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Detect Duplicate Claims and Claim Components
Benefits:
Accuracy, Cost Savings
Category:
Fraud Detection & Prevention
Use Case
Submitting duplicate claims for the same loss or reusing components (like invoices or photos) across multiple claims is a common fraud tactic. LLMs can compare new claims against historical databases, identifying exact or near-duplicate submissions. Advanced models can also perform image analysis to detect photo reuse, even if images are slightly altered. One insurer used AI to detect multiple claims using the same accident photo from different users.
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