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  • Why Medicare Fraud Is a Blind Spot for Medigap Insurers

    By Pat Bailer | Feb 15, 2017 | English

    Given the transactional nature of Medicare Supplement claims, inventory management tends to have more of a process versus risk orientation. However, simply processing a claim, and otherwise overlooking its complexities, leaves a lot at stake. For example,...

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  • Do Advances in Prosthetic Technology Prompt a Different Claims Approach?

    By Anna Dalton | Jan 04, 2017 | English

    One of the benefits of being a global excess of loss reinsurer is the opportunity to spot trends and share insights with our clients. One notable change we are seeing is the rise in the value of amputation claims. This can be attributed to the increased...

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  • The Leaks in New Zealand Building Claims

    By Nicholas Zambetti | Dec 18, 2016 | English

    The title of this blog may be a light-hearted double entendre, but when it comes to insurance and reinsurance claims arising from New Zealand’s infamous leaky building issues, the claims are not spared from complexity. Insured’s themselves may think they...

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  • Preventing Soft Fraud - Insights From Behavioural Science

    By Markus Burbach | Dec 12, 2016 | English

    Lying and cheating are neither motivated by a criminal disposition nor do they follow the cost-benefit principles of the Simple Model of Rational Crime, according to Behavioural Economics and Psychology Professor Dan Ariely. People cheat just a little...

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