Sedgwick employs Verint Trust Bot: the first-of-its-kind AI solution for fraud detection in insurance claims

Sedgwick, the world’s leading risk and claims administration partner, is proud to announce its adoption of Verint Trust Bot, a groundbreaking AI-powered solution that is unmatched in the marketplace. With no other technology like it, Verint Trust Bot uses patented behavioural analytics and explainable AI to deliver actionable insights by analysing conversations between insurance claims handlers and claimants. It accurately detects the presence or absence of fraud risks, empowering our clients to make smarter decisions and resolve claims faster.

Verint Trust Bot builds on the proven success of conversation management and stands out as a one-of-a-kind solution that not only enhances fraud detection but also preserves a seamless customer experience. By delivering targeted insights without requiring intrusive processes, it ensures genuine claimants experience minimal friction.

“Verint Trust Bot is a distinctive innovation in the insurance industry,” said Ian Carman, Director, Head of Forensic and Investigation Services at Sedgwick. “There is nothing else like it on the market. It redefines fraud detection by giving our clients the insights they need to act quickly, fairly, and confidently — all while ensuring genuine customers receive the prompt support they deserve.”

Verint Trust Bot goes beyond traditional fraud detection systems by applying advanced behavioural analytics to identify credibility issues. Unlike other solutions, it seamlessly integrates into the claims process, offering clear, human-readable recommendations without disrupting the customer journey.

The use of Verint Trust Bot enhances fraud detection through:

• One-of-a-kind AI: no other solution combines patented behavioural analytics with explainable AI to detect fraud with such accuracy.

• Seamless customer experience: works silently in the background, eliminating unnecessary delays or disruptions for claimants.

• Intelligent decision support: provides targeted insights to help insurers focus on high-risk claims while ensuring fast, fair resolutions for genuine cases.

• Explainable and ethical AI: every decision is backed by a defensible audit trail, ensuring regulatory compliance and transparency.

• Straight through processing enables swift resolution of legitimate claims while flagging questionable ones for further investigation.

Image provided by Yokobchuk via Canva

Francesca Kaye