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Explainability - Understanding Why AI and Machine Learning Models Alert to Potential Fraud
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Join this hour-long webinar sponsored by IBM, presented by Wade Wickre, IBM, Martijn Wiertz, FCI, and Frank Pinder, DXC on October 29, 2020 at 10:00am CT, 11:00am ET, 8:00am PT.

 Export to Your Calendar 10/29/2020
When: October 29, 2020
10:00 am
Where: Virtual Webinar
United States
Contact: Kelsey Dorado
info@iasiu.org


Online registration is available until: 10/29/2020
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Insurers are using predictive modeling more often today to supplement Insurance Fraud investigations. The models use available structured or unstructured data to provide a probability of potential fraud or risk.
 
Artificial Intelligence (AI) enables data collection and organization to perform analytics that is infused into the claims process for example bringing better-quality referrals. Combined with Machine Learning, an Insurer can learn from their data and expose trends and other sources of potential fraud.
 
Once claims are alerted to potential fraud, Explainability exposes the potential risk or what caused an alert to fire. The Claims Representative or SIU Investigator can confirm the risk in the alert and make an intelligent, confident settlement.
 
From an Investigator’s point of view, what is Explainability? How are Models developed and what makes a successful Model? How does AI and Machine Learning impact the modeling process?
 
Join this hour-long webinar sponsored by IBM, presented by Wade Wickre, IBM and Frank Pinder, DXC on October 29, 2020 at 10:00am CT, 11:00am ET, 8:00am PT.


Meet our Speakers

 

Wade Wickre, CIFI, FCLA, MBA, Insurance Financial Crimes Leader for North America, IBM

 

Wade joined IBM in January 2019 and leads the Insurance Financial Crime Team in North America. Wade works closely with Insurers, Insurance Industry Organizations, and IBM to focus attention on current and future capabilities, including artificial intelligence, analytics, and shaping investigative trends for future success. Before IBM, Wade was SIU Director for the Southeast United States at Nationwide Insurance and worked in varying SIU roles of responsibility for 27 years.


During his SIU work, Wade served as President of the International Association of Special Investigation Units (IASIU) for five years and as Vice President for four years. During his Presidency, IASIU’s membership grew with members from 27 Countries and 43 Chapters into the largest association of Insurance Fraud Investigators in the world. Among other duties as IASIU President, Wade was an advisor to the National Insurance Crime Bureau (NICB) Board of Governors and an advisor to the Executive Board of the Coalition against Insurance Fraud.


Wade began his career as a Norfolk Virginia Police Officer, where he served as a Patrol Officer, Auto Theft, Robbery, and Homicide Detective and finally a Forgery Investigator. Early in his Nationwide career, Wade was instrumental in forming the Virginia Chapter of the International Association of Special Investigation Units (IASIU). Wade’s commitment to eliminating insurance fraud is evident his entire Insurance SIU career.


Wade has a Bachelor of Arts in Criminology from Saint Leo College and a Masters in Business Administration from Saint Leo University. He’s active in leadership roles in his community and continues to speak and write about Insurance Fraud topics that impact Insurance Fraud Investigators.

Martijn Wiertz, Principal Pre-Sales Consultant, FCI

Martijn Wiertz is the Principal Pre-Sales Consultant for FCI across Europe, with engagement in other global regions too.  
He has over 20 years experience in the field of advanced analytics, of which the last 11 years with a dedicated focus on our insurance clients.
In this role, he combines his technical, analytical and industry knowledge to help insurance clients understand and validate the unique value that the FCI solution can bring to help them tackle insurance fraud.
Martijn works very closely with the IBM teams on insurance industry client engagements. This encompasses the full range of businesses-including leading global insurers, in the capacity as the technical SME for FCI. Martijn has developed a strong understanding of how the insurance industry fights fraud.

Franklin Pinder, Senior Director, Insurance Analytics and Financial Crimes, Luxoft, a DXC Company

Frank has over twenty-five years experience in the property and casualty, life, disability and accident & health insurance industries with extensive insurance fraud, claims, operations and analytics experience. Prior to joining Luxoft, Frank served as the Director Global Financial Crimes leader at IBM from 2014-2020. Additionally Frank lead the Fraud and Financial Crimes consulting practice in IBM’s Global Business Services. In this capacity Frank oversaw the development of the Financial Crimes Insights product as well as leading the go to market strategy, sales organization and subject matter experts. Prior to joining IBM, Frank served as the President and CEO of the largest privately held insurance fraud Counter Fraud Outsourcing company from 1995-2014, providing structured cost containment and regulatory compliance counter fraud solutions to insurance companies, third party administrators, multi-national corporations and public entities. With a staff of close to five hundred counter fraud personnel, Frank designed and implemented counter fraud programs for 72 insurance carriers, third party administrators, state and local governments and multi-national corporations in the United States, the United Kingdom, Europe, Latin America and Australia.  

 

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