Detect Claims Fraud Through Voice
AI-powered voice analysis identifies deceptive patterns in claims calls, behavioral indicators, and anomalies that human adjusters cannot detect at scale.
- Real-time call analysis
- Non-invasive, no caller disruption
- API-ready claims integration
- Human review on every flag
The Challenge
Insurance Fraud Costs $80B+ Annually
Most fraud detection focuses on documents and data patterns. But the majority of claims begin with a phone call, and voice is the most information-rich, least exploited fraud detection channel available. Deceptive callers exhibit involuntary behavioral signals that AI can detect consistently at scale, without disrupting the claimant experience.
How It Works
Voice Analysis in the Claims Workflow
Call Recording
Standard claims call captured through existing telephony systems. No special hardware required.
Voice Analysis
AI examines behavioral signals, hesitation patterns, and deception indicators across the full conversation.
Risk Scoring
Each claim receives a fraud probability score with confidence intervals and flagged segments.
Alert & Review
Flagged calls routed to SIU for human review and investigation with full analysis context.
Applications
Property Claims
Fire, theft, and water damage fraud detection. Identify exaggerated losses and staged incidents through behavioral voice analysis.
Health Insurance
Treatment fraud and prescription abuse pattern detection. Flag inconsistencies in reported symptoms and medical history.
Auto Claims
Staged accident identification and injury exaggeration detection. Analyze claimant narratives for deceptive indicators.
Workers Compensation
Return-to-work readiness assessment and malingering indicators. Track recovery narrative consistency over time.
Integration
Seamless Integration
REST API, webhook notifications, and batch processing. Integrates with Guidewire, Duck Creek, and custom claims platforms. Deployed in your infrastructure or accessed via our secure cloud.
Transform Your Claims Process
Add voice intelligence to your fraud detection stack. Non-invasive, scalable, and ready for enterprise deployment.