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Solutions: Insurance claims

Process claims faster with AI-powered document fraud detection

99%
Recall on known fraudulent claims
<20 sec
To verify any document via API
92%
Of docs safely straight-through processed

Keep tampered and fake documents out of your claims workflow, and free up your special investigation units for the fraud cases that really matter.

Solutions: Insurance claims

Process claims faster with AI-powered document fraud detection

Keep tampered and fake documents out of your claims workflow, and free up your special investigation units for the fraud cases that really matter.

99%
Recall on known fraudulent claims
<20 sec
To verify any document via API
92%
Of docs safely straight-through processed

Claims fraud has never been easier (or more dangerous)

Anyone with a computer and an editing tool can modify a digital document or use one of the hundreds of sites providing high quality fake documents. Insurance companies need defenses that are advanced, resilient, and fast to stop the most sophisticated assaults.

Validate claims documents in seconds

Remove dependencies on issuers and speed up decisions on any document, approving more valid claims while eliminating fakes.

Automate workflows

Fast track good claims and escalate bad ones automatically, streamlining operations without needing human oversight on every claim.

Modernize defenses
We’re experts on all types of fakes and can spot signs of fraud in nearly 1000 different ways, including Gen AI fakes and online document templates.

Spot fraud in any claims document

Invoices

Death certificates

No-claims discounts

Receipts

Flight confirmations

Vehicle documentation

Medical documents

Hotel bookings

And more!

Automating your claims reviews will save you thousands in seconds

Annual savings:
  • Average out-of-the-box detection rate (pre-training) 86%
  • Average reduction in manual reviews 92%
$0
$5,000
20%
1,000
$10

Resistant documents

Our document fraud detection software can check your documents for fraud & authenticity in seconds — regardless of what they are or where they came from.
Frequently asked questions Insurance fraud FAQs Want to learn more about document fraud in insurance claims? Here are some of the most frequently asked questions from around the web.
How does Resistant AI assist in detecting insurance fraud?
Resistant AI employs advanced AI-powered document verification to identify fraudulent activities in insurance claims. By analyzing documents for over 500 indicators of fraud, it ensures that manipulated or forged documents are detected swiftly, enhancing the integrity of the claims process.
What types of claims documents can Resistant AI analyze for fraud detection?
Resistant AI is capable of analyzing all documents, including PDFs and images. This includes documents like hotel bookings, flight tickets, and travel itineraries, ensuring comprehensive fraud detection across different document types, formats, languages, and countries.
How quickly can Resistant AI verify the authenticity of a claims document?
The system is designed for rapid verification, capable of analyzing and providing results in less than 20 seconds per document. This speed facilitates quicker decision-making in the claims process.
Can Resistant AI integrate with existing insurance workflows?
Yes, Resistant AI offers flexible integration options, including APIs, allowing seamless incorporation into existing insurance claim processing systems. This ensures minimal disruption while enhancing fraud detection capabilities.
Who will this help at my company?

Resistant documents has numerous benefits to several roles in the insurance industry:

  • Loan officers. Verify borrower income and address documents quickly and accurately to reduce fraudulent loan approvals.

  • Claims adjusters. Detect fake receipts, utility bills, and tax returns submitted as part of insurance claims to prevent payout on fraudulent claims.

  • Fraud investigators. Use AI insights to identify subtle anomalies across documents and metadata that indicate sophisticated fraud schemes.

  • Underwriters. Validate applicant financial documents efficiently to assess risk with higher confidence and reduce underwriting errors.

  • Compliance officers. Ensure adherence to regulatory standards by automating verification of required proof-of-income and proof-of-residence documents.

  • Customer onboarding specialists. Accelerate identity verification and reduce manual review workload during new policyholder intake.

  • Audit teams. Cross-check financial documentation for inconsistencies or signs of manipulation during internal or external audits.

  • Risk management analysts. Monitor document submission patterns and flag emerging fraud trends to inform risk mitigation strategies.
Is Resistant AI GDPR compliant?

Yes. Resistant AI doesn’t read, extract, or process the actual content or sensitive data within documents. Instead, it analyzes the structure, layout, and metadata of documents to detect fraud.

By focusing on how the documents are built rather than what they say, the service is architecturally GDPR compliant, and capable of detecting fraud on any insurance document, in any language.