Replicates / Improves Investigative Process. Accesses Data From Disparate Sources In Real Time. Cuts Administrative Costs

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Lindsay Barton
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1 Automated Fraud Investigation Replicates / Improves Investigative Process Accesses Data From Disparate Sources In Real Time Cuts Administrative Costs Improves Investigative Accuracy / Throughput Reduces Overhead Leverages Existing Systems Automates Communication (phone, fax, ) Reduces Hiring & Training Expenses Accelerated Pay Back

Investigative Accuracy / Throughput Reduces Overhead Leverages Existing Systems

2 Services The services presented in this brochure reflect the proprietary, Artificial Intelligence based technology of Instaknow, Inc., called Human Intelligence Automation (HIA), a multi-patented platform that replicates and improves on human knowledge work. Instaknow, Inc. A leading edge visionary of Information Technology (IT) software and services founded in 1999, Instaknow serves major clients worldwide, including financial institutions, manufacturers, government, military organizations, services companies, and more. Select public clients include: Rembrandt Group LLC Premier Information Technology (IT) services company serving Fortune 500 clients, and Business Alliance Partner of Instaknow. Rembrandt provides proprietary IT solutions and services that: G Facilitate business process G Increase productivity G Reduce costs G Transform IT architecture G Extend investment in legacy G Consolidate platforms Rembrandt also provides senior-level IT executives and technologists for consulting and permanent hire.

A leading edge visionary of Information Technology (IT) software and services founded in 1999, Instaknow serves major clients worldwide, including financial institutions, manufacturers, government,

3 AUTOMATED FRAUD INVESTIGATION Automated Fraud Investigation (AFI) is a proprietary, customizable solution that can significantly mitigate losses associated with insurance fraud. AFI employs a patented fuzzy matching capability that uncovers fuzzy correlations among a variety of categories, including, but not limited to: people, vehicles, addresses, claims, convictions, warrants, educational background, and career specialization. The solution enables searching an unlimited number of databases quickly and accurately without the burn-out factor associated with human fatigue. It learns to discover, correlate, conclude, update, and publish real time data across enterprise systems, web sites, search engines, portals, blogs, mainframes, s, Excel, Word, PDFs, databases and more. The many benefits of Automated Fraud Investigation include: G Substantial savings through reduction in fraudulent payouts G Ability to process additional cases without hiring additional staff G Improved investigative accuracy and throughput G Interface with enterprise systems, including Case Processing and Case Management G Real-time capabilities that support informed and timely decision-making G Automatic request/review of ISO reports, background checks, and financial information G Auto-refreshment of old data throughout the case lifecycle G Reduced learning curve for newly hired investigators G Automatic preparation of standard case reports, audit trails and correspondence G Fast deployment and immediate return AFI is based on a multi-patented, Artificial Intelligence (AI) platform by Instaknow, Inc., called Human Intelligence Automation, whi ch can be customized to replicate and improve upon virtually any knowledge work performed by a human. The platform is widely deployed within Fortune 500 companies, the US Government, and the military.

warrants, educational background, and career specialization.

4 CAPABILITIES Automated Fraud Investigation facilitates researching, identifying, and following up a greater number of potential fraud cases than is possible using other approaches. AFI gives investigators the advantage of new, powerful, cutting edge enhancements to research capabilities along with the best of those currently available. AFI can be trained to perform the full range of fraud analyses just as you would train a human investigator. In identifying suspicious claims, the technology will scrutinize the claims against a predefined list of red flags that have been found to point to possible fraud. Claims that fail this initial test will be set aside for further investigation. In addition, AFI can easily interface with statistical analysis and Business Intelligence systems, which may be used to analyze claims for other factors that suggest fraud. The suspicious claims identified statistically would be added to the list set aside for further investigation. Once a claim is identified as suspect, AFI can automatically interface with Claims Processing and Case Management systems, and undertake the next steps normally handled by human investigators, including: G Requesting / reviewing ISO Reports, vehicle histories, real estate property histories, background checks, and financial information, and compiling relevant reports G Composing / sending s requesting additional information from other insurance companies with regard to claims identified in the ISO Reports G Composing s and / or letters requesting medical information from doctors for claims involving injuries G Automatically processing replies to s according to case management procedures AFI drastically reduces turnaround time through its ability to automatically and immediately start the lengthy process of acquiring additional data. Your staff will no longer suffer through tedious research. Instead, they will be provided with information automatically collected, categorized, and ready to be reviewed.

AFI can be trained to perform the full range of fraud analyses just as you would train a human investigator.

5 MINING THE WEB TO INVESTIGATE FRAUD Mining the web greatly facilitates background checking, gathering financial information, researching databases, and more. Key information is found through a variety of sources including social media and general internet searches. The data retrieved can be automatically combined with other data obtained from internal and external databases, including ISO. Automated Fraud Investigation ensures that more time is spent on reviewing results than on routine manual tasks. Key research areas supported: G Property Histories G Financial Reports G Criminal Record Checks G Unstructured Data Sources G Social Media Investigation G Vehicle Histories Benefits of automating information gathering: G Increased investigator productivity G More actionable information faster G Higher quality research G Quicker reaction time AFI can automatically mine both structured and unstructured data sources including: G LexisNexis G Better Business Bureau G National White Collar Crime Center G ISO Claim Search G pipl deep web search G NICB database

The data retrieved can be automatically combined with other data obtained from internal and external databases, including ISO.

6 FRAUD INVESTIGATION CASE STUDY AFI is ideally suited for investigating the enormous number of fraudulent claims that the insurance industry must process every year: approximately 48 million claims. Of these only 74,902 cases were investigated by the National Insurance Crime Bureau in This number increased to 85,209 questionable claims in 2009, roughly a 14 percent increase. Industry experts believe that as the economic recession continues the number of fraudulent insurance claims will multiply. For the fiscal year 2008/2009 a major West Coast State identified over 26,000 suspected fradulent insurance claims, totaling more than $956 million in potential losses. Employing roughly 200 investigators, this state is able to investigate only one to three percent of suspected fraud. Thinly stretched government agencies reached out to our company in order to improve their fraud detection and prosecution capability. Our technology specialists customized a unique solution to address their concerns and improve their processes. Projected results for this state s Fraud Division after AFI implementation: G 75% reduction in data gathering work for investigators G Three to five times more investigations handled without additional staff G Staff training time cut in half from 8 months to 4 months G Automatic discovery of fuzzy correlations between people, addresses, vehicles, convictions, claims, convictions, etc. G Automatic refreshing of case related data for the duration of the investigation G Recording of audit trails mandated by the state s Department of Justice G Automatic preparation of case reports used for insurance fraud prosecution G Substantially reduced administrative overhead G Significant reduction in fraudulent claim payouts With the increasing amount of fraud being perpetrated, and the potential for larger caseloads, Automated Fraud Investigation is essential for today s Insurance Industry.

Industry experts believe that as the economic recession continues the number of fraudulent insurance claims will multiply.

7 Summary Automated Fraud Investigation has no equal in transforming investigative research from a time consuming, expensive, errorprone headache to a fast, accurate, and productive capability with a significant return on investment. Working like a team of trained investigators, AFI automatically processes real-time data obtained from any electronic source without the need for traditional programming or system modifications. We are prepared to undertake a Proof of Concept that will demonstrate the enormous advantage that AFI can provide in performing fraud investigation.

Working like a team of trained investigators, AFI automatically processes real-time data obtained from any electronic source without the need

8 Replicates / Improves Investigative Process Accesses Data From Disparate Sources In Real Time Cuts Administrative Costs Improves Investigative Accuracy / Throughput Reduces Overhead Leverages Existing Systems Automates Communication (phone, fax, ) Reduces Hiring & Training Expenses Accelerated Pay Back Rembrandt Group LLC, Partner, Instaknow, Inc. 2 North Road Suite 3 Warren, NJ

Systems Automates Communication (phone, fax, email) Reduces Hiring & Training Expenses Accelerated Pay Back

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