Fraud Investigation
Insurance fraud costs companies and their consumers billions of dollars each year. Preventing
such crimes is costly and time consuming. It is hard for companies to know exactly what
activities to look for because of the vast quantity of data and the inventive ways in which people
commit fraud. Hidden in the data are patterns of behavior that represent fraudulent activities
which can not easily be detected by the naked eye.
Evidence Based Research, Inc. (EBR) can help organizations detect and prevent fraud by using
advanced analysis and visualization tools to connect patterns and show links between fraudulent
companies and individuals.
EBR targets individuals and
organizations potentially committing
fraud by gathering vast amounts of
data on numerous companies and
showing their relationships. This
process helps detect complex alliances,
showing indirect relationships between
companies of interest, corporations,
organizations, people, and more. EBR
utilizes sophisticated tools that search
the open source to extract and organize
data from thousands of Web pages.
We process the language, and find
meaning in the collected data.
Working closely with clients, EBR assists in preventing fraud by categorizing the documents
collected based on general content. Rules are developed to determine how any particular activity
fits in the overall pattern of behavior. It not only includes content and context, but it has semantic
and syntactic processing capabilities. When combined with internal data, we develop models to
enable link analysis, profile development and knowledge discovery. We then build illustrative
link analysis and multidimensional visualization models to support analysis requirements. Fraud
analysts need sophisticated tools and approaches to find the fraudulent needle in the legitimate
haystack. EBR can help provide this capability using state-of-the-art tools in a cost effective
manner. This process can be helpful to companies by vastly reducing the time necessary to
identify potential fraud activity.
Jim Yeargain
Evidence Based Research, Inc.
1595 Spring Hill Rd, Suite 250
Vienna, VA 22182-2216
(703) 287-0367
Candidate Tools for Fraud Investigation
Actimize™ helps enable financial institutions and other organizations to identify potential
threats, mitigate risks, and maintain regulatory compliance. Actimize™ identifies elements that
may impact the models, flagging transactions according to predefined criteria. It uses proprietary
data structure to simultaneously maintain, update, and correlate the predefined parameters
against the relevant models. The Patent-Pending Actimize™ Intelligence Server helps embeds
analytic capabilities directly within operational processes. Actimize™ enables a more effective
process management through the insight gained from powerful analytics applied to both static
and transactional real-time data.
Visual Links™ is an advanced analytical tool for pattern discovery, link analysis, data
visualization and network-centric analyses. Visual Links™ presents data graphically uncovering
underlying relationships and patterns. VisuaLinks™ addresses the entire analytical process from
access and integration to presentation and reporting. Visual Links™ allows you to uncover and
expose interactions and relationships between data thru accurate pattern detection, performing
proactive and reactive analysis supporting tactical and strategic operations.
NetMap’s™ internationally proven technology reveals the vital, hidden clues within multiple
transactions. Millions of items of data can be simultaneously analyzed to pinpoint a suspicious
activity. NetMap’s™ tailored solution helps detect when a fraudulent activity happened, how,
who did it, which customer and more. NetMap™ breaks down data to its simplest form and then
it "maps" that data to find common links that would otherwise be physically impossible to find.
Memex™ provides powerful capability that is used by intelligence, investigative and law
enforcement agencies world-wide. Memex™ has remote access and provides easy data capture
methods from remote sites. It has a web-enabled intelligence solution that allows access to
multi-source streams of data visa standard web browser technology Memex™ provides a
powerful search, retrieval and analysis capabilities over all data sources irrelevant of their
location or format. It stores a wide variety of different file types that exist in Word.
Data Harvesting™ collects data, cleans it, and sends out auto-responders and follow-up e-mails.
It works intelligently, processing all harvested data automatically, as well as adding attachments,
and re-routing important enquiries. All harvested data is stored in password-protected, offline,
backed-up databases, and available for use.