LEXForensica is a South African company that provides legal forensics and specialized investigations services through three divisions: Analytics, Investigations, and Consulting. It uses proprietary voice analysis technology called RA7 and LVA-I to analyze calls and identify deception or risk. This technology can be integrated into insurance claims processing and HR systems to improve fraud detection. LEXForensica also offers specialized insurance investigations and helps clients mitigate fraud through outsourced investigative resources.
An analysis and discussion of the many factors to be considered when talking about data breaches.
What is a breach?
What are data?
What costs are we talking about?
Whose costs are we talking about?
How do we estimate costs / impact?
How do we measure / estimate frequency?
Presented at Source Boston, April 18, 2012, Boston, MA
Fraud, bribery and corruption: Protecting reputation and valueDavid Graham
In support of International Fraud Awareness Week, Deloitte Risk Advisory has published a series of articles, the second of which has been introduced below. This article lists ten areas that executives and the audit committee should evaluate to help mitigate reputational risks of fraud, bribery and corruption
An analysis and discussion of the many factors to be considered when talking about data breaches.
What is a breach?
What are data?
What costs are we talking about?
Whose costs are we talking about?
How do we estimate costs / impact?
How do we measure / estimate frequency?
Presented at Source Boston, April 18, 2012, Boston, MA
Fraud, bribery and corruption: Protecting reputation and valueDavid Graham
In support of International Fraud Awareness Week, Deloitte Risk Advisory has published a series of articles, the second of which has been introduced below. This article lists ten areas that executives and the audit committee should evaluate to help mitigate reputational risks of fraud, bribery and corruption
Best Practices Regarding Technology (Series: Legal Ethics - Best Practices)Financial Poise
Technology is rapidly changing the way lawyers provide services. This is so especially in light of the Covid-19 pandemic, which creates new and different ethical challenges to confidentiality, cyber fraud and securing data, marketing and advertising concerns, and client communications. This webinar will address a myriad of new problems lawyers are facing and some practical suggestions and solutions that arise out of the changing manner and pace of the practice of law. This webinar will also cover several ABA Model Rules of Professional Conduct.
To view the accompanying webinar, go to: https://www.financialpoise.com/financial-poise-webinars/best-practices-regarding-technology-2021/
Data security, privacy protection, and information governance are inextricably linked to the attorney-client relationship. Lawyers must overcome their aversion to technology and understand that protecting data is not just the IT department’s responsibility, but theirs as well, as lawyers are stewards of their own, their clients’, and their firms’ data.
Learn insights and tips on how to better understand the data security environment from a lawyers’ perspective and how you can best communicate to clients the need for secure information governance. You’ll be prepared to answer the following questions that are being asked by corporate counsel and other prospective clients:
Is your firm positioned to handle my data securely?
What are your firm’s protocols?
Are you controlling information disclosure? Exploring the causes, costs, and remedies for a data breach.
This webinar will explore the causes and costs of data breaches, as well as ways to prevent and mitigate the impact that results from the inadvertent exposure of sensitive data.
Attacks from the inside and outside of the network will be discussed, along with the various aspects of a data breach, including the types of data at risk and the variety of costs and impacts that an organization might incur.
We will discuss a number of high profile breaches, including TJX, Heartland Payment Systems, Sony, and others. Costs from various industry reports will be presented, together with original statistical analyses from Risk Centric Security. The webinar will conclude with a discussion of cutting edge types of safeguards and controls, including integrated encryption-based rights management, egress filtering and control, and advanced malware detection and auto-remediation.
Third-Party Risk Management: Implementing a StrategyNICSA
Two Part Series: Part I of II
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This presentation showcases the reasoning for and the importance of cyberseucrity in the not-for-profit sector. Case studies reinforce the importance of being ahead of the curve when managing cyber risk.
We work with your IT department and internal IT security staff in order to analyze your system from a top-level perspective, looking for patterns to determine what’s driving the vulnerabilities we’ve identified.
Financial crimes compliance Brochure - BMR AdvisorsAbhishek Bali
BMR Advisors - Financial Crimes Compliance Services. These constitute - Anti-Money Laundering, Anti-Bribery Compliance, Fraud & Forensic Services and Data & Database Services. Their applicability is across countries, geographies and sectors,
Best Practices Regarding Technology (Series: Legal Ethics - Best Practices)Financial Poise
Technology is rapidly changing the way lawyers provide services. This is so especially in light of the Covid-19 pandemic, which creates new and different ethical challenges to confidentiality, cyber fraud and securing data, marketing and advertising concerns, and client communications. This webinar will address a myriad of new problems lawyers are facing and some practical suggestions and solutions that arise out of the changing manner and pace of the practice of law. This webinar will also cover several ABA Model Rules of Professional Conduct.
To view the accompanying webinar, go to: https://www.financialpoise.com/financial-poise-webinars/best-practices-regarding-technology-2021/
Data security, privacy protection, and information governance are inextricably linked to the attorney-client relationship. Lawyers must overcome their aversion to technology and understand that protecting data is not just the IT department’s responsibility, but theirs as well, as lawyers are stewards of their own, their clients’, and their firms’ data.
Learn insights and tips on how to better understand the data security environment from a lawyers’ perspective and how you can best communicate to clients the need for secure information governance. You’ll be prepared to answer the following questions that are being asked by corporate counsel and other prospective clients:
Is your firm positioned to handle my data securely?
What are your firm’s protocols?
Are you controlling information disclosure? Exploring the causes, costs, and remedies for a data breach.
This webinar will explore the causes and costs of data breaches, as well as ways to prevent and mitigate the impact that results from the inadvertent exposure of sensitive data.
Attacks from the inside and outside of the network will be discussed, along with the various aspects of a data breach, including the types of data at risk and the variety of costs and impacts that an organization might incur.
We will discuss a number of high profile breaches, including TJX, Heartland Payment Systems, Sony, and others. Costs from various industry reports will be presented, together with original statistical analyses from Risk Centric Security. The webinar will conclude with a discussion of cutting edge types of safeguards and controls, including integrated encryption-based rights management, egress filtering and control, and advanced malware detection and auto-remediation.
Third-Party Risk Management: Implementing a StrategyNICSA
Two Part Series: Part I of II
Third-Party Risk Management: Implementing a Strategy
Sleep Better at Night: Learn techniques to manage risks associated with third-party relationships.
What Not-for-Profits Can Do To Prevent "Uninspired" TheftCBIZ, Inc.
This presentation showcases the reasoning for and the importance of cyberseucrity in the not-for-profit sector. Case studies reinforce the importance of being ahead of the curve when managing cyber risk.
We work with your IT department and internal IT security staff in order to analyze your system from a top-level perspective, looking for patterns to determine what’s driving the vulnerabilities we’ve identified.
Financial crimes compliance Brochure - BMR AdvisorsAbhishek Bali
BMR Advisors - Financial Crimes Compliance Services. These constitute - Anti-Money Laundering, Anti-Bribery Compliance, Fraud & Forensic Services and Data & Database Services. Their applicability is across countries, geographies and sectors,
SANS 2013 Report: Digital Forensics and Incident Response Survey FireEye, Inc.
Cloud computing and bring-your-own-device (BYOD) workplace policies are expanding the endpoints in IT infrastructures — and more complexity when it comes to investigating cyber attacks. The SANS 2013 Report on Digital Forensics and Incident Response Survey reveals some of the major difficulties that security professionals face in this new environment and how to better prepare for future investigations. Collecting responses from more than 450 security professionals across a range of industries and company sizes, the survey found that nearly 90 percent of respondents had conducted at least one forensics investigation within the last two years. But just 54 percent called their digital forensics capabilities “reasonably effective.” For the latest threat intelligence reports, visit https://www.fireeye.com/current-threats/threat-intelligence-reports.html
#IBMInsight session presentation "Mitigate Risk, Combat Fraud and Financial Crimes"
The Issue of fraud, challenges, fighting fraud as an enterprise endeavor, IBM Smarter counter fraud framework and IBM Counter Fraud business services
More at ibm.biz/BdEPRH
This document explains the need for information security for all organizations and also the standards to be followed for doing the same. It also gives vendor selection criteria for selecting a consultancy firm for information security. It gives guidelines as to how to stop ethical hacking of your web application, be it any critical data from getting hacked, scripts being run, without the knowledge of the owner.
Cyber-attacks are an alarming threat to all types of businesses & organizations.The risk of a cyber-attack is not just a risk to your company but also to your privacy.Hence, cybersecurity is crucial for every business. Cybersecurity protects critical data from cyber attackers. This includes sensitive data, governmental and industry information, personal information, personally identifiable information (PII), intellectual property, and protected health information (PHI). If you are looking for tools to fight against cyber threats, then Techwave’s tools & technologies with adequate controls will help your organization stay protected.
Cyber-attacks are an alarming threat to all types of businesses & organizations.The risk of a cyber-attack is not just a risk to your company but also to your privacy.Hence, cybersecurity is crucial for every business. Cybersecurity protects critical data from cyber attackers. This includes sensitive data, governmental and industry information, personal information, personally identifiable information (PII), intellectual property, and protected health information (PHI). If you are looking for tools to fight against cyber threats, then Techwave’s tools & technologies with adequate controls will help your organization stay protected.
2. INTRODUCTION
LEXForensica – Legal Forensics, is a subsidiary of Legal Exchange Corporation.
LEXforensica is a Level 1 BEE Contributor and was founded through an Enterprise
Development initiative with LEXCorp supported by Mutual & Federal limited and
Masisizane Fund (Old Mutual Group).
LEXCorp – Legal Exchange Corporation is the controlling Black owned shareholder
whosecorebusinessisnichedininnovativelegalsolutionsaswellastheDevelopment,
Management and Distribution of Legal Expense products and services. Legal Access
is the main brand product, specially designed to provide indemnify against legal costs
and expenses on a wide range of legal disputes, including Personal, Commercial and
Niche areas.
LEXForensica has three divisions operating as strategic business units, namely:
Analytics, Investigations and Consulting.
COMPANY STRUCTURE
ForensicaINTEGRITY ANALYTICS
100%
ANALYTICS INVESTIGATIONS CONSULTING
STRATEGIC BUSINESS UNITS (SBU)
ForensicaINTEGRITY ANALYTICS
3. ForensicaINTEGRITY ANALYTICS
VALUE PROPOSITION
LEXForensica was founded on a very strong entrepreneurial foundation by professionals
who saw a gap in the legal forensics and specialised investigations market. Although still a
medium and young company, it has the expertise and capacity of highly experienced and
qualified professionals in the Voice Layered Analytics (VLA) and Specialist Investigations
particularly the Insurance and financial services sector. The Management and operational
team of LEXforensica is made up of seasoned experts in the field, collectively boosting a
combined experience and track record of over 25 Years.
Our structured and detailed approach to forensics is underpinned by our association and
reliance to the revolutionary Nemesysco Technology. Nemesysco is the pioneer in the Voice
Layered Analysis. The entire investigative service is initiated through the Layered Voice
Analysis (LVAi, RA7), which is a non-intrusive, language independent and accurate tool to
identify truthfulness and deception amongst other things (Nemesysco, 2015). At the heart
of this revolutionary technology is the RA7 and LVAi Software System:
LEXForensica’s core business is based on the patented proprietary technology of
Nemesysco. The technology is non-invasive and relies on security and psychological
diagnostic tools to detect potential fraud and risk areas in assessed cases. It is essentially
a risk management system with wide application in a number of sectors, including
Insurance, Banking, Human Resources, Mining, Security, corporate governance and the
criminal justice system.
LEXForensica use the proprietary technology of Nemesysco to establish the level of
risk associated with the relevant subject in order to channel to the correct processing
method. The entire investigative service is initiated through the Layered Voice Analysis
(LVAi, RA7), which is a non-intrusive, language independent and accurate tool to identify
truthfulness and deception amongst other things (Nemesysco, 2015). At the heart of this
revolutionary technology is the RA7 and LVAi Software System:
“RA7 system for risk assessment detects in insurance claim
calls the unique vocal characteristics that may indicate a high
probability of fraud or concealment of information.”
“LVA-I is a pre-employment & personality testing platform, that
integrates our unique voice analysis technology with carefully
designed sets of questionnaires to create a pleasant and
unbiased evaluation environment and easy to read reports.”
RA7
LVA-I
4. ForensicaINTEGRITY ANALYTICS
PROFESSIONAL SERVICES
LEXFORENSICA IN-HOUSE RA7
CALL CENTRE:
The LEXForensica Risk Management services with RA7 Service Centre can
be integrated into your claim processing system to achieve the following:
Increase Fraud Detection Rates
Significantly increase your organization’s fraud detection rates
Improve Customer Service
Improve your customer service and speed up claims settlement time
Improve Fraud Detection Process
Streamline & standardize your risk detection and management processes
The technology and processes are used by our highly trained and qualified
professional staff:
PHASE 1: Call Centre Agents use tailored conversation script for each
type of claim handled by phone.
PHASE 2: Call Centre manager identify claims with repeating risk
indications:
Low Risk cases are cleared quickly and referred back to
the Insurer for processing and payment
Medium and High Risk cases are immediately flagged
and referred back to Client for investigation by own
Special Investigation Unit (SIU)
PHASE 3: LEXForensica Investigations – Our In-House Specialised
Investigation division has the capacity and expertise to conduct and
execute Investigations leads on behalf of Clients. Our Investigators can also
conduct telephone interviews with RA7 online analysis, saving expensive
time and resources.
RA7
5. LVA-I
ForensicaINTEGRITY ANALYTICS
PROFESSIONAL SERVICES
The LEXForensica Risk Management services with LVAi Service Centre
can be integrated into your HR and Employment recruitment processing
system to achieve the following:
Pre-employment vetting
The initial phase of the recruitment procedures
Periodic tests
Periodic test for all levels of employees - organizational “honesty
maintenance”
Personality tests
Management skills, personality traits, emotional stability - is this candidate
the right one for the job?
LVA-i integrates unique voice analysis technology with carefully
designed sets of investigative questions to identify repeating emotional
indications surrounding relevant questions to produce its assessment.
The system’s standard questionnaires are specifically designed to:
scan the candidates’ personal history,
test the consistency of their opinions at present and
determine the level of their commitment to the future.
The LVA-i can be utilized for:
Pre-employment screening
Periodical veracity tests and “Honesty maintenance”
Special event tests in the organization (Theft, Confidential information
leakage, etc.…)
Security clearance
Employees satisfaction surveys
6. ForensicaINTEGRITY ANALYTICS
SPECIALIST INVESTIGATIONS
Most Insurance companies have taken steps to improve their ability to
identify and address fraudulent claims, but these efforts are typically
fragmented due to lack of collective industry approach – most carriers
work independently. In relation to technology Insurer sometimes lack the
proper data mining technology and systems to help identify potential fraud
and the business process to follow on the flagged claims activity. Another
major issue prohibiting the discouragement of fraud is consumers’ tolerant
attitude toward insurance fraud. Finally, it’s a huge challenge because
insurance lends itself well to many different types of fraud, with the vast
majority of fraudulent activity relating to first party fraud.
As the number of fraudulent claims continue to rise, fraud management
has moved higher on the priority list of senior management. Some
companies have invested in improving data quality and adopting systems
and methods, but may still lack the technology, business processes,
workforce competencies, specialist expertise and organisational structure
needed to act on the insights gained from data analysis and on the field
expertise of experienced investigators. LEXForensica has the unique ability
and expertise to assist the Insurance industry with a dedicated outsourced
resource in the efficient and effective mitigation of claims fraud.
There is no doubt that claims operations of the future will be far leaner
with smaller workforces.
“Fraud has a negative
effect both on insurance
companies and
consumers. Insurance
companies are all too
aware of its ability to
grossly erode profit
margins, not to
mention the hours staff
spend on efforts to
combat the fraud, and
consumers see their
premiums rise”
– JOHAN NEL,
LEXFORENSICA: HEAD
OF INVESTIGATIONS
7. ForensicaINTEGRITY ANALYTICS
What capabilities is needed in this leaner organizational structure?
1. Increased outsourcing and offshoring due to continued cost pressures and
the ability of more providers to handle a broader range of claims activities
2. Effective strategies and technological tools with greater impact to the
underwriting bottom line
3. Specialised expertise of professional Investigators and Analytics
professionals.
Save on office space
Save on management expenses
Office and IT cost
Salaries
Tool of trade
Sick leave/leave
LEXForensica has the capacity and expertise to assist with the following
Claims and/or Investigations:
Motor Insurance Claims
Personal and Household Claims
Commercial and Business Claims
Municipal Insurance Claims
Cell phone Insurance claims
Medical and Funeral Claims
Road Accident Fund Claims
Social Security Claims
SAVINGS:
PRICING MODEL RA7 Layered Voice Analytics and Call Centre Case Management
- Per Claim/ Case- R 550-00 Ex Vat
INSURANCE INVESTIGATIONS
Per Claim/Case – R650-00 Ex Vat- Per Hour
Travel – AA Rates per Km.
Accommodation – Where applicable
Insurance Investigations service include the following:
RA7 Analytics on the subject matter, including real time Call centre
interviews
Profiling, Background checks and previous Insurance checks
Full Merit Investigation Report (Consistent with Policy Wording and
Underwriting criteria)
RA7
SPECIALIST
INVESTIGATIONS
8. R35 billion
R7 billionLOST PER ANNUM
In South Africa, annual short term insurance claim spend =
20% OF SUBMITTED
CLAIMS ARE
CONSIDERED TO BE
FRAUDULENT
Insurance fraud specialists, the South African Police Service
(SAPS) and other related agencies agree that a significant
percentage of crime, including insurance fraud and insurance
related crimes, is highly organised and perpetrated by syndicates
(CIB Insurance Administrators, 2013).
LEXForensica will use the proprietary technology of Nemesysco to
establish the level of risk associated with the relevant subject in order
to channel to the correct processing method.
The Layered Voice Analysis (LVAi, RA7) is a non-intrusive, language
independent and accurate tool to identify truthfulness and deception
amongst other things (Nemesysco, 2015).
The working of the RA-7 (Nemesysco.com)
RA7 technology is designed as a combination of software elements
with conversation scripts made to cover each insurance case from all
angles, measuring the claimant’s emotional reactions and consistent
indications for the list of relevant topics.
Interview conducted telephonically – anywhere in the world
Interview duration last a maximum of 10 minutes
Identify fraudulent claims in real-time
Companies will receive effective results from day one
RA7
9. Get a realistic picture of the current level of fraud
100% calls coverage maximum detection
Minimal training and mentoring (agents and managers)
“Should the RA7 analysis engine identify a topic which carries a
significant emotional load and repeating risk indications, it will be
flagged for deeper investigation. This way, through a simple phone call,
all incoming claims can be screened in real-time for potential fraud,
with no extra burden on the existing business process - and effectively
prepare the grounds for a deeper investigation should there be a need
for it.”
“The RA-7 can identify a person’s state of mind by analyzing key vocal
properties in his speech; identify various types of stress, cognitive
processes, and emotional reactions; create an “emotional signature”
of an individual’s speech at a given moment; and detect deceptive
motivation, criminal intention, and general credibility by identifying key
emotional signatures reflected in the voice”.
The RA-7 serves as an investigation tool to investigators to investigate
suspicious claims.
LEXForensica’s entire service model is based on the Technology
and IP software provided by Nemesysco. Nemesysco is dedicated to
developing advanced and non-invasive investigation and security tools,
fraud prevention solutions, CRM applications, consumer products and
psychological diagnostic tools. All Nemesysco’s products and services
are based on Layered Voice Analysis (LVA), the proprietary and patent
protected voice analysis technology.
Through the above technology and infrastructure platform, LEXForensica
is able to provide a wide range of services and products that assist our
Clients to:
Identify internal fraud
Prevent Insurance Fraud
Stop theft of merchandise, equipment and company’s funds
Limit exposure due to drug use, alcohol consumption, sexual harassment
Prevent leakage of sensitive information
Identify key personality traits
Promote fair hiring practices
ForensicaINTEGRITY ANALYTICS
The working of the RA-7
(Nemesysco.com)
10. LEXForensica has three key divisions operating
independently as strategic business units, namely:
Analytics
Investigations and
Consulting
LEXFORENSICA PROPRIETARY LIMITED
REG Number: 2016/409221/07
VAT Number: 4670218504
LEXFORENSICA HEAD OFFICE
4 Kikuyu Road
Sunninghill
Sandton, South Africa
PO Box 6118
Rivonia, 2128
Tel: (011) 966 7777
Fax: (011) 234 1639
Email: investigations@lexforensica.co.za
www.lexforensica.co.za
KEY CONTACTS
INVESTIGATIONS
Johan Nel
Johan.nel@lexforensica.co.za
ANALYTICS
Lelani Rautenbach
Lelani.rautenbach@lexforensica.co.za
GENERAL
Ben Raseroka
Ben.raseroka@lexforensica.co.za
ForensicaINTEGRITY ANALYTICS