Pilot Configuration
Pilot Phase (Scoped Evaluation)
Up to 12 weeksTypical scope: multi-country, weekly updates, multiple categories
- Real data from real sources
- Live dashboards or export feeds
- Validate scope, refresh cadence, quality
- Fixed price, no ongoing commitment
Most teams start here to validate fit before expanding.
Now, schedule a short call below to confirm scope and start the pilot, or build something new.
or email us at paul@jsonify.co
Data sources are the websites and apps where information will be collected from. These can be changed or expanded at any time. This is turned into data rows.
| id | Source | DocumentTitle | PublicationDate | Region | KeyFindings | SeverityRating | RecommendedActions | LastUpdated | ||
|---|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
Emerging Fraud Schemes in Property Claims: 2026 Q1 Bulletin | Feb 1, 2026 | United States | Increase in staged water damage claims using tampered plumbing; coordinated ring of contractors submitting duplicate invoices; rise in photo-manipulation in claim submissions. ... show all |
High | Enhance forensic inspection protocols; deploy image forensics and metadata checks; cross-check contractor invoices against registries; increase claimant identity verification. ... show all |
Feb 3, 2026 | ||
| 2 |
|
Insurers Combat Synthetic Identity Fraud with AI | Feb 2, 2026 | North America | Synthetic identities used to file multiple small auto claims then escalate; mobile app onboarding loopholes exploited. ... show all |
Medium | Integrate device fingerprinting, AI-based identity scoring, real-time data sharing with bureaus; mandatory secondary verification for new claimants. ... show all |
Feb 4, 2026 | ||
| 3 |
|
Emerging Trends: Fast-Track Claims and Fraud Tradeoffs | Jan 31, 2026 | United States | Faster adjudication pipelines increase payout errors; fraudsters exploit express lanes for low-value property claims. ... show all |
Medium | Implement sampling audits on fast-track claims; set dynamic thresholds for manual review; require additional evidence for repeat claimants. ... show all |
Feb 2, 2026 | ||
| 4 |
|
Auto Claims Fraud: Rental Car Collusion Networks | Feb 3, 2026 | Global | Coordinated networks between drivers and rental agencies to inflate damage; staged multi-vehicle loss claims concentrated in tourist hubs. ... show all |
High | Strengthen rental partner vetting; audit damage reports with telematics and geolocation; introduce mandatory independent inspections for high-risk rentals. ... show all |
Feb 4, 2026 | ||
| 5 |
|
Agency Advisory: Cyber-Enabled Claims Manipulation | Feb 1, 2026 | United States | Hackers altering claim records and timelines to bypass fraud detection; use of deepfakes in claimant interviews rising. ... show all |
High | Adopt immutable logs (blockchain/ledger), multi-factor authentication for claims systems, vetted video interview protocols with liveness detection. ... show all |
Feb 3, 2026 | ||
| 6 |
|
Model Update: Predictive Scoring Adjustments for 2026 | Jan 30, 2026 | Global | Updated score weights for claim frequency and claimant history; improved detection of repeat low-severity claims. ... show all |
Low | Update deployment of scoring models, retrain staff on model interpretation, schedule monthly performance reviews. ... show all |
Feb 2, 2026 | ||
| 7 |
|
Market Impact: Fraud Loss Trends Affecting Insurer Ratings | Feb 2, 2026 | North America | Elevated fraud reserves for specialty lines; insurers with weak anti-fraud tech face rating pressure. ... show all |
Medium | Increase transparency in reserve methodologies; invest in anti-fraud technologies; contingency planning for rating downgrades. ... show all |
Feb 4, 2026 | ||
| 8 |
|
Whitepaper: Claims Transformation and Fraud Prevention | Jan 29, 2026 | Global | Claims automation must be paired with anomaly detection; human oversight reduces false positives while catching complex fraud. ... show all |
Low | Adopt hybrid human-AI workflows, continuous model monitoring, invest in upskilling adjusters in analytics. ... show all |
Feb 1, 2026 | ||
| 9 |
|
Regulatory Spotlight: ID Verification Standards for Insurers | Feb 3, 2026 | Europe | Emerging EU guidance recommends standardized digital ID checks and audit trails for cross-border claims. ... show all |
Medium | Align KYC processes with new guidance, implement cross-border data sharing agreements, document audit trails. ... show all |
Feb 4, 2026 | ||
| 10 |
|
Claims Fraud: Behavioral Analytics Case Studies | Feb 1, 2026 | APAC | Behavioral scoring flagged 23% more fraudulent claims in pilot; anomaly clusters linked to call-center scripts. ... show all |
Medium | Deploy behavioral analytics across channels, retrain call centers on red-flag behaviors, run targeted investigations on clusters. ... show all |
Feb 3, 2026 | ||
| 11 |
|
Operational Excellence in Claims: Balancing Speed and Control | Jan 31, 2026 | Global | Best-practice insurers use rapid triage plus tiered controls; cost savings from fraud reduction exceed tech investment. ... show all |
Low | Implement triage rules, invest in centralized intelligence hubs, measure ROI quarterly. | Feb 2, 2026 | ||
| 12 |
|
Industry Report: Insurer Claims Processing Benchmarks 2026 | Feb 2, 2026 | United States | Median time-to-settle decreased, but fraud-related chargebacks rose in metropolitan areas. | Low | Benchmark processing SLAs, increase urban fraud monitoring, allocate resources for high-density corridors. ... show all |
Feb 4, 2026 | ||
| 13 |
|
Tech Spotlight: Use of Satellite Imagery to Verify Catastrophe Claims | Feb 1, 2026 | Global | Satellite and drone imagery accelerate verification for large-loss property claims; reduces duplicate payouts. ... show all |
Medium | Integrate satellite feeds into claim intake, partner with imagery providers, set geospatial validation workflows. ... show all |
Feb 3, 2026 | ||
| 14 |
|
Guidance: Contractor Licensing Checks to Prevent Inflated Repairs | Feb 2, 2026 | United States | Unlicensed contractors involved in inflated repair schemes; falsified certificates common in emerging hotspots. ... show all |
High | Require contractor license verification APIs, maintain contractor blacklist, tie payments to verified milestones. ... show all |
Feb 4, 2026 | ||
| 15 |
|
Investigation: Organized Automobile Repair Fraud Rings Dismantled | Feb 3, 2026 | United States | Network used VIN cloning and staged accidents; recovered $2.4M in fraudulent payouts in recent enforcement action. ... show all |
High | Share VIN alerts across carriers, deploy telematics validation, collaborate with law enforcement. | Feb 4, 2026 | ||
| 16 |
|
Consumer Alert: Beware of Third-Party Claims Management Scams | Feb 2, 2026 | United States | Scammers posing as TPAs request upfront payments or redirect settlements to fraudulent accounts. | High | Educate customers about official channels, require payouts only to verified bank accounts, implement notification alerts for payee changes. ... show all |
Feb 3, 2026 | ||
| 17 |
|
Agent Bulletin: Red Flags in Flood and Hail Claims | Jan 30, 2026 | United States | Clustering of similar claims in same neighborhoods with identical repair estimates; surge of new contractors post-event. ... show all |
Medium | Increase neighborhood-level correlation checks, verify contractor relationships, require photographic progression evidence. ... show all |
Feb 1, 2026 | ||
| 18 |
|
Claims Data Feed: New Anomaly Rules Released | Feb 4, 2026 | Global | Rules target claimant frequency, invoice duplication, and inconsistent vehicle telematics; reduces false negative rate in pilots. ... show all |
Low | Adopt latest rule pack, run parallel testing for 30 days, update adjudication workflows accordingly. | Feb 4, 2026 | ||
| 19 |
|
Alert: Underwriting Impact from Increase in Fraudulent Small Business Claims | Feb 3, 2026 | North America | Small commercial property claims exhibit higher incidence of falsified business interruption documentation. ... show all |
Medium | Tighten documentation requirements for BI claims, require third-party verification of business operations, reassess premiums for high-risk segments. ... show all |
Feb 4, 2026 | ||
| 20 |
|
Survey: Insurer Readiness for Synthetic Documents and Deepfakes | Feb 2, 2026 | Global | 60% of surveyed firms lack mature defenses against deepfakes; appetite for centralized intelligence platforms growing. ... show all |
High | Invest in multimedia authentication tools, train claim handlers on multimedia forensics, participate in industry information sharing. ... show all |
Feb 4, 2026 | ||
| 21 |
|
Claims Automation Playbook: Governance to Reduce Fraud Exposure | Jan 29, 2026 | EMEA | Governance gaps create blind spots exploited by fraudsters; change control for auto-decision rules often weak. ... show all |
Medium | Establish automation governance boards, implement audit trails for decision rules, periodic red-team testing. ... show all |
Feb 1, 2026 | ||
| 22 |
|
Analysis: Cross-Border Fraud Patterns in Travel Insurance Claims | Feb 3, 2026 | Global | Coordinated claim farming in travel hotspots; fake medical certificates and collusive clinics prevalent. ... show all |
High | Require authenticated medical documentation, integrate cross-border provider databases, flag claims from known hotspots for manual review. ... show all |
Feb 4, 2026 | ||
| 23 |
|
Case Study: Zero-Trust Architecture for Claims Processing | Feb 2, 2026 | Global | Zero-trust reduces internal manipulation of claims data and limits lateral movement by bad actors. | Low | Adopt least-privilege access, enforce encryption and continuous monitoring, run phased zero-trust rollout for claims systems. ... show all |
Feb 3, 2026 | ||
| 24 |
|
Regional Report: Claims Fraud Hotspots in Major Metro Areas | Feb 1, 2026 | United States - Metro Focus | High-density urban corridors show repeat claimant clusters and contractor fraud; surge in small-value staged claims. ... show all |
Medium | Deploy city-specific detection models, partner with local law enforcement, allocate investigative resources to hotspots. ... show all |
Feb 3, 2026 | ||
| 25 |
|
Feature: Use of Blockchain to Secure Claim Records | Feb 4, 2026 | North America | Pilots show immutable claim records reduce post-payment tampering; challenges include integration and cost. ... show all |
Low | Pilot blockchain for high-value claims, evaluate TCO, ensure interoperability with legacy systems. | Feb 4, 2026 | ||
| 26 |
|
Regulatory Notice: Mandatory Reporting Enhancements for Fraud Cases | Feb 3, 2026 | United States | New reporting taxonomy for suspected fraud to improve cross-carrier analytics; tightened timelines for SAR submissions. ... show all |
Medium | Update compliance workflows, train staff on taxonomy, integrate automated reporting into claims platforms. ... show all |
Feb 4, 2026 | ||
| 27 |
|
Investigation: Homeowner Claim Rings Using Stolen Identities | Feb 2, 2026 | United States | Stolen PII used to open policies and submit multiple homeowner claims; payouts routed to mule accounts. ... show all |
High | Strengthen identity proofing at policy inception, monitor new policies for early claim patterns, freeze payouts pending enhanced verification. ... show all |
Feb 4, 2026 | ||
| 28 |
|
Whitepaper: Telemetry Integration to Verify Auto Claim Events | Feb 1, 2026 | Global | Telematics corroborates accident timelines and severity; helps distinguish true total losses from staged events. ... show all |
Medium | Incentivize telematics enrollment, integrate OEM data streams, create guidelines for telematics-based adjudication. ... show all |
Feb 3, 2026 | ||
| 29 |
|
Brief: Capital Implications of Rising Claim Fraud in Specialty Lines | Feb 4, 2026 | North America | Specialty lines face disproportionate severity from organized schemes; capital buffers under review. | Medium | Review reinsurance structures, increase monitoring of specialty claims, stress-test capital for fraud shocks. ... show all |
Feb 4, 2026 | ||
| Looking for more? Great news − this is just a small sample. Jsonify production workflows process anywhere from tens of thousands to millions of real data rows per run! | ||||||||||
Filters
Total Emerging Fraud Patterns Identified
Distribution of Claims Innovation Strategies by Type
Volume of Claims Fraud Reports Over Time
Successful Claims Innovation Strategies
Most Common Fraud Patterns
Key Observations on Claims Fraud and Innovations
Trends in Fraud Claims Over Time
Recent Regulatory Publications on Fraud
| Publication Date | Source | Key Findings | Relevant Strategies |
|---|---|---|---|
| 2026-01-15 |
|
Increase in synthetic identity fraud cases observed. | Implement advanced identity verification systems. |
| 2026-01-10 |
|
New patterns in claim inflation detected across sectors. | Adopt predictive analytics to identify suspicious claims. |
| 2025-12-20 |
|
Emergence of new fraud schemes targeting remote workers. | Enhance training for claims adjusters on these schemes. |
| 2025-12-05 |
|
Surge in fraudulent auto claims reported. | Use telematics data for better risk assessment. |
| 2025-11-25 |
|
Regulatory changes affecting claims processing highlighted. | Revise compliance protocols and training. |
| 2025-11-10 |
|
Data breaches leading to increased claims fraud reported. | Invest in cybersecurity measures to protect client information. |
Claims Innovation Success Rate by Source
Top 5 Countries Reporting Claims Fraud
Competitor Insurance Claim Strategies
| Source | Claim Strategy | Success Rate | Recent Innovation | Date |
|---|---|---|---|---|
|
|
Automated Fraud Detection | 82% | AI-based anomaly detection | 2026-01-15 |
|
|
Enhanced Claims Training | 75% | Virtual reality training modules | 2026-01-10 |
|
|
Claims Transparency Initiatives | 68% | Blockchain for claim verification | 2026-01-20 |
|
|
Customer Engagement Programs | 70% | Mobile app for claim submissions | 2026-01-25 |
|
|
Data-Driven Risk Assessment | 80% | Predictive analytics for risk scoring | 2026-01-30 |
Comparative Analysis of Fraud Claims by Competitor
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