Fraud detection
Claims-fraud scoring, SIU workflow, anti-money-laundering, financial-crime analytics.
Vendors by generation
AI-native (1)
- Shift Technology
AI platform for insurers focused on claims fraud detection, claims automation, subrogation, and financial-crime detection. 100+ customers across 25 countries; 2 billion claims analysed.
Modern SaaS (4)
- FRISS
Real-time fraud and risk detection platform for P&C insurers, covering the full policy lifecycle from underwriting risk assessment through claims fraud. 300+ implementations across 45+ countries.
- NICE Actimize
Cross-industry financial-crime, fraud and compliance platform (AML, KYC/CDD, transaction monitoring, enterprise fraud management, conduct surveillance). Predominantly banking-deployed, with insurance modules for AML and claims fraud (IFM) plus SURVEIL-X Suitability for life and annuities.
Parent: NICE Ltd - Pindrop
Voice biometrics and call-center fraud detection. Primary market is financial services (banks, brokerages); insurance carriers are a secondary segment via contact-center authentication and deepfake-voice defence.
- Verisk ClaimSearch
The US property/casualty industry's cross-carrier claims database — 1.8 billion+ claims contributed by 1,850+ carriers, TPAs, and self-insureds (including the top 100 US P&C insurers), used for duplicate-claim detection, fraud scoring, and subrogation lead identification. Subsidiary of Verisk Analytics (NASDAQ: VRSK).
Parent: Verisk Analytics
Legacy
No tools on this generation yet.
Carriers named on this layer
Every carrier publicly cited by any vendor on the Fraud detection layer. Appearance here means the carrier is named in at least one fiche on this layer with a source.
- 1,850+ contributors including the top 100 US P&C insurers
- 300+ implementations across 45+ countries
- 93% of the U.S. insurance industry
- AG2R La Mondiale
- CNA Financial
- Covéa
- Crédit Agricole Pacifica & Spirica
- Harmonie Mutuelle
- IAG New Zealand
- Liberty Mutual
- MACIF
- MS&AD Insurance Group
- P&V Group
- Santalucia Seguros
- UNIQA
- Western & Southern Financial Group
About this layer
Phidea classifies every tool into one of 16 canonical US insurance stack layers, chosen by the tool’s centre of gravity rather than its newest feature. This page is the single URL for everything on the fraud detectionlayer — the vendors, the carriers that use them, and the news that’s moved the category recently. Generation classification (legacy, modern saas, ai-native) is defined on the methodology page.