The client faced high volumes of insurance claims and the existing process was unable to properly detect and flag suspicious claims, leading illegitimate claims being approved.

Solytics undertook a thorough process review and transformation.

1. Selected a relevant sample of claims and performed data cleaning and data processing.

2. Performing First Digit and First Two Digits analyses to check deviation against Benford's distribution.

3. Identifying anomalies and conducting further detailed analysis on highlighted suspicious claims, especially ones starting with "5", "50", "56" and "560"

4. Implementing data analytics to highlight suspicious claims and reporting observed versus expected distributions.

- Significant (~43%) decrease in cases referred to adjusters.

- Improved ability to target complex claims.

- Enhanced operational and resource-level efficiency.