N.C. Information System Advances Insurance Fraud Investigations

 Thursday, October 15, 2020

 Government Technology

This year North Carolina has seen a 90 percent increase in efficiency for managing cases related to insurance fraud. The key to the state’s success is a new tool called the Insurance Crimes Investigation System (ICIS), which was implemented in March after well more than a year of design and development.

ICIS is the product of a collaboration between the North Carolina Department of Insurance (DOI), the North Carolina Government Data Analytics Center and SAS Institute.

The state had been using State Based Systems (SBS) software, designed by the National Association of Insurance Commissioners, to manage investigations of fraud.

Keith Briggs, chief information officer for DOI, said he doesn’t want to disparage SBS and that it’s great in general for the state insurance system, but SBS simply wasn’t the right tool for managing criminal investigations.

Frank Rodriguez, deputy commissioner of DOI’s criminal investigation division, said the SBS solution presented multiple issues. First, the system led to multiple instances of duplicative efforts. If two people happened to investigate the same case, there was no way of recognizing that.
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