Insurance

Identify Suspect Insurance Files With Document Intelligence

Analyze claims attachments, spot graphic modifications, and assist your teams in prioritizing folders requiring fraud investigations.

Sky GenAI parses insurance claims document stacks, flags layout alterations, and scores file risk level to pre-screen fraud.

See how it works Book a demo →

Business Context

Fraud detection depends on strong file checks

Insurance claim folders hold a mix of files from various channels: handwritten statements, digital invoices, photos, and auto estimates.

Certain files display altered dates, modified billing totals, fake stamps, or inconsistent metadata. Manual verification cannot audit all files systematically, letting fraud slip through.

Claims Fraud Inspector

Facture_Garage_Auto.pdf Total : 1 450 € · Identifiant TVA : Validé

Facture_Remplacement_Pièce.pdf Date modifiée graphiquement (EXIF / calque détecté)

Altéré

Photo_Choc_Avant.jpg Métadonnées : Cohérentes · Date de prise : OK

Authentique

Intégrité Graphique⚠ Calques suspects

Structure EXIF⚠ Modifié (Photoshop)

Rapprochement Devis✓ Concordant

Niveau de Risque→ Élevé (Revue)

The Challenges of Spotting Subtle Fraud Signals

Spotting graphical retouches or invoice balance tampering requires advanced scanning.

Challenge 01

Diverse file quality

Files are received as mobile uploads, scans, or low-resolution attachments.

Challenge 02

Contradictory information

Gaps between policyholder claims and garage quotes details slip past manual checks.

Challenge 03

Hidden alterations

Fine graphical changes in invoice balances or doctored vehicle registration years are hard to see.

Challenge 04

High claim volumes

Fraud experts have limited time to check every claim, leading to bottleneck queues.

Challenge 05

Audit trail files

Legal rules demand secure timestamps logs of fraud checks and validation outputs.

AI-Powered Anomaly and Alteration Auditing

Applying advanced graphical check modules and metadata analysis to highlight risk.

Alteration Flagging

Isolate graphic changes in digital files, highlighting altered text, stamps, or layout grids.

Multi-File Check

Cross-match references, vehicle plates, and totals between invoices and receipts.

Risk Profiling

Determine a claims risk category (Low, Medium, High) based on discovered alerts.

Investigation Aid

Provide clear alerts reports showing exactly why a file was flagged to speed up human reviews.

How Sky GenAI Screens Claims Fraud

From attachment collection to anomaly checking, scoring, and investigation routing.

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Explore Associated Insurance Use Cases

Accelerate claims and underwritings with specialized insurance document automation solutions.

98%

Detection rate of doctored claims documents

-50%

Reduction in manual first-level verification

100%

Audit trails record validity on verified claims

Spot Graphic Retouches

Flag modified text values or altered stamps in invoices immediately.

Prioritized Investigations

Isolate high-risk folders, letting fraud experts focus on verified exceptions.

Lower Caseworker Load

Pass compliant, low-risk claims through without manual check loops.

Secure Auditing Trails

Keep timestamps logs of verified fields, scores, and expert resolutions.