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ARRAYMATIC

ArrayMatic Technologies

B-23, B Block, Sector 63, Noida, Uttar Pradesh 201301

[email protected]

+91-9555505981

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HomeIndustriesInsuranceFraud Detection & Prevention with AI

Insurance

Fraud Detection & Prevention with AI

ML models trained on historical claims data that detect staged accidents, overstated losses, and provider billing fraud before payouts are made.

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Industry overview

Machine learning systems trained on claims history and external data sources to identify fraudulent patterns — from staged accidents and inflated losses to provider network billing schemes — before claims are paid.

At a glance

  • Multi-source anomaly detection across claims and policy data
  • Social network analysis for fraud ring identification
  • Image forensics for staged damage and document tampering

Insurance fraud accounts for 10–20% of all claims paid, yet most detection systems still rely on keyword rules and manual investigation referrals. By the time fraud is identified, payments have already been made. ArrayMatic builds ML fraud detection that scores every claim at intake — catching schemes that rule systems never see.

What makes our approach different

We combine anomaly detection on claims data with graph network analysis across claimant, provider, and repair shop relationships — exposing fraud rings that individual claim analysis misses. Image forensics models flag staged damage in submitted photos. Scoring happens in real time so fraudulent claims are flagged for investigation before any payment is authorised.

Key capabilities

What we deliver

Engagements are scoped to your business context — these are the core capabilities we bring to insurance clients.

Multi-source anomaly detection across claims and policy data

Social network analysis for fraud ring identification

Image forensics for staged damage and document tampering

Provider billing pattern analysis for healthcare and auto

Real-time claim scoring before payment authorisation

Investigation workflow integration with SIU case management

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PythonNode.jsPostgreSQLReact

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