Fraudulent Claims

The Tableau Accelerator for Fraudulent Claims gives actuaries a jumpstart to getting data-driven insights into your exposure to fraudulent claims declarations by brokers and policyholders.

Answer key business questions

• How are we exposed to Fraudulent Claims?
• Which Product Groups are affected the most by Fraudulent Claims?
• Which Brokers have exposed us most to Fraudulent Claims?

Monitor and improve KPIs

• Average Policy Limit
• Claims Amount
• Number of Claims
• Suspected Fraud Amount
• Suspected Fraud Claims #
• Suspected Fraud Amount % : [Suspected Fraud Amount] / [Claims Amount]
• Suspected Fraud Claims % : [Suspected Fraud Claims #] / [Number of Claims]

Required attributes

• Event Date (date)
• Claim Number (string)
• Product Group (string)
• Broker (string)
• Policy Holder (string)
• Suspected Fraud Flag (string) ← expected values: 'Y', 'N'. 'Y' means that the claim is suspicious.
• Policy Limit (numeric)
• Paid Claim Amount (numeric)

Partners of Choice

Our top consulting Partners may be able to help you customize this Accelerator for your own business needs.

United States / Canada

• InterWorks - Tableau expertise from 8X Partner of the Year

Latin America

• Five Acts - 3 times Partner of the Year Latin America, Five Acts has the resources to deliver the best analytics solution to your business
• DataTeam - Foster Data Culture and Analytics for better business decision making