Insurance

Insurance Claims Validation

Banking Data-Powered Insurance Claims Validation

Insurance fraud costs the industry billions while legitimate claims face delays. Fiskil validates claims by verifying supporting transaction evidence from banking data.

Claims Fraud and Slow Processing Hurt Insurers

Manual claims validation is slow, expensive, and vulnerable to fraud.

  • Fraudulent claims cost industry $3B+ annually in Australia

  • Manual validation delays claim payment by weeks

  • Receipts and invoices can be forged

  • Difficult to verify financial loss claims

  • Legitimate customers suffer delays while fraud is investigated

Transaction-Based Claims Verification

Verify claims by matching to banking transactions, providing unforgeable evidence of expenses and losses.

Expense Verification

Verify claimed expenses match actual transactions in banking data.

Receipt Validation

Confirm receipt amounts and merchants against banking transactions.

Income Loss Verification

Validate income loss claims by comparing pre- and post-incident income.

Fraud Detection

Identify fraudulent claims with no supporting transaction evidence.

How to Implement Claims Validation

Add banking data verification to your claims processing.

1

Customer Files Claim

Customer submits claim with details of loss or expenses.

2

Request Banking Verification

Customer authorizes banking access to validate claim details.

3

Match Transactions

API matches claimed expenses to banking transactions automatically.

4

Fast-Track or Investigate

Validated claims are fast-tracked while unverified claims flagged for investigation.

Key Features

Expense Matching

Match claimed expenses to specific transactions by amount, date, and merchant.

Income Verification

Validate income loss claims by comparing income before and after incident.

Travel Verification

Verify travel insurance claims with transaction location data.

Medical Expense Validation

Confirm medical expenses with transactions to healthcare providers.

Fraud Indicators

Flag claims with no supporting transaction evidence as potential fraud.

Automated Validation Reports

Generate validation reports for claims assessors with matched transactions.

Real-World Examples

Travel Insurance Provider

A travel insurer validates trip cancellation expense claims with transaction evidence.

Result: Reduced fraudulent claims by 45% and accelerated legitimate claim payment by 60%.

Income Protection Insurer

An income protection provider validates income loss with banking data.

Result: Claim assessment time reduced from 4 weeks to 3 days with automated income verification.

Health Insurance Fund

A health fund validates out-of-pocket medical expense claims.

Result: Detected $2.8M in fraudulent medical claims in first year while improving customer experience.

Technical Specifications

API Endpoints

  • POST /insurance/validate-claim
  • GET /accounts/{accountId}/expense-verification
  • POST /insurance/income-loss-validation
  • GET /insurance/fraud-indicators

Data Types

  • Transaction matches

  • Expense verification

  • Income comparison

  • Fraud risk indicators

  • Validation confidence score

  • Supporting evidence

Authentication

OAuth 2.0 / CDR consent

Real-Time Data

Yes

Frequently Asked Questions

Expense claims, income loss, medical costs, travel expenses, and financial loss claims can be validated.

Claims are matched to transactions by amount, date range, merchant name, and expense category.

Fuzzy matching handles minor differences (fees, exchange rates) with confidence scoring.

While not foolproof, transaction validation dramatically reduces fraud by requiring unforgeable banking evidence.

Validated claims can be processed 50-80% faster by skipping manual documentation review.

Yes, customers consent to banking data access specifically for claim validation.

Cash transactions (ATM withdrawals) can support cash expense claims but with lower validation confidence.

Ready to Get Started?

Join hundreds of companies using Fiskil to power their insurance applications. Get started today with our developer-friendly API.

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Banking Data-Powered Insurance Claims Validation | Fisk...