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Driven Claims Fraud Detection:

Protecting Carriers Without Slowing Claims

Fraud isn’t just costly — it’s disruptive.

It drives higher loss ratios, longer cycle times, and unnecessary friction for policyholders and carriers.

Driven Claims uses technology, data, and human review to identify suspicious activity early — without slowing down legitimate claims.

Protection shouldn’t come at the expense of performance.

Fraud isn’t just costly — it’s disruptive.

It drives higher loss ratios, longer cycle times, and unnecessary friction for policyholders and carriers.

Driven Claims uses technology, data, and human review to identify suspicious activity early — without slowing down legitimate claims.

Protection shouldn’t come at the expense of performance.

Request a Demo

What Our Fraud Detection System Does

We use automation and analytics to flag anomalies, validate data, and prevent loss before it happens.

The goal is simple: keep claims moving, but stop problems in their tracks.

Our system supports:

What Our Fraud Detection System Does

We use automation and analytics to flag anomalies, validate data, and prevent loss before it happens.

The goal is simple: keep claims moving, but stop problems in their tracks.

Our system supports:

Real-time anomaly detection

VIN and part verification

Pattern analysis across claims history

Shop-level performance monitoring

Invoice validation and audit checks

Pattern analysis across claims history

Shop-level performance monitoring

Invoice validation and audit checks

Fast identification. Low friction. Better outcomes.

Real-Time Detection and Alerts

Fraud evolves quickly — so detection needs to be fast.
Our platform monitors claims activity as it happens and flags issues immediately.

We identify:

• Irregular parts pricing

• Duplicate or suspicious billing

• Unusual service patterns

• VIN mismatches

• Repeat high-risk profiles

• Irregular parts pricing

• Duplicate or suspicious billing

• Unusual service patterns

• VIN mismatches

• Repeat high-risk profiles

Real-time alerts mean intervention before costs escalate.

Data Validation and Verification

Fraud often happens where data is missing or inaccurate.

We close that gap by validating key inputs before claims move forward.

We verify:

• VIN and parts compatibility

• Documentation accuracy

• Photo evidence

• Service timelines

• Provider identity and credentials

• VIN and parts compatibility

• Documentation accuracy

• Photo evidence

• Service timelines

• Provider identity and credentials

Accurate data prevents expensive mistakes.

Provider Oversight and Accountability

Fraud prevention isn’t just about single claims — it’s about performance trends.
We monitor shop behavior over time to identify patterns, not just incidents.

We track:

• Billing accuracy

• Adjustments and reversals

• Complaint frequency

• Rework volume

• SLA adherence

• Billing accuracy

• Adjustments and reversals

• Complaint frequency

• Rework volume

• SLA adherence

Consistent tracking builds a network carriers can trust.

Human Review When It Matters

Technology catches anomalies — but people judge intent.

When something looks off, our claims experts step in to review the issue and ensure a fair outcome.

Human review enables:

• Context-based decisions

• Faster dispute resolution

• Professional escalation management

• Fair treatment of honest providers

• Context-based decisions

• Faster dispute resolution

• Professional escalation management

• Fair treatment of honest providers

Balanced, informed decisions — not blind automation.

Transparent Reporting for Carriers

Carriers shouldn’t have to dig for answers.

We provide clear reporting so you can see what was flagged, resolved, and prevented.

We provide full transparency – you see what we see.

Reporting includes:

• Real-time alert metrics

• Billing exceptions

• Shop performance data

• Trends over time

• Savings and outcomes

• Real-time alert metrics

• Billing exceptions

• Shop performance data

• Trends over time

• Savings and outcomes

Fraud prevention you can measure.

Why It Matters to Carriers

Fraud doesn’t just increase costs — it undermines trust and performance.

Driven Claims helps carriers protect both.

Carriers benefit from:

• Lower loss costs

• Fewer billing disputes

• Faster resolution times

• Better network performance

• Higher policyholder satisfaction

• Less administrative burden

• Lower loss costs

• Fewer billing disputes

• Faster resolution times

• Better network performance

• Higher policyholder satisfaction

• Less administrative burden

Better protection means better results.

Why It Works

Because we combine:

Real-time data

Smart automation

Network analytics

Human expertise

Transparent reporting

Fraud prevention that protects carriers — without punishing honest shops or delaying customers.

See It in Action

Driven Claims delivers fraud prevention that is proactive, intelligent, and scalable — all

designed to keep claims accurate, efficient, and fair.

Ready to reduce risk without slowing claims?

Request a Demo

See It in Action

Driven Claims delivers fraud prevention that is proactive, intelligent, and scalable — all

designed to keep claims accurate, efficient, and fair.

Ready to reduce risk without slowing claims?

Request a Demo