Fraudulent claims detection system
US11741478B1 · kind B1 · utility
Assignee
Inventor
Key dates
| Filing date | May 28, 2020 |
| Grant date | Aug 29, 2023 |
| Priority date | — |
| Expiry date | Jul 23, 2040 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG10L25/51
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Technology for determining an insurance fraud risk associated with a user comprises receiving, at an enterprise, a call or a chat from a user device associated with the user. Data associated with the call or the chat is analyzed to determine if at least one factor indicating fraud is present. A weighted level of possible fraud associated with the at least one factor is determined. The weighted level of possible fraud is compared to at least one weight threshold. The user is identified as an increased fraud risk based on the weighted level of possible fraud meeting or exceeding the at least one weight threshold.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.