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.
The claims workflow
Trusted where the stakes are high
How It Works
From claim file to clear picture
Centralize the claim
Photos, dashcam and surveillance footage, recorded statements, estimates, and documents land in one evidence record, 300+ formats, integrity verified.
Analyze across claims
Statements are transcribed, entities and timelines extracted, and agentic analysis flags anomalies and patterns that only show across the portfolio.
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.
Statements you can search
Recorded statements transcribed and searchable next to the documents and footage they describe.
Patterns across the portfolio
Cross-claim analysis surfaces repeat details and anomalies no single adjuster can see from one file.
Privacy before sharing
Claimant and third-party PII removed before files reach external processors and partners.
Custody for the courtroom
WORM audit logs and chain of custody, so a claim that becomes litigation arrives court-ready.
Sharing with limits
Tokenized, expiring external access for counsel, carriers, and law enforcement, every open logged.
Products Inside
The products inside the claims workflow
DEMS
Digital evidence management
Evidence with chain of custody, from intake to disclosure.
Explore DEMS →AI Intelligence Hub
Agentic AI platform
Agentic workflows, sourced answers, and document intelligence.
Explore AI Intelligence Hub →Redactor
AI redaction at scale
Bulk PII redaction across video, audio, images, and documents.
Explore Redactor →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.