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Washington L&I Selects Fair Isaac's VeriComp Fraud Manager for Detection of High-Risk Workers' Compensation Claims.


MINNEAPOLIS -- Fair Isaac Fair Isaac Corporation (NYSE: FIC), founded in 1956 by engineer Bill Fair and mathematician Earl Isaac, provides consulting services and enterprise decision management systems.  Corporation (NYSE NYSE

See: New York Stock Exchange
:FIC FIC First International Computer
FIC Fogarty International Center (John E. Fogarty International Center for Advanced Study in the Health Sciences; National Institutes of Health)
FIC Fellowship for Intentional Community
), the leading provider of analytics and decision technology, announced today that the Washington State Department of Labor and Industries Not to be confused with the United States Department of Labor, most U.S. States have a Department of Labor and Industry (DLI or L&I).

Duties for the Department include: inspected the working conditions in factories, administering benefits to unemployed individuals and
 (L&I) has licensed VeriComp(R) Fraud Manager to enhance its workers' compensation workers' compensation, payment by employers for some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work.  fraud and abuse detection capabilities. VeriComp Fraud Manager will enable L&I to detect fraud and abuse much earlier and more accurately, while also identifying claims in need of additional case management.

VeriComp Fraud Manager scores claims on the likelihood of fraud and abuse. The software helps organizations fast-track normal claims while identifying claims that are out of profile compared to their peers. This rank-ordering helps adjusters focus their attention on suspicious claims with minimum effort, lowering costs and enhancing efficiency.

"Early discovery of workers' compensation fraud and abuse, combined with the ability to identify claims in need of additional case management, is very important to us," said Bob Malooly, assistant director of insurance services for the Washington Department of Labor and Industries. "VeriComp Fraud Manager will help us do this, while helping to keep the cost of workers' compensation claims as low as possible. We're excited to work with Fair Isaac and put their advanced technology to use to help improve the workers' compensation system in Washington state."

As one of the nation's 10 largest workers' compensation insurers, the Department of Labor and Industries provides workers' compensation insurance coverage to about 70 percent of Washington's workers.

In addition to rapidly identifying fraudulent and abusive claims, VeriComp Fraud Manager can discover cases with high cost or long duration potential, enabling adjusters to apply more aggressive case management and medical intervention earlier in the life of the claim. Using Fair Isaac's advanced predictive analytics Predictive analytics encompasses a variety of techniques from statistics and data mining that process current and historical data in order to make “predictions” about future events. , VeriComp Fraud Manager can recognize subtle patterns of abuse that even the most experienced adjuster might miss.

The VeriComp Fraud Manager solution delivered to L&I utilizes the Fair Isaac Industry Alliance consortium model. The Fair Isaac Industry Alliance is the first offering of its kind for the workers' compensation industry, using the predictive power The predictive power of a scientific theory refers to its ability to generate testable predictions. Theories with strong predictive power are highly valued, because the predictions can often encourage the falsification of the theory.  of data pooled from numerous contributors to provide a more complete approach to detecting fraud and abuse.

"Quickly identifying the right action to take on workers' compensation claims is critical for the Washington State Department of Labor and Industries," said James Kalustian, vice president, Healthcare and Pharmaceuticals at Fair Isaac. "VeriComp Fraud Manager can help L&I improve claims management by detecting workers' compensation fraud and abuse earlier, by discovering new fraud incrementally, and by offering L&I a sophisticated way of identifying injured workers who need more aggressive case management. Increasingly, Fair Isaac analytics are improving productivity and cost savings for insurers across the country."

Nationally, it is estimated that fraud and abuse account for at least 10 percent of the cost of workers' compensation premiums. The vast majority of workers' compensation fraud goes undetected, and if fraud is caught at all, it is usually late in the life of the claim. According to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 the National Insurance Crime Bureau "NICB" redirects here. NICB may also refer to the National Industrial Conference Board; see The Conference Board.
The National Insurance Crime Bureau (NICB) is a North American non-profit membership organization located in Des Plaines, Illinois.
 (NICB NICB National Insurance Crime Bureau
NICB Nebraska Independent Community Bankers
NICB National Institute for Cellular Biotechnology (Ireland)
NICB National Intelligence Collection Board
), workers' compensation fraud costs Americans over $5 billion nationally.

VeriComp Fraud Manager is already helping the Washington Department of Labor and Industries further improve its tradition of effective fraud detection. Early tests indicate that VeriComp Fraud Manager identifies well over half of the fraudulent claims months before they are discovered by adjusters, and discovers suspicious claims that would otherwise have been missed. On average, Fair Isaac customers have typically saved several hundred dollars per claim, based on improved detection of fraud and abuse. Additionally, the benefit from improved claims management yields significant value.

Fair Isaac software products and services process more than $4.4 billion annually in property and casualty claims. They are in use in the operations of nine of the top 10 property/casualty carriers and over 50 percent of the nation's state workers' compensation funds. In 2004, Fair Isaac saved its customers more than $3.3 billion in claims costs.

About Fair Isaac

Fair Isaac Corporation (NYSE:FIC) is the preeminent provider of creative analytics that unlock value for people, businesses and industries. The company's predictive modeling, decision analysis, intelligence management, decision management systems and consulting services power billions of mission-critical customer decisions a year. Founded in 1956, Fair Isaac helps thousands of companies in over 60 countries acquire customers more efficiently, increase customer value, reduce fraud and credit losses, lower operating expenses Operating expenses

The amount paid for asset maintenance or the cost of doing business, excluding depreciation. Earnings are distributed after operating expenses are deducted.
 and enter new markets more profitably. Most leading banks and credit card issuers rely on Fair Isaac solutions, as do insurers, retailers, telecommunications providers, healthcare organizations and government agencies. Through the www.myFICO.com web site, consumers use the company's FICO FICO

See: Financing corporation
(R) scores, the standard measure of credit risk, to manage their financial health. For more information, visit www.fairisaac.com.

About the Washington State Department of Labor and Industries

L&I is a diverse state agency primarily focused on protecting the safety and welfare of Washington's nearly three million workers. L&I fosters on-the-job safety and health through its (WISHA WISHA Washington Industrial Safety and Health Act ) inspection and enforcement program and through voluntary consultations and training. L&I also administers the state's mandatory workers' compensation system, which provides medical, wage-replacement, pension and retraining re·train  
tr. & intr.v. re·trained, re·train·ing, re·trains
To train or undergo training again.



re·train
 benefits to those who are hurt or become ill as a result of their work. The system also protects employers from the high cost of long-term injury claims, and from liability lawsuits that could otherwise result from workplace injuries. L&I licenses contractors, inspects electrical work and elevators and protects workers from illegal employment practices. It also helps develop the state's skilled workforce through apprenticeship programs.

Fair Isaac Statement Concerning Forward-Looking Information

Except for historical information contained herein, the statements contained in this press release that relate to Fair Isaac, including statements regarding its VeriComp Fraud Manager product offering and the benefits to be derived from this offering, are forward-looking statements within the meaning of the "safe harbor Safe Harbor

1. A legal provision to reduce or eliminate liability as long as good faith is demonstrated.

2. A form of shark repellent implemented by a target company acquiring a business that is so poorly regulated that the target itself is less attractive.
" provisions of the Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995 (PSLRA) implemented several significant substantive changes affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation and awards fees and  of 1995. These forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially, including any unforeseen technical difficulties related to the implementation, use and functionality of the offering, the risks that customers will not perceive material benefits from the offering, failure of the product to deliver the expected results, the possibility of errors or defects in the offering, regulatory changes applicable to the use of consumer credit and other data, and other risks described from time to time in Fair Isaac's SEC reports, including its Annual Report on Form 10-K Form 10-K

A report required by the SEC from exchange-listed companies that provides for annual disclosure of certain financial information.


Form 10-K

See 10-K.
 for the year ended September 30, 2004, and quarterly report on Form 10-Q Form 10-Q

See 10-Q.
 for the period ended June 30, 2005. Forward-looking statements should be considered with caution. If any of these risks or uncertainties materializes or any of these assumptions proves incorrect, Fair Isaac's results could differ materially from Fair Isaac's expectations in these statements. Fair Isaac disclaims any intent or obligation to update these forward-looking statements.

Fair Isaac, VeriComp and FICO are trademarks or registered trademarks of Fair Isaac Corporation, in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  and/or in other countries. Other product and company names herein may be trademarks of their respective owners.
COPYRIGHT 2005 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Comment:Washington L&I Selects Fair Isaac's VeriComp Fraud Manager for Detection of High-Risk Workers' Compensation Claims.
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Date:Nov 22, 2005
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