SAS® helps Mexican auto insurer boost customer service, fight fraud

Quálitas optimizes claims process with analytics, gains competitive advantage

In the highly competitive insurance market, customer satisfaction and loyalty can help insurers gain an advantage against competitors. Leading Mexican auto insurer Quálitas, known for superior customer service, will be using anti-fraud software from SAS to hone that edge by safeguarding both the company and its customers from suspect activity. With SAS® Fraud Framework for Insurance, the insurer will detect and prevent fraud early to reduce costs and optimize claims handling.

With its new SAS fraud platform, Quálitas expects to prevent big losses through timely detection of suspect activity and by integrating extensive data to zero in on suspects. And by reducing false positives, SAS frees investigators to focus on fraudulent claims with the most impact on the business, which increases efficiency.

“SAS technology delivers a single view of our customers and helps us capitalize on our data to improve fraud detection and prevention,” said René Abdala Mirwald, Director of Strategic Planning and Operational Efficiency at Quálitas. “As a result, we’ll continue generating quality customer service.”

Using SAS Fraud Framework for Insurance, Quálitas will accelerate the claims payment process by quickly identifying suspicious claims and promptly serving legitimate ones, keeping customers satisfied. SAS will help the insurer evaluate all claims using consistent statistical and analytical criteria, rather than depending on an individual adjuster’s experience or instinct to identify suspicious activities.

With SAS, Quálitas expects to discover more organized fraud rings across business lines and deter fraudsters from targeting the insurer.

“First, we will use SAS to decrease fraudulent insurance claims. We then plan to implement it internally to further reduce costs while nurturing our customers’ loyalty,” said Abdala.

“Research shows that up to 20 percent of claims may be fraudulent,” said Raquel Guillot, Fraud Domain Expert at SAS. “That makes insurance fraud a worldwide problem with a huge financial impact, both on an insurer’s bottom line and as an impediment to competitive rates. Since fraudulent claim payments are so costly for the business and its policyholders, Quálitas is leading the way by deterring criminal activity in Mexico.”

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ABOUT Quálitas

Quálitas Compañía de Seguros, S.A. de C.V., specializes in auto insurance, with coverage throughout the Mexican market. Founded in 1993 by Mexican investors in 1993, Quálitas – Latin for “quality” – is committed to maintaining the highest levels of quality care and service in auto insurance, relying on the experience of managers, agents, adjusters and qualified personnel. The company’s motto, "The New Generation of Automotive Insurance," is reflected in innovative products that meet the varied safety and security needs of customers and, above all, providing effective and friendly service to in all matters related to auto insurance.


A propos de SAS

SAS, leader mondial des solutions de business analytics, est le plus important éditeur indépendant du marché du décisionnel. Ses solutions innovantes aident ses clients -sur plus de 75 000 sites dans le monde- à améliorer leurs performances et à produire de la valeur en prenant rapidement les meilleures décisions.

SAS est implanté sur le marché de l’Afrique francophone depuis plus de 10 ans. La filiale Marocaine constitue pour SAS un Hub régional en support à l’ensemble des pays de l’Afrique francophone. Les organismes et entreprises des pays francophones du Maghreb, de l'Afrique de l'Ouest et de l'Afrique Centrale bénéficient d'un support commercial dédié les aidant à évaluer et réaliser leurs projets.

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