The county Chief Executive Office, which issued the RFI on July 3, is seeking information from vendors before “determining the options available for data analytics in managing risk, including identifying fraudulent and abusive patterns in workers’ compensation and liability claims processes and monitoring the county’s risk management programs.”
With more than 100,000 county employees working in law enforcement, tax collection, health, social and specialized services, fraud is a large-scale problem, according to the county Chief Executive Office.
“This diversity of employment generates approximately 11,000 workers’ compensation claims per year,” the CEO says in its RFI document. “These claims generate approximately 450,000 payments to providers and claimants annually.”
“The county is seeking current technologies and subject matter experts that will assist in developing algorithms that identify fraudulent and abusive patterns in workers’ compensation processes.”
The county has the following needs:
- Develop models for predictive analytics to detect fraudulent patterns among providers;
- Identify fraudulent business practices and their networks;
- Expand the county’s data-mining capabilities;
- Develop and provide the county with technologies that can detect fraud among its risk management programs;
- Develop machine-learning capabilities within existing applications to detect fraud.
Vendors' questions are due by July 23, and questions and responses will be released Aug. 6. RFI responses are due by 3 p.m. Aug. 27. More details are available online.