Cegedim Insurance Solutions and Shift Technology Enter Partnership to Support Insurers in the Struggle against Improper Healthcare Payments

Cegedim Insurance Solutions, a major player in software solutions and business services for personal insurance, and Shift Technology, a provider of AI-driven decision automation and optimization solutions for the global insurance industry, have combined their expertise to offer the French health and contingency insurance market key solutions for fighting fraud and money laundering activities (AML/CFT).

The partnership is a direct response to the evolution of fraudulent behaviors impacting the health and contingency insurance market. Cegedim Insurance Solutions, which already offers a solution to vision insurance providers, wished to expand its offerings to a greater variety of carriers. Shift Claims Fraud Detection – a solution already adopted by major personal insurance actors in France – uses artificial intelligence (AI) to more effectively and accurately identify risks and detection fraud, abuse and erroneous payments. As part of the offering, Cegedim Insurance Solutions provides access to a professional experts unit dedicated to investigating the cases identified as suspicious.

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The functional scope of the Shift solution combined with Cegedim Insurance Solutions’ professional expertise in the processing of the personal insurance data makes for an innovative, global solution that capitalizes on numerous instances of experience feedback.

“The complementary nature of our expertise, served by powerful algorithms, is the cornerstone of this partnership,” explained Philippe Simon, President of Cegedim Insurance Solutions. “It also feeds a mutual goal: leadership within the field of the fight against insurance fraud in France. We share Shift’s vision of added value for our clients.” 

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Cegedim Insurance Solutions will exclusively distribute the Shift Claims Fraud Detection solution to its clients who have ACTIV’Infinite software and Cetip third-party payment services.

“By joining forces with Cegedim Insurance Solutions, we intend to offer French insurers a high added value solution so that they can perform better in the fight against fraud and money laundering,” stated Jeremy Jawish, CEO and co-founder of Shift Technology. “The native integration of our two solutions will allow us to speed up insurers’ transformation projects and fight fraud together, to the benefit of all policyholders.”

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