90% ROI increase
AI Fraudulent Claim Investigation
Uncover fraud patterns in your claims data
V7 Go's agent assists Special Investigations Units (SIUs) by analyzing claims documents to flag suspicious activities identify inconsistencies and surface patterns of fraud waste and abuse.

Ideal for
Special Investigations Units (SIU)
Claims Managers

Shareholder agreement review
See Fraudulent Claims in action
Play video

Shareholder agreement review
See Fraudulent Claims in action
Play video

Shareholder agreement review
See Fraudulent Claims in action
Play video

Shareholder agreement review
See Fraudulent Claims in action
Play video
Challenge
Challenge
Investigating fraudulent claims requires manually sifting through mountains of documents to find subtle inconsistencies and connections—a task that is nearly impossible to do at scale.
Investigating fraudulent claims requires manually sifting through mountains of documents to find subtle inconsistencies and connections—a task that is nearly impossible to do at scale.
V7 Go's AI agent acts as a powerful analytical assistant processing thousands of documents to connect data points and flag suspicious patterns that indicate potential fraud.
V7 Go's AI agent acts as a powerful analytical assistant processing thousands of documents to connect data points and flag suspicious patterns that indicate potential fraud.
Time comparison
Time comparison
Traditional review time
4-8 hours
4-8 hours
With V7 Go
15-30 minutes
15-30 minutes
Average time saved
95%
95%
Why V7 Go
Why V7 Go
Pattern & Anomaly Detection
Analyze thousands of claims to identify suspicious patterns such as multiple claims from the same address or unusual treatment protocols from a specific medical provider.
Pattern & Anomaly Detection
Analyze thousands of claims to identify suspicious patterns such as multiple claims from the same address or unusual treatment protocols from a specific medical provider.
Pattern & Anomaly Detection
Analyze thousands of claims to identify suspicious patterns such as multiple claims from the same address or unusual treatment protocols from a specific medical provider.
Pattern & Anomaly Detection
Analyze thousands of claims to identify suspicious patterns such as multiple claims from the same address or unusual treatment protocols from a specific medical provider.
Cross-Claim Analysis
Connect disparate data points across multiple claim files to uncover organized fraud rings that would be invisible when looking at one claim at a time.
Cross-Claim Analysis
Connect disparate data points across multiple claim files to uncover organized fraud rings that would be invisible when looking at one claim at a time.
Cross-Claim Analysis
Connect disparate data points across multiple claim files to uncover organized fraud rings that would be invisible when looking at one claim at a time.
Cross-Claim Analysis
Connect disparate data points across multiple claim files to uncover organized fraud rings that would be invisible when looking at one claim at a time.
Evidence Link Analysis
Create a visual map of relationships between claimants providers witnesses and locations to highlight non-obvious connections and potential collusion.
Evidence Link Analysis
Create a visual map of relationships between claimants providers witnesses and locations to highlight non-obvious connections and potential collusion.
Evidence Link Analysis
Create a visual map of relationships between claimants providers witnesses and locations to highlight non-obvious connections and potential collusion.
Evidence Link Analysis
Create a visual map of relationships between claimants providers witnesses and locations to highlight non-obvious connections and potential collusion.
Narrative Inconsistency Detection
The agent compares statements from different parties or different documents within the same claim to flag contradictions in the timeline or description of events.
Narrative Inconsistency Detection
The agent compares statements from different parties or different documents within the same claim to flag contradictions in the timeline or description of events.
Narrative Inconsistency Detection
The agent compares statements from different parties or different documents within the same claim to flag contradictions in the timeline or description of events.
Narrative Inconsistency Detection
The agent compares statements from different parties or different documents within the same claim to flag contradictions in the timeline or description of events.
Social Media & Web Research
Use AI web search to find publicly available information that may contradict the claim such as a claimant's social media posts showing activities inconsistent with their reported injuries.
Social Media & Web Research
Use AI web search to find publicly available information that may contradict the claim such as a claimant's social media posts showing activities inconsistent with their reported injuries.
Social Media & Web Research
Use AI web search to find publicly available information that may contradict the claim such as a claimant's social media posts showing activities inconsistent with their reported injuries.
Social Media & Web Research
Use AI web search to find publicly available information that may contradict the claim such as a claimant's social media posts showing activities inconsistent with their reported injuries.
Automated Red Flag Scoring
Generate a 'fraud risk score' for each claim based on a customizable set of red flags allowing your SIU team to prioritize its investigative resources.
Automated Red Flag Scoring
Generate a 'fraud risk score' for each claim based on a customizable set of red flags allowing your SIU team to prioritize its investigative resources.
Automated Red Flag Scoring
Generate a 'fraud risk score' for each claim based on a customizable set of red flags allowing your SIU team to prioritize its investigative resources.
Automated Red Flag Scoring
Generate a 'fraud risk score' for each claim based on a customizable set of red flags allowing your SIU team to prioritize its investigative resources.
Get started
Get started
Analyze claim files, medical reports, and witness statements.
Identify inconsistent timelines, unusual patterns, and fraud indicators.
Get started
Import your files
Gmail
,
Google Drive
,
CoStar
Import your files from wherever they are currently stored
Import your files from wherever they are currently stored
First Notice of Loss (FNOL)
First Notice of Loss (FNOL)
Medical Reports & Billing
Medical Reports & Billing
Police & Incident Reports
Police & Incident Reports
Witness Statements
Witness Statements
Damage Photographs & Estimates
Damage Photographs & Estimates
Social Media & Public Records
Social Media & Public Records
All types of documents supported
All types of documents supported
Inconsistent Timelines or Statements
Inconsistent Timelines or Statements
Unusual Medical Treatment Patterns
Unusual Medical Treatment Patterns
Links to Known Fraudulent Providers
Links to Known Fraudulent Providers
Prior Claims History Matches
Prior Claims History Matches
Mismatched Damage Reports
Mismatched Damage Reports
Suspicious Witness Connections
Suspicious Witness Connections
Address/Phone Number Overlap
Address/Phone Number Overlap
Anomalous Billing Codes
Anomalous Billing Codes
Contradictory Public Information
Contradictory Public Information
Use of Post Office Boxes
Use of Post Office Boxes
Once imported our system extracts and organises the essentials
Once imported our system extracts and organises the essentials
The difference
The difference
AI-powered fraud detection
for insurance SIUs
The difference
Insurance teams work is about to make it's biggest shift in a century
Before
ChatGPT
V7 Go
SIU investigators manually review claim files looking for red flags and trying to connect disparate pieces of information a process that is slow and often misses complex fraud rings.
Enhance your Special Investigations Unit (SIU) with an AI agent that analyzes claims documents to detect patterns of fraud waste and abuse.
Insurance teams work is about to make it's biggest shift in a century
Before
ChatGPT
V7 Go
SIU investigators manually review claim files looking for red flags and trying to connect disparate pieces of information a process that is slow and often misses complex fraud rings.
Enhance your Special Investigations Unit (SIU) with an AI agent that analyzes claims documents to detect patterns of fraud waste and abuse.
Insurance teams work is about to make it's biggest shift in a century
Before
ChatGPT
V7 Go
SIU investigators manually review claim files looking for red flags and trying to connect disparate pieces of information a process that is slow and often misses complex fraud rings.
Enhance your Special Investigations Unit (SIU) with an AI agent that analyzes claims documents to detect patterns of fraud waste and abuse.
Multiple agents available to do the work
Are there any clauses in our vendor contracts that create exposure or conflict with our standard terms?

Select and tailor agents to perfectly align with the specifics of your Fraudulent Claims
Multiple agents available to do the work
Are there any clauses in our vendor contracts that create exposure or conflict with our standard terms?

Select and tailor agents to perfectly align with the specifics of your Fraudulent Claims
Multiple agents available to do the work
Are there any clauses in our vendor contracts that create exposure or conflict with our standard terms?

Select and tailor agents to perfectly align with the specifics of your Fraudulent Claims
The difference
AI-powered fraud detection
for insurance SIUs
The difference
Insurance teams work is about to make it's biggest shift in a century
Before
ChatGPT
V7 Go
Analysts spend days manually reading 100+ page documents trying to spot subtle year-over-year changes in risk disclosures and MD&A.
Enhance your Special Investigations Unit (SIU) with an AI agent that analyzes claims documents to detect patterns of fraud waste and abuse.
Play video
Multiple agents available to do the work
Are there any clauses in our vendor contracts that create exposure or conflict with our standard terms?

Select and tailor agents to perfectly align with the specifics of your Fraudulent Claims
Play video
Customer Voices
Customer Voices
Building trustworthy AI, trained on your data
Join the world's best teams and Fortune 500s
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Healthcare
•
Finance
•
Legal
•
Insurance
•
Logistics
•
Biotechnology
•
Manufacturing
•
Real Estate
Customer Voices
Finance
The experience with V7 has been fantastic. Very customized level of support. You feel like they really care about your outcome and objectives.
Read the full story
Finance
The experience with V7 has been fantastic. Very customized level of support. You feel like they really care about your outcome and objectives.
Read the full story
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Finance
The experience with V7 has been fantastic. Very customized level of support. You feel like they really care about your outcome and objectives.
Read the full story
Healthcare
The configurability and extensive API interface of V7 has enabled us to quickly create, customise, deploy and make changes to our labelling processes all through automated communications with our own backend tooling.
Read the full story
Automotive
"We chose V7 because we wanted to build new types of workflows. We had our own system, but we wanted it to accomplish additional tasks, like create other annotation types, re-annotations, annotations on videos—activities that would be a lot of effort in development."
Read the full story
Energy
"We label terabytes of data per platform across thousands of platforms. From the operations perspective—unless we did drastic developments, the scale of the projects requires a tool like V7 to succeed"
Read the full story
Agriculture
"V7 is really easy to use and has great customer support—bugs are fixed, email support is very fast, and feature requests are delivered as promised."
Read the full story
Features
Features
Results you can actually trust.
Reliable AI document processing toolkit.
Results you can trust.
Trustworthy AI document processing toolkit.
Supporting complex documents.
Up to 200 pages.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Supporting complex documents.
Up to 200 pages.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Supporting complex documents.
Up to 200 pages.
From handwritten notes to complex graphs, V7 Go reads and understands them all—even when layouts shift across documents. Process hundreds of documents and pages, transforming them into structured outputs with task-based workflows you can customize or build from scratch.
Input types
50+ languages
Handwritten
200 pages
Multi-modal
Document types
PDFs
URL
Tables
Graphs
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

Reach 99% accuracy rate through
GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate through
GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Reach 99% accuracy rate through
GenAI reasoning.
Break down complex document processing into discrete steps. Choose from top GenAI models, OCR tools, custom Python code, or integrate your own model to achieve fast, accurate, and reliable results with outputs you can trust.
Model providers

Security note
V7 never trains models on your private data. We keep your data encrypted and allow you to deploy your own models.
Answer
Type
Text
Tool
o4 Mini
Reasoning effort
Off
Low
Mid
High
AI Citations
Inputs
Set a prompt (Press @ to mention an input)
Trustworthy results,
grounded in reality.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Trustworthy results,
grounded in reality.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Trustworthy results,
grounded in reality.
You can verify if AI-generated responses are true and which excerpts they were based on. AI models in V7 Go automatically highlight source areas in your documents. Human reviewers can focus their time on results with lower confidence scores and make corrections when needed.

Visual grounding in action
00:54
Deliberate Misrepresentation: During the trial, evidence was presented showing that John Doe deliberately misrepresented his income on multiple occasions over several years. This included falsifying documents, underreporting income, and inflating deductions to lower his tax liability. Such deliberate deception demonstrates intent to evade taxes.
Pattern of Behavior: The prosecution demonstrated a consistent pattern of behavior by John Doe, spanning several years, wherein he consistently failed to report substantial portions of his income. This pattern suggested a systematic attempt to evade taxes rather than mere oversight or misunderstanding.
Concealment of Assets: Forensic accounting revealed that John Doe had taken significant steps to conceal his assets offshore, including setting up shell companies and using complex financial structures to hide income from tax authorities. Such elaborate schemes indicate a deliberate effort to evade taxes and avoid detection.
Failure to Cooperate: Throughout the investigation and trial, John Doe displayed a lack of cooperation with tax authorities. He refused to provide requested documentation, obstructed the audit process, and failed to disclose relevant financial information. This obstructionism further supported the prosecution's argument of intentional tax evasion.
Prior Warning and Ignoring Compliance

02
01
01
02
Enterprise grade security
for high-stake industries.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GDPR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security
for high-stake industries.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GDPR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Enterprise grade security
for high-stake industries.
Integrate V7 seamlessly with your existing tech stack. Our platform connects to your cloud infrastructure and ML frameworks while ensuring robust data security and compliance with rigorous standards.
Certifications
GPDR
SOC2
HIPAA
ISO
Safety
Custom storage
Data governance
Access-level permissions
Answers
Answers
What you need to know about our
Fraudulent Claims
What is insurance fraud?
Insurance fraud involves any act committed with the intent to deceptively obtain payment from an insurer ranging from exaggerated claims to organized criminal schemes.
+
What is insurance fraud?
Insurance fraud involves any act committed with the intent to deceptively obtain payment from an insurer ranging from exaggerated claims to organized criminal schemes.
+
What is insurance fraud?
Insurance fraud involves any act committed with the intent to deceptively obtain payment from an insurer ranging from exaggerated claims to organized criminal schemes.
+
How does the AI agent detect fraud?
The agent uses a combination of rules-based flagging and machine learning to spot anomalies. It looks for known red flags and analyzes data across thousands of claims to find new patterns of suspicious behavior.
+
How does the AI agent detect fraud?
The agent uses a combination of rules-based flagging and machine learning to spot anomalies. It looks for known red flags and analyzes data across thousands of claims to find new patterns of suspicious behavior.
+
How does the AI agent detect fraud?
The agent uses a combination of rules-based flagging and machine learning to spot anomalies. It looks for known red flags and analyzes data across thousands of claims to find new patterns of suspicious behavior.
+
Can the agent analyze unstructured data like adjusters' notes?
Yes this is a key strength. The agent reads and understands narrative text to find inconsistencies identify suspicious phrasing and extract key entities to build a relationship map.
+
Can the agent analyze unstructured data like adjusters' notes?
Yes this is a key strength. The agent reads and understands narrative text to find inconsistencies identify suspicious phrasing and extract key entities to build a relationship map.
+
Can the agent analyze unstructured data like adjusters' notes?
Yes this is a key strength. The agent reads and understands narrative text to find inconsistencies identify suspicious phrasing and extract key entities to build a relationship map.
+
Does the agent make the final decision on a claim's validity?
No. The agent is an investigative assistant. It surfaces evidence flags inconsistencies and highlights suspicious patterns for a human investigator. The final judgment always rests with the SIU professional.
+
Does the agent make the final decision on a claim's validity?
No. The agent is an investigative assistant. It surfaces evidence flags inconsistencies and highlights suspicious patterns for a human investigator. The final judgment always rests with the SIU professional.
+
Does the agent make the final decision on a claim's validity?
No. The agent is an investigative assistant. It surfaces evidence flags inconsistencies and highlights suspicious patterns for a human investigator. The final judgment always rests with the SIU professional.
+
How is this different from existing fraud analytics tools?
Many existing tools are rules-based and only look at structured data. V7 Go's agent is different because it analyzes unstructured documents and uses AI to find non-obvious connections.
+
How is this different from existing fraud analytics tools?
Many existing tools are rules-based and only look at structured data. V7 Go's agent is different because it analyzes unstructured documents and uses AI to find non-obvious connections.
+
How is this different from existing fraud analytics tools?
Many existing tools are rules-based and only look at structured data. V7 Go's agent is different because it analyzes unstructured documents and uses AI to find non-obvious connections.
+
Can we customize the fraud indicators the agent looks for?
Absolutely. Your SIU team can configure the agent's workflow with your own red flags and risk scoring parameters tailoring the system to the specific fraud schemes common in your line of business.
+
Can we customize the fraud indicators the agent looks for?
Absolutely. Your SIU team can configure the agent's workflow with your own red flags and risk scoring parameters tailoring the system to the specific fraud schemes common in your line of business.
+
Can we customize the fraud indicators the agent looks for?
Absolutely. Your SIU team can configure the agent's workflow with your own red flags and risk scoring parameters tailoring the system to the specific fraud schemes common in your line of business.
+
Pilot
Pilot
Curious how we can realise 90% ROI increase for you?
Curious how we can realise 90% ROI increase for you?
Send us a few samples, and we’ll deliver a custom demo with results—within 48 hours.
Send us a few samples, and we’ll deliver a custom demo with results—within 48 hours.
Vendor_US.xlsx

3
Supply_2023.pptx

Review_Legal.pdf

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Next Step
Next Step
Stop searching for needles in a haystack.
Stop searching for needles in a haystack.
Stop searching for needles in a haystack.
Delegate the document analysis to an AI agent and find fraud faster.
Delegate the document analysis to an AI agent and find fraud faster.
Delegate the document analysis to an AI agent and find fraud faster.
Uncover hidden liabilities
in
supplier contracts.
V7 Go transforms documents into strategic assets. 150+ enterprises are already on board:
Uncover hidden liabilities
in
supplier contracts.
V7 Go transforms documents into strategic assets. 150+ enterprises are already on board: