Image manipulation, synthetic photo detection +
AI-generated or edited damage photos, doctored receipts, fabricated FNOL images.
Social media intelligence at scale +
Surface public signals on claimants, providers, and rings across platforms.
Deepfake voice, FNOL call screening +
Detect synthetic voice and impersonation on inbound first notice of loss calls.
Case management at alert volume +
Triage, prioritize, and work fraud alerts at scale without dropping signal.
SIU triage backlogs +
Cut investigator queue depth and resolve referrals faster with better scoring.
Claim scoring, risk ranking pre-FNOL +
Pre-bind and pre-FNOL risk signals to flag suspicious activity before claims open.
Document fabrication detection +
Detect altered estimates, medical records, repair invoices, and police reports.
Organized ring detection, network analysis +
Link claimants, providers, attorneys, and vehicles to surface organized activity.
Staged accident detection +
Flag deliberately caused or fabricated collisions: suspicious damage patterns, repeat participants, swoop-and-squat schemes, and inconsistent loss narratives.
Medical bill review, provider fraud +
Identify upcoding, unbundling, and high-velocity provider patterns in medical claims.
LTC provider fraud +
Detect fraud by long-term care providers: billing for services never rendered, phantom caregivers, falsified visit logs, and ineligible or deceased beneficiaries.
Synthetic identity detection +
Detect fabricated identities stitched from real and fake data across applications and claims. False-positive vs false-negative tolerance is a key success criterion: tuning the threshold to your risk appetite determines whether legitimate customers get blocked or fraud slips through.
Loss control optimization +
Video-based summarization that turns loss control site visits into structured reports. Cuts report turnaround from days of manual effort to an hour or less while keeping the detail underwriters need.
Vendor data integration +
Wire ISO ClaimSearch, ITC, and industry data feeds into your claims platform.
Other +
Describe a fraud problem not listed above.
