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Root Cause Analysis Rca

Root Cause Analysis (RCA)

Definition

An increasingly common technique used to understand the "why" of loss events in order to prevent their reoccurrence. While stopping the reoccurrence of all claim and insurance fraud may not be a realistic goal, the RCA technique will often yield clues useful in modifying the exposure or risk and possibly reduce similar loss events in the mid to long term. That is a realistic objective and one that has perfect application to fraud.

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