most authoritative fraud prevention data and analytics including digital insights, the FraudPoint solution is an analytic suite that delivers critical, relevant insight to substantially improve the ability to identify many types of fraud. -
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Tungsten FraudOne
Tungsten Automation
Ordinary check clearing alternatives only verify legal and courtesy check amount limits with low risk scores and can return false positives. Tungsten FraudOne software improves counterfeit check detection by using a unique fraud scoring engine that can be combined with other verification engines to more accurately detect complex fraud schemes. Leverage flexible fraud detection methods at the point of capture and in-clearing as transaction options evolve, like mobile deposit. Decrease time-consuming manual inspections of false positives with a solution that distinguishes between suspect items and valid items. Increase customer confidence with protections against signature forgery, check alteration and fraudulent discrepancies. Identify more suspect checks in less time and inspect all checks rather than just high-value amounts with better accuracy. -
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Venue Claims Management
KLJ Computer Solutions
Venue ™ Claims Management for Independent Adjusters provides end-to-end management of the entire claims processing workflow. Whether you are an adjustment firm, third-party administrator, insurance carrier, or a self-insured organization, Venue ™ is for you. The user-configurable interface allows for extensive self-customization of the claim system by an end client. Built-in web service interface that allows for real-time or batch data import, update and export to virtually any third-party data sharing source of ALL claim-related information. Integration with policy and billing systems allows real-time synchronization on all policy-related details, which may include critical policy dates and flags such as active fraud investigation and assumed policy. Comprehensive capabilities for every aspect of claims processing, including claim payments and recovery, reserves tracking, contact management, excess and trust accounts, forms templates, reporting etc.Starting Price: $5 per month -
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Pipl
Pipl
Pipl is the worlds leading provider of online identity information. Pipl SEARCH and Pipl API are reducing customer friction, case resolution times, and the risks associated with fraud. Pipl serves fraud and investigation professionals in insurance, e-commerce, financial services, legal, government, and law enforcement. Pipl's unmatched global coverage includes over 3 billion identities cross-referenced from over 25 billion individual records to create the world's leading online identity index. -
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TrackLight
TrackLight
TrackLight is an AI-powered fraud detection and prevention platform designed to identify and stop fraudulent activities before costly decisions are made. It leverages a library of over 3,000 fraud schemes and more than 1 billion open-source intelligence records, integrated seamlessly into existing workflows. The platform features an AI co-pilot named Ray, which provides executive summaries of findings and specific action recommendations, ensuring accurate and equitable decisions. TrackLight's suite includes tools for due diligence, fraud analytics, social network analysis, and case management, all aimed at safeguarding enterprises by detecting patterns in vast data sets and automating tasks. The platform is designed to fit seamlessly into business processes, supporting operations while providing informed guidance to identify potential fraud more easily. -
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C-Prot Fraud Prevention
C-Prot
C-Prot Fraud Prevention is a comprehensive solution that helps organizations detect and prevent fraudulent activities such as financial fraud, phishing and through mobile and web channels. It offers various integration methods, including cloud-based or on-premises, to cater to different needs. With C-Prot Fraud Prevention, businesses can enhance their security measures and safeguard their assets from fraudulent attempts. With powerful algorithms and artificial intelligence technologies, C-Prot Fraud Prevention enables real-time detection of fraudulent activities, allowing for timely intervention and prevention of potential damages. Its advanced capabilities ensure quick response to fraudulent events, minimizing risks and protecting businesses from financial losses. It has the capability to detect whether a device is using remote desktop applications or if it is being accessed by the users themselves.Starting Price: Free -
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Greip
Greip
Greip: Your Ultimate Fraud Prevention Solution Greip is here to help. Our advanced fraud prevention platform uses real-time IP geolocation, proxy/VPN detection, and AI-driven risk scoring to identify and block fraudulent activity before it impacts your business. Whether it’s stopping fake signups, preventing payment fraud, or mitigating abusive behavior, Greip gives you the tools to protect your revenue and build trust with your customers. Key Features: – Real-Time Fraud Detection: Instantly identify and block suspicious activity. – IP Geolocation & Proxy Detection: Pinpoint high-risk users and block malicious traffic. – AI-Powered Risk Scoring: Make smarter decisions with accurate fraud risk assessments. – Chargeback Prevention: Reduce disputes and protect your revenue. – Customizable Rules: Tailor fraud prevention to your unique business needs. Don’t let fraud hold you back. With Greip, you can focus on what matters mostK while we handle the threats.Starting Price: $14.99 per month -
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Brighterion
Mastercard
Brighterion has revolutionized artificial intelligence for over 20 years. Our AI solutions stop payment and acquirer fraud, reduce credit risk and delinquency, prevent healthcare fraud, waste and abuse, and more. With extraordinary scalability, your growth is limitless. And with powerful personalization, your business goals define the models. You can experience the power of Brighterion AI in as little as 6-8 weeks with AI Express. We understand that advanced AI can sound complex, and the idea of making the shift from legacy rules-based systems to something unknown can be overwhelming. What if the risk were removed, so you could test drive your custom model in just 6-8 weeks? Be ready to deploy, having seen the ROI and how the models outperform the rules. Harness the power of AI to reduce transaction-level fraud and merchant risk. Detect fraud, waste and abuse before claims are paid. -
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ALFRED Claims Automation
Artivatic.ai
Filing claims are complex and critical processes. More than 60% of people do not file complex due to its complex processes and time taking nature. Artivatic’s dedicated claims platform for each insurance vertical helps insurance businesses to enable digital claims journeys, self-claims processing, automated assessment, risk & fraud intelligence and claims payout. ONE PLATFORM FOR ALL YOUR CLAIMS NEEDS. End to End Claims Automation and Assessment Platform AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMSStarting Price: $10/claims/month -
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Rippleshot
Rippleshot
Rippleshot is a fraud detection and prevention company that leverages artificial intelligence and machine learning to help financial institutions proactively identify and mitigate card fraud. Their flagship product, Sonar, analyzes millions of card transactions daily to detect compromised merchants and at-risk cards, enabling timely and accurate responses to potential fraud incidents. Additionally, Rippleshot offers an AI-driven tool that guides financial institutions in crafting precise fraud prevention rules without the need for extensive IT resources. By utilizing these solutions, banks and credit unions can reduce fraud losses, minimize unnecessary card issuance, and enhance overall cardholder satisfaction. Rippleshot is transforming the way that banks and credit unions detect fraud through a cloud-based technology solution that leverages machine learning and data analytics to distinguish fraudulent activity more quickly and efficiently. -
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Snapsheet
Snapsheet
Snapsheet makes claims simple. We do this through a suite of innovative insurance software solutions which transform insurance companies' ability to seamlessly manage claims, reduce cycle time, increase appraisal accuracy, and deliver payments effortlessly. We started it all with virtual appraisals, and followed that up with our leading claims management system. Today we are driving an industry-wide movement in claims by delivering solutions that enhance customer experiences while our customers create innovative, data-driven claims organizations. -
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LexisNexis Predictive Modeling
LexisNexis
Enhance acquisition and retention results with analytics models that identify and target ideal prospects based on your criteria and priorities. From first notice of loss through the life of the claim, predictive analytics models embedded directly into your workflow can help decrease the age of a claim, detect fraud earlier, uncover hidden patterns and better align resources to priority cases. Partner with an advanced analytics provider that is experienced in developing predictive models that can help insurance customers achieve specific business goals. A dedicated, experienced team socializes models during development and production with respective state regulatory bodies to address questions and gain feedback. Segment risks into proper categories using predictive models to help improve your volume and profitability. -
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Frogo
Frogo.ai
Frogo is a comprehensive all-in-one anti-fraud and risk management platform for any business. It combines advanced tools for detecting and preventing fraud: device fingerprint, scoring engine (static and dynamic triggers), AI module and graph-based forensic tools. Frogo helps companies: Reduce financial losses by accurately identifying fraudulent schemes and preventing anomalies. Streamline internal processes through automation, minimizing routine tasks for antifraud teams. Increase customer loyalty by providing a better experience for conscientious users. The platform addresses key challenges that businesses may face: detecting reward and financial fraud, multi-accounting, internal fraud, affiliate abuse, and other types of dishonest activity. Frogo combines the flexibility of customization and real-time automation to enable businesses to adapt to traffic changes and new phreaking schemes faster than ever before. -
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Newgen Claims Processing
Newgen Software
Newgen’s Insurance Claims Automation & Management software, built on AI-first low-code platform, streamlines the full claims lifecycle, from first notice of loss to final settlement, through automated workflows, smart routing, and integrated document management. Customers can register and track claims through a web or mobile self-service portal, while the system automatically retrieves policy details, prevents duplicate entries, and routes cases based on workload and expertise. Built-in rules classify claims as fast-track or non–fast track, with flexibility to add assessors, investigators, and other stakeholders. Adjusters gain a unified view for registration, adjudication, document review, and communication. AI-driven insights support fraud detection, highlight missing information, and improve decision accuracy. Real-time dashboards monitor KPIs, SLAs, and escalations for transparent and timely processing. -
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Nasdaq Verafin
Nasdaq
Nasdaq Verafin is a leading provider of anti-financial crime solutions that leverage consortium analytics and AI technology to detect and prevent various types of fraud. Their products cover payment fraud detection, check fraud, wire fraud, and AML (anti-money laundering) compliance. The platform integrates data from thousands of institutions and hundreds of sources across the cloud to analyze over 1.1 billion transactions each week. Nasdaq Verafin’s consortium approach enables deep insights, helping financial institutions reduce fraud losses, as demonstrated by a top 25 U.S. financial holding company that prevented $9.6 million in fraud within two months. The company also offers educational resources, webinars, and research reports to keep clients informed about evolving financial crime trends. With industry recognition such as the Chartis Risk Tech 100, Nasdaq Verafin remains a trusted leader in the fight against financial crime. -
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Moonsense
Moonsense
Moonsense helps customers detect the most sophisticated fraud schemes by providing immediate access to actionable signals and underlying granular source data for enhancing fraud detection without creating additional user friction. User behavior and user network intelligence are the building blocks required to reveal the user's unique digital body language, similar to an individual's fingerprint. In a world where data breaches are common, the user's digital body language is uniquely capable of detecting the most challenging fraud typologies without adding user friction. Identity theft is one of the most common fraud types. During account creation, there is an expected pattern of behavior. By analyzing the user's digital body language, you can flag accounts that are different from what's normal. Moonsense is on a mission to level the playing field in the fight against online fraud. One integration unlocks access to both user behavior and user network intelligence.Starting Price: Free -
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Sensfrx
Sensfrx
Sensfrx is a powerful fraud prevention platform designed to safeguard businesses from various types of fraud, including account takeovers, chargebacks, bot interference, and fake registrations. It uses advanced AI and machine learning to detect malicious activities in real time, ensuring seamless user experiences while protecting sensitive data. By analyzing user behavior, device fingerprints, and transaction details, SensFRX detects suspicious activity early. For example, it blocks stolen credentials during login, stops fake identities at sign-up, and flags scams using real-time risk scoring. Its self-learning algorithms respond instantly to threats, reducing false alerts while stopping fraud before damage occurs. The platform is highly customizable, allowing businesses to set their own fraud prevention rules and policies, making it adaptable to various industries, from e-commerce to banking.Starting Price: $29/month -
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Fraudnetic
Fraudnetic
We employ cutting-edge technology and data intelligence to stay one step ahead of emerging fraud threats. We're dedicated to safeguarding your online platform, ensuring a secure and enjoyable experience for your business and customers alike. Fraudnetic is your trusted source for advanced anti-fraud solutions tailored specifically to the gambling industry. Robust methods to authenticate user identities, minimizing the risk of fraudulent activities. Real-time surveillance to detect suspicious and abnormal activities, ensuring secure financial transactions. Tailored strategies to mitigate risks, safeguarding gambling platforms from potential threats. You'll have the opportunity to explore Fraudnetic's user-friendly interface and see how it seamlessly integrates into your existing infrastructure. Fraudnetic can adapt to the size and needs of your operation, from startups to established enterprises.Starting Price: Free -
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Beagle Labs
Beagle Labs
Streamlining the claims process from end to end. Technology-driven, people-centric, and built on integrity. A robust claims service interaction platform for insurance carriers, MGAs, captives, and self-insured entities. Deployments, claims organization, and advanced file management at your fingertips. At Beagle, we understand the unique challenges faced by insurance service providers and independent adjusters when it comes to claims handling. Our core software functionality is designed to streamline the process, reduce costs, and provide rapid responses to your claims. Our technology brings efficiency and expertise to every step of the adjustment process. Express claims and inspection responses that reduce liability and drive efficiency. New policy inspections, policy renewals, and daily losses. Beagle was developed to handle the processes required on a daily basis. Streamlined claims handling by leveraging the latest technologies that enable a more efficient resolution. -
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InAct
Asseco Group
Fraud detection and prevention has become more important in recent years as the result of rising digitalization trends around the world effecting finances the most. As new technologies and standards are introduced, it becomes more challenging for companies to protect their customers against fraud attacks and maintain good business reputation. Therefore, fraud issues have become more sensitive and need more sophisticated approach. With more than 20 years of experience in payments and anti-fraud business, we offer banks, financial institutions, factoring companies, insurers, telecom operators, FMCG companies, and retail end- to-end anti-fraud solutions. InACT® is a modular application that monitors and prevents transactional fraud and internal misuse, operational faults and transactions that are contrary to the legislation. InACT® protects your institution and your customers against malicious transactions. -
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TAFraudSentry
ThreatAdvice
Unleash the power of advanced AI and image analysis technologies with TAFraudSentry, a pioneering system that integrates digital image forensics with transactional analysis to provide a robust, multi-tiered defense against all forms of check fraud. As technology advances, so do the methods employed by fraudsters, leading to an increase in both complexity and frequency of fraudulent activities. American financial institutions are finding themselves at the forefront of this battle, dealing with a myriad of sophisticated fraud schemes. Adopt a proactive stance with TAFraudSentry – a superior, AI-powered check fraud detection solution designed to secure your bottom line. By leveraging AI and image analysis, this solution is not just reactive – it’s proactive, identifying and preventing fraud before it impacts the institution and its customers. -
42
WizRule
WizSoft
WizRule, data auditing, automatically reveals patterns in the data under analysis and points at cases deviating from these patterns as suspected errors or frauds. A suspected fraud or error is defined as a case that deviates from valid patterns. WizRule is used by auditors, fraud examiners, forensic investigators, data-quality managers. One of their main tasks is revealing fraudulent cases and errors in data. WizRule can help in carrying out this task. WizRule is a data-auditing tool based on data mining technology. It performs an analysis of the data revealing inconsistencies and "strange" cases to be investigated. WizRule works automatically – the user just selects the data and WizRule does the analysis. WizRule checks all the relationships among the values within the various fields and reports unexpected and unlikely cases. WizRule reveals fraudulent cases missed by the standard auditing tools.Starting Price: one time licensing fee -
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RiskGuard
GeoComply
Combat sophisticated location fraud schemes that are not detected by existing GeoIP solutions such as account takeover and bot detection. Increase your ability to detect real fraud while reducing false positives, and false negatives, with embedded location checks. Enhance existing fraud and risk management models with advanced location data signals. Identifies sophisticated location spoofing methods such as VPNs, data centers, anonymizers, proxies and Tor exit nodes. Detects when “home” location data from a smartphone is being spoofed as part of a synthetic identity at account creation. Provides historical location information of a device and/or a user when defending chargeback disputes. Creates a fingerprint for each location fraud method identified. You can flag future transactions with similar behavior. -
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NovoHealth Dental
NovoDynamics
Our platform automatically flags and prioritizes anomalous claims for review. NovoHealth Dental ensures exceptional claim quality and offers real-time analysis. Our platform provides accurate and consistent dental disease assessment. The future of dental claims processing is here. Our proven AI platform is in use within some of the country's largest dental payer organizations. We offer pilots to demonstrate the value of our solution. NovoHealth Dental saves time and money by making dental insurance claim review faster, easier and more efficient. It helps your analysts uncover anomalies that may indicate errors, omissions or potential fraud. We use AI to quickly verify and assess the quality of submitted claims and their attachments. The platform quickly, accurately, and consistently assesses dental diseases. Our AI fingerprints and analyzes every claim and attachment to detect high-confidence anomalies. -
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Shift Compliance Risk
Shift Technology
Shift Technology’s Compliance Risk solution helps insurers meet AML, KYC, and other regulatory obligations with AI-powered automation. By replacing manual checks with predictive AI, it accelerates sanction screening, UBO verification, and adverse media searches. The platform reduces false positives with advanced entity resolution and data cleansing, making compliance more accurate and efficient. With the ability to identify fraud networks and bad actors in real time, insurers can protect themselves from costly fines and reputational damage. Compliance teams also benefit from increased coverage while freeing staff from repetitive, time-intensive tasks. Trusted by over 115 insurers worldwide, Shift supports compliance officers, IT leaders, and investigation teams in managing financial crime risk effectively. -
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Resilience Insurance
Resilience
At Resilience, we offer a fresh approach to the middle market in cyber insurance backed by a top-rated carrier and an in-house claims team. With services ranging from holistic insurance coverage at bind to loss mitigation services post-bind, to custom, ongoing security services throughout the lifecycle of the policy, your cyber resilience is our business. We bring together a full ecosystem of security, insurance, and claims—all supported by superior data gathering and analytics—to provide highly tailored defense, coverage, and support for mid-market companies. As organizations everywhere shift to remote work, we help manage your increasing reliance on cloud systems and new risks, from misconfigured services to perilous home network security. -
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Salviol
Salviol
In today’s interconnected world, various challenges are encountered by organizations across diverse sectors. These are global issues that necessitate unwavering attention and proactive solutions. Revenue assurance problems revolve around the challenge of ensuring that organizations collect and account for all the revenue they are entitled to. Identifying and collecting all revenue sources; preventing losses from errors, fraud, or inefficiencies. Managing disputes, chargebacks, and refunds to maintain trust. Ensuring accurate records to prevent revenue discrepancies. Adhering to agreements to prevent revenue leakage. Minimizing revenue loss with accurate customer billing. Managing public sector budgets to ensure proper fund usage. Mitigating unauthorized transactions and fraudulent claims. Meeting industry regulations to avoid penalties and reputational damage. Addressing problems with massive amounts of unstructured data. -
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Sapiens ClaimsPro
Sapiens
Sapiens ClaimsPro is a comprehensive claims management software designed for Property & Casualty (P&C) insurers, offering auditable, configurable, and AI-driven automation across all lines of business. Its intelligent, rules-driven workflow ensures faster claims cycle times, resulting in lower expenses and settlement costs. The intuitive, easy-to-use interface provides one-click access to key features, enhancing the adjuster's experience. A central repository offers a 360-degree view of claims, policies, and accounts, improving customer service and vendor management. ClaimsPro enables insurers to adapt quickly to new business requirements, efficiently handle complex claims with superior case management, identify and prevent fraud, and proactively manage exposure for responsive service during catastrophic events. -
49
Fraud Risk Manager
Fiserv
Preventing fraud losses and maintaining customer confidence are vital to your financial institution, but also pose complex challenges. Fiserv simplifies fraud prevention with this intelligent and easy-to-use financial crime management and compliance solution. Fraud Risk Manager™ from Fiserv provides an end-to-end fraud prevention environment. This solution combines innovative transaction and customer monitoring with a built-in case management system, step-by-step alert management and configurable workflow. Using Fraud Risk Manager, you enjoy the benefits of next-generation fraud detection, including enhanced accuracy, streamlined analysis and improved efficiency. An extensive library of user-configurable risk views and alert definitions gives you a head start in detecting and preventing fraudulent activity. This collection provides extensive coverage against fraud losses and enables users to quickly adapt to new fraud threats. -
50
Shift Payment Integrity
Shift Technology
Shift’s Payment Integrity is an AI-powered solution for health plans designed to improve accuracy and reduce costs in the claims payment process. It works both pre-payment (before claims are paid) and post-payment, helping plan administrators catch issues early and recover overpayments. Key features include claims editing (with updated, dynamic rules), generative AI-assisted medical record review, anomaly & fraud/waste/abuse detection, and external data enrichment for deeper context. The system supports evolving policy and guideline changes, allowing automated policy analysis and edit logic workbench features so health plans can test concepts before deployment. It provides explainable flags/alerts (so reviewers understand why claims are flagged), tools to accelerate document review, highlighting relevant parts of records, data mining for emerging trends, and a unified case management UI for investigative workflows.
