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    Public Entities Claims Management Software

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    Claims Fraud Detection
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    Claims Fraud Detection for TPAs: Built-In AI vs Bolt-On Tools 

    August 18, 2025 Stan Bowers Comments Off on Claims Fraud Detection for TPAs: Built-In AI vs Bolt-On Tools 

    For Third-Party Administrators (TPAs), fraud is more than a compliance issue—it’s a profitability and reputation challenge. Detecting fraudulent activity early can mean the difference between minimal loss and significant claims leakage. In today’s competitive market, TPAs can’t afford to rely solely on manual processes or outdated tools to manage fraud risk.  That’s why many are […]

    Claims management Software
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    What Public Entities & Risk Pools Need from Their TPA’s Claims System: Visibility, Control, and Results 

    June 11, 2025 Stan Bowers Comments Off on What Public Entities & Risk Pools Need from Their TPA’s Claims System: Visibility, Control, and Results 

    When organizations partner with Third Party Administrators (TPAs) to manage Property & Casualty claims, they expect more than just processing support—they expect strategic value, transparency, and outcomes that align with their goals. However, the effectiveness of a TPA relationship hinges on the capabilities of their claims management software. If the system lacks visibility, flexibility, or […]

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