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Published By: SAS     Published Date: Aug 03, 2016
Insurance fraud has existed wherever insurance policies are written, taking different forms to suit the economic times. Today the magnitude of insurance fraud is not only startling but increasing. Recent studies by the US National Insurance Crime Bureau (NICB) reported a 24 percent rise in questionable claims for the period 2011 to 2013. The full scale of insurance fraud is not known. And if fraudulent behavior is not discovered at the time the claim is submitted, the insurer may never know it occurred. Consequently, an uninvestigated claim can’t be labeled as fraudulent to investigate.
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technology, best practices, security, analytics, insurance fraud, business technology
    
SAS
Published By: MedAssurant, Inc.     Published Date: Aug 31, 2010
Case Study: Beyond "Clinically Enriched Administrative Data": Using Patient- Specific Datasets to Drive Rapid Clinical & Financial Improvements
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medassurant, medical informatics, health care, healthcare, dataset, medical claims data, patient management, administrative datasets
    
MedAssurant, Inc.
Published By: IBM     Published Date: Nov 05, 2013
We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have “set a high bar” in the way they engage customers throughout the entire sales process—not just during the commercial transaction, but before, during and after the transaction. Your operations must be seamless, because individuals enjoy an interconnected and ubiquitous experience. And your operations must be insightful, because every personal and professional interaction is targeted and relevant. A Smarter Process approach helps you to reinvent business operations in the era of the customer.
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business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan
    
IBM
Published By: Epicor     Published Date: May 21, 2019
In their report, “Magic Quadrant for Cloud ERP for Product-Centric Midsize Enterprises,” ¹ Gartner recognized Epicor as a Visionary in the cloud ERP marketplace. Additionally, Epicor scored highest in the ERP Functionality use case in Gartner's critical capabilities report. ² We believe Gartner’s positioning of Epicor ERP reflects our focus on providing solutions that fit manufacturing businesses to drive growth with greater ease. Read the report from Gartner to learn more. Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose. GART
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cloud, erp, magic quadrant, visionary, epicor
    
Epicor
Published By: OnBase by Hyland     Published Date: Jun 26, 2017
Case management continues to gain traction as a key capability in the information management space – supporting work that is unpredictable, information-centric and driven by human decisions. These are the processes that often directly touch your customers and stakeholders, including areas like contract management, claims processing, customer service, incident tracking and more. Download this eBook to explore three steps you can take to embrace a case management approach – improving employee productivity and customer experiences.
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case, management, ebook, e-book, information, content, dynamic, applications
    
OnBase by Hyland
Published By: Skytap     Published Date: Aug 23, 2017
Cloud migration has exploded in popularity since General Electric’s (GE’s) flashy keynote at Amazon Web Service’s (AWS’s) re:Invent in September 2015. GE claims to be migrating all workloads not containing secret information. Enterprises are revisiting public cloud and exploring whether existing or systems-of-record applications have a place in that world. Infrastructure and operations (I&O) professionals on this path should avoid a one-size-fits-all approach to outsourcing and migration plans, opting instead for an app-by-app assessment.
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Skytap
Published By: BlackBerry Cylance     Published Date: Jul 02, 2018
SE Labs tested CylancePROTECT® in an offline environment against major threats that subsequently appeared in the wild. The test explores the product’s ability to prevent new threats from attacking endpoint systems successfully. CylancePROTECT contains technology designed to identify and block malware using what it claims to be an “artificial intelligence” (AI) model. This model can be updated over time. However, in this test we used the model created in May 2015 and did not permit further updates so that the software was unable to receive new models or edit the existing one. The test exposed systems protected by this older version of CylancePROTECT to very impactful threats discovered and reported widely after May 2015. In this way, the test shows to what extent the product was able to predict how future threats would appear. This “Predictive Advantage” (PA), the advantage that users of the product have against future adversaries, is presented in this report.
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malware, predictive, test, response
    
BlackBerry Cylance
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