Industry Workflow

Insurance Claims Document Verification

Catch fake and edited supporting documents before claims are paid.

Claims handlers and adjustersFraud investigation teams (SIU)Insurtech platformsSelf-insured employer programs

Forensics tuned to the documents your team sees

Detection layers are weighted for the document mix your industry actually reviews — IDs, statements, paystubs, invoices, leases, and policies.

▸ Document Analysis · LiveID: 8829-XQ
Risk score: High · 94%Signals matched: 12,042

Metadata deep-dive

Inspects EXIF, software signatures, edit history, and structural fingerprints.

Doc typeBank statement
Math checkBalance off by $1,240
TemplateRecycled from prior submission

Privacy-first by design

Originals are processed in encrypted memory and removed after analysis. Reports stay redacted by default.

No training on your data
Team & admin controls
▸ 01 · The Problem

Where industry-specific document fraud actually hides

Claim fraud is one of the highest-loss categories in insurance, and AI tools have made fake supporting documents fast to produce.

TrueDoc inspects the receipts, invoices, statements, and proofs attached to claims — surfacing tampering and AI-generation signals before payout.

▸ 02 · Fraud Signals

What we look for

Cross-checked across 4+ vectors
▸ Primary signal

Edited receipts and invoices with inflated amounts

Detected at pixel + metadata + structural layers

AI-generated repair, medical, or replacement invoices

Faked proof-of-loss photos and screenshots

Duplicate documents submitted across multiple claims

What gets checked

Receipts and invoices for repairs, medical, or replacements
Statements supporting income or loss claims
Photo and screenshot proofs
Contracts and supporting documents
▸ 03 · Workflow

From upload to verdict

01

Attach claim documents

Upload via your claims platform or send via API.

02

Run forensic + AI checks

Math, metadata, layout, ELA, and AI-generation signals.

03

Score and route

Auto-approve clean claims; route high-risk claims to SIU with evidence attached.

04

Audit on demand

Every verdict is logged with evidence for regulator and reinsurer review.

Where document fraud hides in the insurance claims document verification workflow

Claims handlers and adjusters typically see the same three failure modes: submissions that look professional but were assembled from a template, real documents recycled from a prior application with edited fields, and fully AI-generated files that no longer trip rule-based checks.

The hardest of those is the second — recycled real documents — because the underlying file is genuine. TrueDoc looks at submission lineage and pixel-level evidence, not just whether the document "looks real."

Where this fits in the existing review workflow

TrueDoc is built to sit alongside your current process, not replace it. A typical rollout: documents land in your existing intake (CRM, LOS, ATS, or portal), TrueDoc returns a verdict and per-field evidence via API or dashboard, and your reviewers spend their time on the cases the model isn't confident on.

That keeps the claims handlers and adjusters accountable for the final decision while removing the obvious-good and obvious-bad cases from the queue.

Real loss patterns we see in this vertical

Two loss patterns dominate: edited receipts and invoices with inflated amounts, and ai-generated repair, medical, or replacement invoices. The first is loud — a single application that goes wrong. The second is quieter and more expensive: the same fabricated document type re-used across many submissions before anyone connects the cases.

Both show up in the per-finding evidence TrueDoc returns. Teams that review the recycled-document patterns weekly tend to catch organised submitters earlier in the lifecycle.

Run a real document. Get a forensic verdict.

No credit card. Redacted report in under a minute.

▸ FAQ

Frequently asked questions