AI Insurance Fraud Intelligence
AI Insurance Fraud Intelligence analyzes claims, policy, telematics, network, and image data in real time to flag suspicious activity and prioritize high‑risk investigations. It augments SIU teams with pattern detection, social-engineering insights, and cross-claim link analysis to uncover organized fraud rings. This reduces loss ratios, cuts investigation time, and improves the accuracy and fairness of claim payouts.
The Problem
“Cut insurance fraud losses with real-time, AI-powered risk detection.”
Organizations face these key challenges:
1
Manual claim reviews can't keep up with claim volume and sophisticated scams
2
High false positives waste SIU investigator time on legitimate claims
3
Difficulty spotting emerging fraud rings or organized fraud networks
4
Delayed identification causes inflated losses and erodes customer trust