BFSI · Live POC
Insurance Fraud Intelligence
Detects fraudulent and abusive claims across health, motor, and life insurance lines using network analysis (shared providers, repeat claimants, collusion rings), claim-pattern anomaly scoring, and document/image inconsistency checks. Ranks claims by fraud probability and potential loss value, auto-routes high-risk cases to SIU investigators with evidence summaries, and tracks fraud-spend saved against investigation cost.
Insurance Fraud Intelligence — Pragyan Ai
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