Valantor launches FraudX for insurance fraud probes

Valantor has launched FraudX for insurance fraud investigations, with more than 8,000 claims already on the platform.

The product is aimed at insurers, third-party administrators, self-insured organisations and insurance defence law firms handling complex claims. It was designed initially for construction liability, property and general liability cases, where investigators often work through large volumes of medical records, bills, depositions, surveillance reports, photographs and legal filings.

The launch comes as insurers face growing concern about the scale and sophistication of fraud. Industry estimates cited by Valantor put the annual cost of insurance fraud to the US economy at more than USD $308 billion, while claim files have also become larger and harder to review through manual processes alone.

According to Valantor, FraudX reviews full claim files and produces medical and claim chronologies. It also highlights inconsistencies and links between claimants, providers, attorneys and other parties, with each finding tied back to the source material so investigators can check the underlying evidence.

Valantor said the system can analyse claim documentation up to 40 times faster than traditional manual review. Users can also submit questions in plain English and receive responses based on the contents of a claim file rather than a general summary of documents.

The tool is built on Valantor's visual intelligence platform and uses GroundX technology from EyeLevel. It can ingest documents in multiple formats, including ISO reports, site reports and recorded statements, and can be deployed in cloud, private cloud, virtual private cloud, on-premise and air-gapped environments.

Investigation burden

Special Investigation Units, adjusters and defence counsel are under pressure to identify suspicious activity before claims become more expensive. In many cases, that means reviewing thousands of pages for a single investigation and tracing patterns that may span several people or organisations.

Neil Katz, Chief Product Officer at Valantor, said the volume of evidence has become a central obstacle in fraud work.

"Insurance investigations are a data problem as much as an investigative one. Every claim contains thousands of pages of evidence, but investigators simply don't have the time to manually connect every fact, relationship and inconsistency. FraudX helps them spend less time searching for information and more time making informed investigative decisions," Katz said.

That pitch reflects a broader trend in insurance and legal services, where technology suppliers are focusing less on document summarisation and more on systems that can present traceable findings from large case files. In fraud investigations, the ability to show where a conclusion came from can matter as much as the conclusion itself, particularly if decisions are later challenged.

Valantor said FraudX is intended to support investigator judgement rather than replace it. The platform is positioned as a way to reduce time spent on document review so that experienced investigators can focus on decisions, interviews and case development.

Early users

The Willis Law Group, which Valantor identified as a user of the platform, endorsed the product. The law firm's Chief Executive Officer pointed to speed and pattern detection as the main benefits.

"FraudX is an absolute game changer for how the industry fights insurance fraud with AI. Its speed, accuracy and ability to uncover hidden patterns set a new standard for modern investigations," Willis said.

The launch places Valantor in a market where insurers and their advisers are seeking more targeted AI tools for claims handling, legal review and fraud detection. While many AI systems have entered back-office insurance work in recent years, vendors are increasingly trying to distinguish products built for regulated and evidence-heavy tasks from general-purpose software.

For claims teams, the challenge is not only detecting suspicious conduct but doing so in a way that can be documented and defended. Valantor's approach centres on that requirement, with source-linked findings and full-file review presented as the product's main selling points.

Customers have already committed more than 8,000 insurance claims to the platform, according to Valantor.