Traditional methods fail to address the complex, evolving nature of insurance fraud in today's digital landscape.
Slow, human-dependent verification leads to delays and missed fraud patterns.
No automated correlation between claims and medical diagnosis codes.
Call center data exists in silos, disconnected from claim verification.
Multi-lingual claims create verification challenges and fraud opportunities.
Our comprehensive solution addresses fraud detection from every angle.
Advanced voice analysis detects stress patterns and verifies claimant identity against historical data.
Dynamic scoring algorithm evaluates each claim against 200+ fraud indicators in milliseconds.
Proprietary database tracks provider fraud patterns across geographic regions.
Automated analysis of diagnosis codes against treatment claims and historical patterns.
Complete documentation of every verification step for compliance and review.
Smart routing of claims based on risk level, reducing manual review workload by 40%.
Comprehensive coverage across the entire claims lifecycle.
TPA Ingestion
Policy Mapping
Hospital Registry
Aarav Agent
Call Logs
Voice Biometrics
Risk Engine
Threat Correlation
Anomaly Detection
Case Management
Action Tracker
Investigator Portal
Rules Engine
ICD/Hospital Matrix
Regulatory Digest
Multilingual UI
Help Center
Interactive Walkthrough
A seamless flow from claim intake to resolution with intelligent fraud detection at every step.
Automated ingestion from TPAs, hospitals, and policyholders
Correlation across policies, providers, and historical claims
AI-powered call analysis and claimant authentication
Real-time scoring against 200+ fraud indicators
Automated approval or flagged for investigation
Native support for all major Indian languages with regional dialects.
Quantifiable impact across insurance providers and TPAs.
Reduction in time to identify fraudulent claims
Improvement in legitimate claim processing time
Of fraud cases identified through voice + data correlation
Accuracy rate in identifying fraudulent claim patterns
Comprehensive support throughout implementation and beyond.
Dedicated implementation specialist for first 90 days
Strategic account oversight and quarterly reviews
Direct access to technical leadership for critical issues
Monthly training sessions
Custom analytics views
Included in base package
All regional languages
Pay-per-claim model with volume discounts.
One-time implementation cost includes tech stack, licenses, AI models, and onboarding for your team.