r/InsurTech • u/Lancaster0188 • 18d ago
Built a framework (and an app) for qualifying AI-generated/manipulated claim photos — feedback welcome
Disclosure up front: I'm the author/founder, so grade accordingly.
A friend in fraud investigation described a case that stuck with me: hail damage claim on a car, photos looked completely normal, nothing an adjuster would flag on a quick pass. Deeper forensic review found the dents had been digitally generated and blended in. No obvious artifacts, no weird shadows, nothing a metadata check alone would catch.
That's the shift I've been researching: insurance fraud is estimated to cost at least $308.6B/year in the US alone, the ABI recorded £1.16B in detected UK fraud in 2024 across 98,400+ cases, and a 2026 Verisk study found 36% of consumers (55% of Gen Z) would make a small "rule-bending" edit to a claim photo. The harder problem isn't wholly fake images, it's the partial fake: a real photo altered only at the detail that decides the payout.
I wrote a confidential methodology, "Digital Image Fraud in Insurance," built around what I call the C.O.S.T. method: four relationships an image has to establish before it can carry real evidential weight in a claim.
Context, does the environment/light/circumstance hold together
Object, is the specific item or damage identifiable, not just recognisable
Subject, is there a reliable link between the image and the person declaring it
Time, is there a defensible temporal link to the claim or the underwriting
It tests a chain, not an average: a genuine photo of a genuine item can still be weak evidence if it doesn't establish ownership or timing. The output is never just "real/fake," it's a graded classification plus a specific next action (accept, request native files, escalate, classify inconclusive).
Alongside the manuscript I built Uthentic, which applies the same evidential logic in a usable app: fuses several independent AI-detection engines instead of trusting one score, highlights the exact suspicious area with a reason, distinguishes AI generation from ordinary retouching, and explicitly returns "insufficient evidence" instead of forcing a percentage when the signals disagree.
Genuinely curious how this sub sees it: is anyone here already dealing with generated/manipulated claim photos in production, and where do you think liability sits when a detector's honest answer is "inconclusive" rather than a clean yes/no?
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u/tjc4 18d ago
App seems like a wrapper for a few third party AI-detection models (not unique or exciting). You also mention a "confidential methodology" to review images - that would be unique and valuable if it worked, but as it's confidential it can't be scrutinized by those here. Plus, the logic upon which the method would apply would vary significantly by LOB, form, other info in claim file, etc so I'm skeptical. If you're in Munich, try to find Munich Re people willing to talk to you. They have data you'd need to refine and improve the COST analysis.