Claims fraud intelligence · Developed for Nigerian insurers
Every claim tells its story. The evidence tells the truth.
ClaimLensIQ surfaces forensic evidence. Your adjusters decide. We detect fabricated evidence forensically and staged fraud behaviourally — manipulation signals, collusion networks, plausibility checks — and hand your team an itemised evidence report, not a verdict.
The problem
Fraud leakage hides inside ordinary-looking paperwork.
Doctored invoices, edited damage photos, synthetic images and recycled evidence pass through claims queues because no adjuster has time to run forensics on every file. The cost lands quietly, claim after claim, on your loss ratio.
Manipulated documents
Receipts, invoices, medical and police reports edited or fabricated with tools that leave no visible trace — but leave forensic ones.
Fabricated imagery
Spliced damage photos, AI-generated scenes, and stock or web-sourced images submitted as first-hand evidence.
Recycled evidence
The same photo, document, account number or beneficiary quietly reappearing across unrelated claims.
How it works
Upload. Analyse. Review with evidence.
Upload claim files
Adjusters upload the documents and images attached to a claim — PDFs, photos, scans. Files stay in your isolated tenant, encrypted and access-controlled.
Forensic analysis runs
Metadata and structure examination, manipulation detection, AI-generated-image signals, reverse-image checks, and cross-claim matching run automatically in minutes.
Adjusters review the evidence
Each claim returns a review-priority band and an itemised report: what was found, why it matters, and how confident each signal is. Your team makes every decision.
Modules
Five instruments. One evidence report.
Document Forensics
Timestamps against claimed incident dates, authoring-software fingerprints, post-creation edits, font and structure anomalies across receipts, invoices, medical and police reports.
Image Forensics
Capture metadata and location consistency, splice and clone detection with visual heatmaps, AI-generated-image signals, and reverse-image matching against the open web.
Cross-Claim Intelligence
Every asset is fingerprinted. Reused images, duplicated documents, and repeated accounts, phones or beneficiaries surface the moment they appear in a second claim.
Behavioural & Network Intelligence
Staged fraud produces genuine documents of fake events — invisible to forensics, visible in behaviour. Recurring garages, hospitals, assessors and accounts across unrelated claimants surface as ring alerts with the connecting path drawn out. Inception-to-claim velocity, incident plausibility against weather and location records, and narrative-versus-evidence contradictions complete the picture.
Evidence Reports
A review-priority band with every signal itemised — finding, reasoning, confidence. Exportable for the claim file, with a full audit trail showing human decisions throughout.
Trust & boundaries
Designed to be defensible — to your board, your regulator, and your claimants.
We state what ClaimLensIQ does and does not do, because a fraud tool is only as credible as its boundaries.
Human-in-the-loop, always
ClaimLensIQ never approves, denies or adjudicates. Every claim decision is made by your adjusters, and the audit trail proves it.
Honest detection scope
We detect fabricated evidence forensically and staged fraud behaviourally. What we do not claim: forensic proof of a physically staged incident from a single genuine photo — behavioural signals flag the pattern, your investigators confirm it.
Data protection by design
Processing under a data processing agreement aligned with the NDPA. Tenant-isolated storage, encrypted assets, role-based access, and no data shared across insurers.
Evidence, not black boxes
Every flag shows its working: the signal found, the technique used, and a confidence band. Nothing is asserted as conclusive on its own.
For insurers
Developed for claims teams and special investigations units.
We run structured pilots on a single line of business with success criteria agreed upfront — measured within the pilot window, not promised beyond it.
- Claims adjusters get a priority-sorted queue and one-glance evidence, with a feedback control on every flag.
- Claims managers get cross-claim pattern alerts and a defensible audit trail.
- SIU analysts get deep-dive forensics: metadata, manipulation heatmaps, and fingerprint matches.
- Compliance gets tenant isolation, NDPA-aligned processing, and human-decision records on every claim.
Request a demo
See ClaimLensIQ on your line of business.
Tell us where fraud leakage hurts most and we will walk your team through a live forensic analysis.