Automated Claims Call Analysis Reducing Fraud by 71%

The Challenge

A Thai life insurer was experiencing a 12% fraudulent claims rate on phone-initiated claims. Manual review could investigate only 8% of claims calls — leaving most fraud undetected until payment had been made.

The Solution

ALPANDIA's behavioral AI analyzed 100% of claims calls for fraud signals — inconsistent story details, unnatural speech patterns, and known fraud indicators — generating risk scores for every claim before approval.