SKILLSET: Protecting against shallowfake fraud with human oversight

Shallowfakes are digitally manipulated documents used to mislead people about a person's identity or to make false or exaggerated insurance claims.

They are used by fraudsters of all kinds, from opportunists looking to make a bogus claim for some quick cash, right up to international organised crime rings. They’re easy to make, hard to stop and their impact on both the insurance industry and consumers is far reaching.

How can we keep up with fraudsters? Let’s look at how AI helps us catch fraud and how it works together with human intelligence.

Human oversight – it’s ultimately about people

We use AI through our Lynx Document Validation to detect shallowfakes and highlight the possibility of fraudulent activity in insurance claims. The software we use is market-leading to identify shallowfakes with accuracy.

AI isn’t the be all and end all, though, and nor should it be.

The tech we use is an important tool in the process, but it’s just that – a tool. Without experts handling these tools, tech is nowhere near as effective in the fight against fraud. The tools we use allow our experts to do what they do best: uncover the issues quickly, spot the patterns and lead effective investigations that protect your claims processes.

People, meet AI. AI, meet people

The Lynx Document Validation we use provides an insight into shallowfakes that our industry has never had before. It enables insurers to minimise fraudulent documents and make sure only legitimate ones are accepted.

Tech does, however, only take detection and fraud discovery so far. What it can’t do is use its experience and knowledge to carry out investigations with context, empathy and the application of human intelligence. And that’s where our team comes in.

Why expertise still matters

  • Our team of field investigators have been hand-picked from police, fraud, legal and armed forces
  • Our desktop investigators have extensive experience working in the insurance industry, especially in fraud departments
  • Our team is built on over three decades of specialist investigation solutions within the insurance industry

A proper investigation requires experience, skill, empathy, context and human intelligence. As well as having access to the most innovative industry solutions and technology, you must be able to ask the difficult questions and understand people.

The RGI team cover more angles than most. Combined with the top AI tool available, we form a powerful team in battling fraudsters.

You only get out what you put in

Machines make mistakes, a system is only as effective as the information that is fed into it, and this is a crucial element to AI and machine learning. This is why using innovative AI solutions with an expert team is more effective for you and your organisation.

AI will learn to spot patterns, then make predictions and decisions based on the datasets it analyses. Rather than following one rule over and over again, AI will improve over time, making better decisions and recognising trends and patterns with greater accuracy. But it’s not perfect. It needs human oversight to monitor and correct errors – it can only learn and improve with the right data and guidance.

With experts making sure these tools get the information right; you get expert results.

Human intelligence at RGI

Our clients get the best AI and human intelligence the industry has to offer. It’s an industry that’s moving quickly. Just as our experience is growing and our AI tools are learning, so are the fraudsters

To catch a fraudster, you’ve got to think like one, understand how they work, and look at the different ways that things can manipulated and moved. All our internal investigative and technical staff at RGI are level three qualified private investigators. Our intelligence team stays at the frontline of fraud protection, researching, innovating and staying ahead of trends.

We’re not machines – we’re people. We know that insurance fraud it stressful, infuriating and daunting for firms and customers alike. We also know that vulnerable people are deemed to be easy targets for fraud rings, and we know how to help these vulnerable groups stay safe and feel cared for.

Protecting your clients and your reputation

RGI Solutions started with a simple focus on doing the right thing. We treat everyone with care and intelligence, protecting our clients’ reputations. We bring over 30 years of expertise and the best AI tools to make your insurance claims clear and confident.

We’re using the latest AI in Lynx Documentation Validation, backed by years of experience and emotional intelligence. We’re leading the way in preventing digital insurance fraud.

Work with us. We understand what you’re up against and how to help.

Get in touch today!

Thanks for reading.
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