DATE:
September 24, 2024
02
TO:
Board of Supervisors
SUBJECT
Title
DISTRICT ATTORNEY - REQUEST APPROVAL FOR A SINGLE SOURCE PROCUREMENT OF A SOFTWARE LICENSE TO DETECT FRAUDULENT INSURANCE ACTIVITY (DISTRICTS: ALL)
Body
OVERVIEW
The San Diego County District Attorney's Insurance Fraud and Workplace Justice Division (Division) proactively investigates and prosecutes complex insurance fraud prosecutions and brings awareness and education throughout San Diego County. In California, insurance fraud costs consumers approximately $15 billion a year, and is the second-largest economic crime in the United States, exceeded only by tax evasion. The Division's multiple, reinforcing strategies seek to reduce insurance premiums for consumers, lower workers' compensation premium rates for employers, ensure injured workers receive the benefits they are entitled to collect, and ultimately protect all San Diego communities by deterring this form of criminal behavior.
The District Attorney's Office (DAO) is seeking to procure Verisk Analytics Inc.'s Anti-Fraud One - Government (AF1- Gov) software license, with access to the ISO ClaimSearch proprietary database containing claims information from 97% of all property and casualty carriers and third-party administrators throughout the United States. The software aggregates, in real-time, key information from questionable claims, including: the loss history for each party involved in a claim, investigation details and outcomes for the parties' prior claims, patterns of previous losses, network analytics, and evaluation of suspected fraud. Insurance fraud activity has far-reaching implications, and leveraging comprehensive industry data and analytics would enhance the DAO's ability to assess and mitigate emerging fraud risks, as well as increase effectiveness and efficiency in the identification, prioritization, and investigation of fraud. An AF1- Gov software license will grant the DAO automated access to the largest cla...
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