Solutions / Claims Evidence & Fraud Intelligence

Claims Fraud Intelligence

Claims Evidence That Shows You the Fraud Patterns

Claims evidence scatters across inboxes and shared drives while fraud patterns hide across the portfolio. Claims Evidence & Fraud Intelligence puts every claim's evidence in one record and reads the patterns no single adjuster can see.

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The claims workflow

PhotosStatementsDocumentsOne claim recordIntegrity keptAnalyzeCross-claim patternsSIU reviewFlagged claimsDecisionDe-identified sharing

Trusted where the stakes are high

ExxonmobilJohn CockerillThe HartfordDavis PolkCleary GottliebWhite And CaseUs Department Of StateCalifornia DmvMissouri Department Of RevenueMolina HealthcareEl Dorado Community Health CentersMemorial Sloan KetteringFarmers And Merchants BankCapitaHaidar Capital ManagementKapsarcOman LngSaudi Water AuthorityUmass Chan Medical SchoolOu College Of Medicine

How It Works

From claim file to clear picture

01

Centralize the claim

Photos, dashcam and surveillance footage, recorded statements, estimates, and documents land in one evidence record, 300+ formats, integrity verified.

02

Analyze across claims

Statements are transcribed, entities and timelines extracted, and agentic analysis flags anomalies and patterns that only show across the portfolio.

03

Act with privacy intact

Flagged claims route to SIU with the evidence attached; de-identified copies go to processors, partners, and law enforcement.

What You Get

Built for the claims that deserve a second look

One record per claim

Every format in one place with integrity verification, instead of evidence scattered across email and drives.

300+ formatsIntegrity checks

Statements you can search

Recorded statements transcribed and searchable next to the documents and footage they describe.

TranscriptionSpoken-word search

Patterns across the portfolio

Cross-claim analysis surfaces repeat details and anomalies no single adjuster can see from one file.

Cross-claim analysisAnomaly flags

Privacy before sharing

Claimant and third-party PII removed before files reach external processors and partners.

40+ PII categoriesDe-identification

Custody for the courtroom

WORM audit logs and chain of custody, so a claim that becomes litigation arrives court-ready.

WORM audit logsChain of custody

Sharing with limits

Tokenized, expiring external access for counsel, carriers, and law enforcement, every open logged.

Tokenized linksAccess logging

Who It's For

Built for the teams on both sides of a claim

Insurance carriers, TPAs, and SIU teams use this workflow to move claims evidence out of inboxes and into one defensible record, with fraud patterns surfaced at portfolio scale. Banks apply the same stack to dispute evidence. And transit agencies, fleet operators, and self-insured enterprises run it from the defense side, assembling incident evidence that answers injury and damage claims before they settle for lack of proof. Deployable in your cloud or on-premises.

FAQ

Claims evidence and fraud intelligence, asked and answered

What is claims evidence and fraud intelligence?
A workflow that gives every claim one evidence record with provable integrity, analyzes evidence across claims to surface fraud patterns, and de-identifies files before they leave your control.

How is this different from Document Fraud Verification?
Document Fraud Verification inspects the paperwork itself for tampering and forgery. This solution works on the whole evidence file, footage, photos, recorded statements, and documents together, and the two run side by side on the same platform.

What does SIU get from it?
Transcribed statements, entity and timeline extraction, and cross-claim pattern flags with the underlying evidence one click away, so investigation time goes into judgment, not re-watching footage.

Can we share evidence with outside processors safely?
Yes. Redactor removes claimant and third-party PII before release, and sharing happens over tokenized, expiring links with every access logged. Originals never leave custody.

Does it work for defending claims, not just detecting fraud?
Yes. Transit agencies and self-insured operators use the same evidence record and analysis to answer liability claims with documented, integrity-protected evidence.

Bring one suspicious claim

Send a real claim file. We will show you the evidence record, the transcripts, and the patterns behind it.

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