FraudCaster® - Detection Solutions - Pondera Solutions

Summary

Pondera Solutions presents FraudCaster, its detection solutions and analytics designed to help detect potential fraud, waste, and abuse and maintain compliance with State and Federal regulations. Listed features include Profiles, Scorecard, Alerts, Network Analyzer, Social Media Analyzer, Claims Visualizer, Messaging and Super Search. It describes versions for analysts, investigators and managers, including CaseTracker for managers. The industries named are Federal Government, Healthcare, Social Services and Unemployment Insurance. A Thomson Reuters notice states that its services are not a consumer reporting agency.

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Solutions

FraudCaster®

Pondera’s Detection Solutions and Award-winning analytics are designed to help you detect potential fraud, waste, and abuse and maintain compliance with State and Federal regulations.

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Why Pondera for Fraud Detection?

Discover how Pondera’s system is used in the Federal Government, Healthcare, Social Services, and Tax & Labor to improve efficiency and deliver results.

Investigation-ready Leads

Pondera combines powerful analytics, special investigation services, and intuitive design to deliver the most important leads to your analysts and investigators.

Intuitive Analytics

Trends, patterns, clusters, and individual leads are delivered through easy to interpret graphs, link charts, tables, and other methods to clearly display the cause for suspicion.

Continuous Improvement

Pondera continually improves detection accuracy with machine learning and structured customer feedback processes to keep pace with emerging fraud trends and methods.

Advanced Analytics

Pondera employs advanced prediction and machine learning algorithms to identify outliers and fraud schemes.

Features

Profiles

A comprehensive view of program participant’s eligibility information, alerts, behaviors, and transactions

Scorecard

Stack-ranked lists of all program providers and participants based on their risk for fraud

Alerts

Configurable notifications when a transaction or action violates a predetermined threshold

Network Analyzer

Link charts connect program participants and display changes to the network over time

Social Media Analyzer

Social media footprint to analyze unusual behaviors and previously unknown relationships

Claims Visualizer

Temporal analytics display transaction behaviors over time

Messaging

Pondera’s cloud based integrated messaging system enables teams to share cases, files, and profiles within the dashboard and allows team members to create notes for profiles, alerts and cases

Super Search

Powerful search capabilities to comb through program and public records data

Thomson Reuters is not a consumer reporting agency and none of its services or the data contained therein constitute a ‘consumer report’ as such term is defined in the Federal Fair Credit Reporting Act (FCRA), 15 U.S.C. sec. 1681 et seq. The data provided to you may not be used as a factor in consumer debt collection decisioning, establishing a consumer’s eligibility for credit, insurance, employment, government benefits, or housing, or for any other purpose authorized under the FCRA. By accessing one of our services, you agree not to use the service or data for any purpose authorized under the FCRA or in relation to taking an adverse action relating to a consumer application.

By Role

Discover how analysts, investigators, and managers leverage Pondera’s system to improve efficiency and deliver results.

- For Analysts Pondera gives analysts the ability to view comprehensive program data, matched against third party data sources, and run through a series of procedural and predictive models. Read More
- For Investigators Pondera helps investigators both in the field and in the office, to streamline workflows and make tracking cases easy through cloud integration. Read More
- For Managers Pondera’s CaseTracker™ allows managers to easily track and manage cases and case files, get detailed team performance metrics. Read More

Industries

Pondera supports the federal government’s efforts to identify individual cases of fraud or abuse as well as trends, patterns, and clusters that may indicate existing or emerging problems.

- Federal Government Detect and prevent fraud, waste, and abuse by identifying problem areas and patterns. Read More
- Healthcare Analyze providers, eligibility, pharmacies, members, claims, and encounters for suspicious activities. Read More
- Social Services Validate identities, verify eligibility, and identify emerging fraud schemes. Read More
- Unemployment Insurance Maximization and audit selection for unemployment insurance systems and state & local tax programs. Read More

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Our industry experts are happy to provide an in-person or web conference overview that is customized to your organization and your needs.

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