“Cogitate Digital Insurance has helped us to digitalize our personal property lines business and build an omni-channel ecosystem for our channel partners to connect with us seamlessly.
We currently are writing policies for Homeowners and Mobile Home insurance through this platform. It is integrated with our existing systems including AIM and ImageRight. This allows our agents and underwriters to easily access the required information whenever they need. It is full of brilliant features such as ‘Quote in a Minute’, Customer E-signature verification, Post-sale Services workflow and built-in Property Analytics tools. Personal Property insurance platform has quickly become one of the pillars of our digital business initiatives.”
Elena Leming
VP of Personal Lines
Insurance House
“In the rapidly changing insurance industry, insurers are turning to digital business models to stay relevant and competitive. Digitalization of insurance is no longer a differentiator but has become table stakes to fulfil new customer demands. Insurers are looking for modern technologies to build out their digital ecosystem and transform the customer experience - for both channel partners and customers. Critically, these kinds of systems must integrate seamlessly with existing core insurance systems and have pre-integrations with third party data sources and insurance services. Many insurers are looking for a microservices-based architecture to drive flexibility and speed of implementation.”
Karlyn Carnahan
Head - North America Property Casualty
Celent
“Cogitate Demand Management solution has so many features and benefits. We have significantly enhanced control over attorney demand claims exposure with this software. Demand Management solution helps us to ensure that no demand or a subsequent deadline is missed which can lead to bad faith. This is truly ‘sleep insurance’ for me when it comes to attorney demand letters. It’s an incredibly valuable tool for me as the Claims Vice President.”
Christine Ainsworth
Vice President of Claims
Southern General Insurance Company
“Cogitate Digital Insurance solution has enabled us to extend our channel reach. This powerful platform has helped us become more competitive by improving our speed to market & customer experience. Additionally, we have experienced a significant decrease in our cost structure. I highly recommend Cogitate as we’ve experienced their expertise in insurance and technology.”
Diane Boyer
Director of Insurance Operations
Insurance House
“Our agency is constantly looking for ways to stay ahead of the curve when it comes to technology. Thanks to Cogitate, our agency is now in the palm of our customer's hand 24/7. The many features included in our app has made it a favorite among our customers and has helped us to continue to offer comprehensive support to our customers regardless of what time of the day it is or how near or far they are from one of our agencies. The Cogitate app brings our agency to them.”
Jeff Butler
President
Able Auto & Cycle Insurance

Faster Identification of Fraud

The most crucial aspect of fighting claims fraud is early detection. With the automated backend processing of Cogitate CFNA, fraud probability scores and network graphs are generated at the First Notice of Loss (FNOL) stage. The intelligent engine of CFNA constantly keeps analyzing new information throughout the claims life cycle and keeps the scores and the network graph updated. This ensures extremely fast detection of fraudulent claims and close scrutiny at every stage.

Fraud Collusion Network
  • Identification of fraudulent parties involved in possible fraud, and creation of a network graph of all involved parties, based on their association
  • Network of individuals who are part of claims historically
  • Identification of fraud collusion network
  • Multiple filters on network graph based on the various parties involved in the claim
Anomaly Detection
  • Anomalies identified based on more than 100 business rules
  • Rules classified under various categories like historical information, claim information and more
  • One-stop solution for identifying anomalies, with supporting evidence
Probability Score
  • Generation of fraud probability score based on complex machine learning models and neural networks trained to identify fraud
  • Machine learning model built based on years of claim data and associated research
  • Identification of fraudulent trends within data very early in the claim cycle through the model
Fraud Collusion Network
  • Identification of fraudulent parties involved in possible fraud, and creation of a network graph of all involved parties, based on their association
  • Network of individuals who are part of claims historically
  • Identification of fraud collusion network
  • Multiple filters on network graph based on the various parties involved in the claim
Anomaly Detection
  • Anomalies identified based on more than 100 business rules
  • Rules classified under various categories like historical information, claim information and more
  • One-stop solution for identifying anomalies, with supporting evidence
Probability Score
  • Generate Fraud Probability score based on complex machine learning models and neural networks trained to identify fraud
  • Machine learning model built based on years of claim data and associated research
  • Identification of fraudulent trends within data very early in the claim cycle through the model

Improvement of Claim Cycle Time

Faster settlement of claims ensures enhanced customer satisfaction. Cogitate CFNA assists in segregating fraudulent and non-fraudulent claims, which is crucial to help adjusters settle non-fraudulent claims faster and refer the fraudulent claims to the Special Investigation Unit (SIU) at a very early stage. This approach helps in streamlining operations and improving the overall cycle time for claims settlement, thereby realizing significant savings in operational costs.

Claim Listing

  • Listing of all open claims at different phases of a claim’s life cycle
  • Claims reflected in CFNA within 24 hours of FNOL (First Notice of Loss)
  • Automated backend processing for data which can be scheduled and set up in off-business hours
  • Automated assignment of claims to adjusters

Integration with Existing Claims Management Systems

  • Can be integrated with client’s existing Claims Management System
  • Can be integrated with multiple client data sources to gather information
  • Synchronized processing through sync agent ensures data is always updated in CFNA

Single Sign On

  • User rights and access management through LDAP/Active Directory
  • Predefined rights management for claims directors, managers and adjusters based on their roles and responsibilities
  • Uses Cogitate’s proprietary SSO module
Interested in learning more about
our Claims Fraud Network Analysis?