Leading SaaS core platform provider to the insurance industry, EIS, today announces that Sompo Japan Insurance Inc. (Sompo Japan) has selected its advanced AI fraud detection solution, ClaimGuard™, to strengthen its efforts to prevent fraudulent claims in automobile insurance. ClaimGuard will support a new fraud-focused department, which will be launched in April this year.

Leveraging ClaimGuard’s deep customization, the department will serve a pivotal role in developing effective investigation and response policies, managing fraudulent claims, and contributing to the prompt payment of legitimate claims. As the AI model continues to learn it will adjust to proactively identify Sompo Japan’s unique policy types and fraud patterns, enabling the team to stay ahead of existing and new fraud risks.

The ClaimGuard AI model will be trained exclusively on Sompo Japan’s proprietary data ensuring it can address the unique fraud risks faced by the company. Built on rapid learning, contextual analysis, and adaptive technology, it will enable the carrier’s specialist team to accurately pinpoint existing fraud patterns and detect emerging trends across the entire claims lifecycle.

In addition, ClaimGuard allows the team to identify cases that require careful handling at an earlier stage, while enabling faster processing and payments for non-suspicious claims. Customizable fraud detection thresholds will ensure they can proactively adjust to evolving fraud patterns.

“Unlike other solutions on the market, we have designed ClaimGuard to be tailored to our client’s specific data and fraud profile,” said Mike Dwyer, Chief Technology Officer, EIS. “By centralising all of the company’s data, and any other external data it wishes to include, Sompo Japan can create a data warehouse that can be investigated from various perspectives such as region, type and risk. This will not only benefit claims but can also be leveraged by different departments within the business.”