ai for insurance and audit
FraudX: Detect Insurance Fraud 40X Faster with AI
And catch the bad actors behind it
NEW: GroundX tops DocBench leaderboard for RAG accuracy. See research.
And catch the bad actors behind it
FraudX is EyeLevel’s advanced AI platform built for insurance carriers, law firms, third-party administrators and construction companies. It analyzes millions of pages of claim documents in minutes to detect fraud indicators with unprecedented speed and precision — helping your team surface risk, prioritize effectively, and act decisively.
A general liability claim can contain 5,000 to 20,000 pages of complex documents: medical bills, IME reports, legal filings, depositions, accident reports, pictures, videos and more. Reading, analyzing and searching those files for red flags for fraud takes dozens of hours. FraudX does it in minutes, liberating your claims and investigative teams to make smart decisions rapidly with 40X less work.
FraudX represents a fundamental shift in how fraud investigations are conducted. Instead of relying solely on manual review or external data, FraudX uses powerful generative AI agents to mimic the behavior of experienced fraud investigators.
These agents don’t just scan documents—they understand them. Drawing on a library of over 60 red flags developed in collaboration with seasoned investigators, FraudX reviews the entire history of a claim to identify inconsistencies, contradictions, and anomalies that may signal fraudulent activity.
Every claim tells a story. But that story stretches across thousands of pages and months or years of documentation. It’s easy to lie once. It’s much harder to lie consistently across medical records, legal filings, wage statements, and more. FraudX picks up where human memory and time limits leave off—surfacing the subtle, hard-to-detect signs of deception buried deep in the data.
.png)
At the core of the platform is the FraudX Score — a risk score assigned to each claim that reflects the presence and severity of known fraud indicators. Developed using real-world investigative techniques, the FraudX Score gives you:
• A fast, standardized way to triage claims
• Rapid insight into what types of red flags a claim may contain such as unusual or improper medical chronology, the presence of high risk lawyers, doctors and locations in a claim, inconsistent detail of the accident, behaviors and more
• Confidence in which cases to escalate, pay or close
•. Consistent, transparent, bias-free criteria for scoring claims
FraudX pinpoints the “needle in the haystack”, automatically linking each AI-generated insight to the exact sentence, form or image buried inside a 20,000-page case file. With deep document understanding and chain-of-custody tracking, it pulls the primary sources you need—ready to be stamped as exhibits and taken straight to court—so investigators spend minutes verifying rock-solid evidence instead of days hunting for it.
The FraudX home screen gives managers instant control over large and complex caseloads. With one glance, they can see how many claims, medical providers, and law firms are flagged as high fraud risk. Smart sorting and filtering tools let users bring the riskiest claims to the top, while visual indicators like fraud scores and age of claim help prioritize investigations. Managers can also drill into specific doctors and attorneys tied to suspicious patterns—no more bouncing between systems or spreadsheets. It’s a command center for fraud oversight, built for speed, clarity, and action.
FraudX is built on top of GroundX, EyeLevel’s industry-leading AI platform trusted by global leaders like Air France, Samsung, Dartmouth, and over 4,500 developers worldwide. GroundX has securely processed more than 8 billion tokens of AI data across some of the most sensitive and complex environments and we recently topped the rigerous public benchmark for AI accuracy, beating solutions from OpenAI, Antrhopic and even outscoring humans.
Backed by a team that helped build IBM Watson and led advanced AI research at scale, EyeLevel brings deep expertise in enterprise-grade AI. With this foundation, FraudX delivers not only cutting-edge fraud detection but the security, accuracy, and scalability that regulated industries demand.
