Clara Analytics Inc., a Sunnyvale, California-based developer of artificial intelligence technology for the insurance industry, said Tuesday it has released Clara Fraud, a platform that works to increase visibility into suspicious workers compensation claims.
The AI product helps claims professionals uncover fraudulent activity and provides alerts to enable insurers to more easily refer suspicious claims for investigation, according to the company.
Clara Fraud analyzes factors including servicing locations, claimants having multiple claims open simultaneously, attorneys working similar cases and exaggerated workers comp claims.
The company said the product examines detailed claims documents to try to uncover suspicious fraud markers using supervised and unsupervised learning to enhance accuracy.
