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Insurance Claims — AI-Powered Claims Call Analysis & Fraud Detection

Process Claims Faster.
Catch Fraud Earlier.

AI analyzes every claims call for fraud signals, compliance verification, claim detail extraction, and adjuster quality. Reduce fraud losses, accelerate processing, and ensure regulatory compliance — automatically.

AI Fraud Signal Detection
50% Faster Claims Processing
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⚠️ Fraud Signal
00:0010:0020:00
Adjuster (Pat)
Claimant (Mr. Davis)
Pat2:10Can you describe the accident in your own words, Mr. Davis? 📋 standard
Mr. Davis2:25I was driving north on Route 9 when the other car ran a red light and hit my passenger side. 🔍 evaluating
Pat8:15And when exactly did this happen? 📋 verification
Mr. Davis8:20Tuesday afternoon... around 3? No wait, it was Wednesday morning. I'm sure it was Wednesday. ⚠️ inconsistency

$80 Billion Lost to Fraud Annually. Manual Review Can't Keep Up.

Without Perceive8

SIU reviews a fraction of claims. Fraud signals hide in conversations. Processing is slow and inconsistent.

  • SIU reviews <10% of claims
  • Fraud signals in conversations missed
  • Inconsistent adjuster questioning
  • Slow claims processing
  • Compliance gaps in documentation

With Perceive8

Every call analyzed for fraud signals, compliance, and claim accuracy. SIU focuses on real fraud. Processing accelerates.

  • 100% of claims calls analyzed
  • Fraud signals flagged automatically
  • Consistent questioning quality scored
  • Claim details extracted instantly
  • Full compliance documentation
Join Waitlist →
100%
Claims Calls Analyzed
98%
Detection Accuracy
SOC 2
Certified
Real-Time
Fraud Flagging

Comprehensive Claims Intelligence

AI trained on millions of claims calls. Understands fraud patterns, compliance requirements, and claims workflows.

Fraud Signal Detection

Detects inconsistencies, coached language, rehearsed narratives, and deceptive speech patterns.

Claim Detail Extraction

Automatically extracts dates, locations, damage descriptions, injuries, and third parties from calls.

Compliance Verification

Verifies required disclosures, state-specific requirements, and regulatory compliance.

Adjuster Quality

Scores adjusters on questioning technique, empathy, thoroughness, and compliance adherence.

Severity Prediction

Predicts claim severity based on conversation signals. Prioritize high-value claims.

Cross-Claim Analysis

Links related claims. Identifies claim rings and organized fraud patterns.

Processing Acceleration

Auto-populate claim forms from conversations. Reduce data entry by 60%.

SIU Prioritization

AI ranks claims by fraud likelihood. SIU focuses on highest-risk claims first.

Audit Trail

Complete audit trail for every claims interaction. Ready for regulatory review.

Meet Aria — Your Claims Intelligence Engine

Aria analyzes every claims call, flags fraud, extracts details, and accelerates processing — protecting your bottom line.

Aria
⚠️ Fraud signal detected
⚠️ Fraud Signal — Claim #78429

Multiple fraud indicators detected in Mr. Davis's auto claim:

1. Timeline inconsistency: Changed day of accident (Tuesday → Wednesday) at 8:20
2. Rehearsed narrative: Opening description matches word patterns seen in coached claims
3. Stress voice markers: Elevated stress during loss description (baseline was calm)
🔍 Fraud Likelihood: 72% (HIGH)
📊 Signals: 3 of 12 fraud indicators triggered
📋 Similar to: Claims ring pattern #47 (staged accidents)
👤 Claimant History: 2 prior claims in 18 months
💰 Claim Amount: $34,500
Ask about this fraud signal…
Aria
● Auto-extracted details
Extract claim details from this call
📋 Claim #78429 — Auto-Extracted Details

📅 Date of Loss: Wednesday (conflicting: Tuesday also stated)
📍 Location: Route 9, northbound
🚗 Vehicle: 2024 Honda Accord (claimant)
💥 Impact: Passenger side
🚦 Cause: Other vehicle ran red light
🤕 Injuries: Neck pain, headache (reported)
👥 Third Party: Unknown driver, fled scene
👮 Police Report: Not filed

⚠️ Gaps: No police report + hit-and-run + high severity = elevated risk
Ask about claim details…
Aria
● Adjuster performance
How did Pat handle this call?
🏆 Adjuster Score — Pat

Overall: 7.4/10

✅ Strengths: Professional demeanor, verified key details
⚠️ Areas to Improve:
• Didn't follow up on timeline discrepancy
• Missed opportunity to verify police report
• Should have asked about witnesses

📊 Pat's Monthly Average: 7.8/10
📈 Team Average: 8.2/10

💡 Coaching Tip: When claimants change dates/times, always probe deeper with follow-up questions.
Ask about adjuster quality…
Fraud signals Extract details Adjuster QA Claims analytics

Get Started in 4 Simple Steps

1

Connect Your Phone System

Integrate with your claims call center or upload recordings.

2

AI Analyzes Every Call

Fraud detection, compliance checks, detail extraction, and adjuster scoring — all automatic.

3

SIU Gets Priorities

Flagged claims ranked by fraud likelihood. SIU focuses on what matters.

4

Process Faster

Auto-extracted details populate claim forms. 50% faster processing.

Carriers Reducing Fraud & Accelerating Claims

Insurance companies using Perceive8 to protect profits and serve policyholders better.

VP Claims, Top 20 Carrier

"$47M in fraud prevented in the first year. The AI caught patterns our SIU never would have found."

SIU Director

"We went from reviewing 8% of claims to having AI review 100%. Our investigators now focus on real fraud."

Claims Operations VP

"Processing time reduced 50%. The auto-extraction alone saves our adjusters 2 hours per day."

Compliance Officer

"Zero regulatory findings since implementing Perceive8. Every call is documented and compliant."

CEO, Regional Carrier

"Combined ratio improved 3 points. The ROI on Perceive8 is the best investment we've made."

Senior Adjuster

"The coaching feedback makes me better at my job. I catch things I used to miss."

Insurance-Grade Security

SOC 2, state regulatory compliance, and PII protection built in.

End-to-End Encryption

All audio is encrypted in transit and at rest. AES-256 encryption with zero-knowledge architecture.

AES-256Zero-Knowledge

Data Retention Controls

You control how long data is kept. Auto-delete after analysis or retain for 7, 30, or 90 days.

GDPRData Minimization

Access Controls

Role-based access, SSO, and audit logs. Only authorized personnel can access recordings and results.

RBACSSO

Global Compliance

GDPR, CCPA, HIPAA, SOC 2 Type II compliant. We meet the highest standards for data protection.

GDPRHIPAASOC 2

Audit Trail

Complete audit log of every access, analysis, and export. Full transparency for compliance requirements.

Audit LogsCompliance

SOC 2 Type II Certified

Enterprise-grade security infrastructure validated by independent third-party audits annually.

SOC 2ISO 27001

Frequently Asked Questions

  • Which lines of business are supported?
    Auto, property, casualty, workers' comp, liability, and specialty lines.
  • Does it integrate with our claims system?
    Yes — Guidewire, Duck Creek, Majesco, and custom systems via API.
  • How does fraud detection work?
    12 fraud indicators including inconsistencies, coached language, deceptive vocal patterns, and cross-claim analysis.
  • Is it state-compliant?
    Yes — state-specific compliance rules are built in for all 50 states.
  • What's the typical ROI?
    Carriers see 5-15x ROI in the first year through fraud prevention and processing acceleration.

Protect Your Bottom Line

Typical carriers see 5-15x ROI in year one.

Pilot

Free
30-day proof of concept
  • 500 calls/month
  • Fraud detection
  • Basic reporting
  • 30-day trial
Start Pilot →

Enterprise

Custom
Large carriers
  • Volume discounts
  • Custom fraud models
  • On-premise option
  • Multi-line support
  • Dedicated team
  • SLA guarantee
Contact Sales

Every undetected fraud claim costs you $15,000+.

Request a demo and see Perceive8 flag fraud signals in your own claims calls — proof of concept in 30 days.

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