The Value of Explainability to Investigators in Fraud Detection

Wade joined IBM in January 2019 and leads the Insurance Financial Crime Team in North America. Wade works closely with Insurers, Insurance Industry Organizations, and IBM to focus attention on current and future capabilities, including artificial intelligence, analytics, and shaping investigative trends for future success. Before IBM, Wade was SIU Director for the Southeast United States at Nationwide Insurance and worked in varying SIU roles of responsibility for 27 years.
During his SIU work, Wade served as President of the International Association of Special Investigation Units (IASIU) for five years and as Vice President for four years. During his Presidency, IASIU’s membership grew with members from 27 Countries and 43 Chapters into the largest association of Insurance Fraud Investigators in the world. Among other duties as IASIU President, Wade was an advisor to the National Insurance Crime Bureau (NICB) Board of Governors and an advisor to the Executive Board of the Coalition against Insurance Fraud.
Wade began his career as a Norfolk Virginia Police Officer, where he served as a Patrol Officer, Auto Theft, Robbery, and Homicide Detective and finally a Forgery Investigator. Early in his Nationwide career, Wade was instrumental in forming the Virginia Chapter of the International Association of Special Investigation Units (IASIU). Wade’s commitment to eliminating insurance fraud is evident his entire Insurance SIU career.
Wade has a Bachelor of Arts in Criminology from Saint Leo College and a Masters in Business Administration from Saint Leo University. He’s active in leadership roles in his community and continues to speak and write about Insurance Fraud topics that impact Insurance Fraud Investigators.

Frank has over twenty-five years experience in the property and casualty, life, disability and accident & health insurance industries with extensive insurance fraud, claims, operations and analytics experience. Prior to joining Luxoft, Frank served as the Director Global Financial Crimes leader at IBM from 2014-2020. Additionally Frank lead the Fraud and Financial Crimes consulting practice in IBM’s Global Business Services. In this capacity Frank oversaw the development of the Financial Crimes Insights product as well as leading the go to market strategy, sales organization and subject matter experts. Prior to joining IBM, Frank served as the President and CEO of the largest privately held insurance fraud Counter Fraud Outsourcing company from 1995-2014, providing structured cost containment and regulatory compliance counter fraud solutions to insurance companies, third party administrators, multi-national corporations and public entities. With a staff of close to five hundred counter fraud personnel, Frank designed and implemented counter fraud programs for 72 insurance carriers, third party administrators, state and local governments and multi-national corporations in the United States, the United Kingdom, Europe, Latin America and Australia.