Top 10 Best Insurance Fraud Prevention Software of 2026

Shift Technology is an AI-powered platform specializing in insurance fraud prevention and claims automation. It leverages advanced machine learning algorithms to detect fraudulent claims in real-time across auto, health, property, and specialty insurance lines. The solution identifies suspicious patterns, fraud networks, and outliers while accelerating legitimate claims processing to reduce costs and improve efficiency.

FRISS is an AI-powered insurance fraud prevention platform that detects fraud in real-time across claims, underwriting, and policy lifecycle processes. It uses advanced machine learning, behavioral analytics, and global data consortiums to deliver precise risk scores and actionable insights, helping insurers reduce losses and false positives. The solution integrates seamlessly with existing core systems, enabling proactive fraud management without disrupting operations.

SAS Fraud Management is an enterprise-grade analytics platform specializing in real-time fraud detection and prevention for industries like insurance. It employs advanced AI, machine learning, anomaly detection, and network analysis to identify fraudulent claims, applications, and behaviors. The solution includes case management, entity resolution, and customizable rules engines, enabling insurers to reduce losses and streamline investigations.

FICO Falcon Fraud Manager is a leading enterprise fraud prevention platform that uses advanced AI, machine learning, and behavioral analytics to detect and prevent insurance fraud in real-time across claims, underwriting, and policy management. It integrates consortium-shared intelligence from millions of transactions to identify sophisticated fraud rings and anomalies. The solution provides automated decisioning, reducing manual reviews while minimizing false positives and financial losses for insurers.

NICE Actimize offers a comprehensive AI-powered fraud prevention platform designed specifically for the insurance industry, detecting fraud across claims, underwriting, and policy lifecycle stages. Leveraging machine learning and advanced analytics, it identifies anomalies, suspicious networks, and fraud rings in real-time while providing tools for investigations and compliance. The solution integrates seamlessly with existing insurance systems to reduce false positives and enhance operational efficiency.

Verisk Fraud Solutions offers a comprehensive suite of analytics and data intelligence tools designed to detect, investigate, and prevent insurance fraud across property, casualty, auto, and health lines. Leveraging massive shared databases like ClaimSearch, which contains data on over 1.5 billion claims, it enables insurers to identify patterns of suspicious activity and match claims in real-time. The platform incorporates AI-driven predictive modeling, link analysis, and workflow automation to streamline fraud operations and reduce losses.

LexisNexis Risk Solutions is a robust platform offering advanced fraud detection and prevention tools specifically designed for the insurance industry, utilizing vast proprietary data assets, AI-driven analytics, and link analysis to identify fraudulent claims and rings. It provides real-time risk scoring, identity verification, and investigative workflows that help insurers reduce losses and streamline operations. The solution integrates with core insurance systems for seamless deployment across claims, underwriting, and policy management processes.

Feedzai is an AI-powered risk management platform specializing in fraud prevention for financial services, including insurance, by leveraging machine learning for real-time transaction and behavioral analysis. It detects insurance fraud such as fake claims, policy abuse, and identity theft through adaptive models that evolve with emerging threats. The solution integrates with core insurance systems to provide actionable insights and reduce false positives, helping insurers minimize losses while streamlining operations.

CLARA Analytics is an AI-powered platform tailored for insurance carriers, specializing in fraud detection, claims optimization, and leakage reduction across lines like workers' compensation and P&C. It leverages machine learning models to analyze claims data in real-time, identifying fraudulent patterns, predicting claim severity, and providing explainable insights to investigators. The solution integrates with existing claims systems to streamline workflows and deliver measurable ROI through reduced payouts.

Quantexa is a Decision Intelligence platform specializing in contextual entity resolution and network analytics to detect and prevent insurance fraud. It integrates disparate data sources to uncover hidden relationships, fraud rings, and suspicious patterns in claims data, enabling real-time risk scoring and automated decisioning. The solution helps insurers reduce false positives, accelerate investigations, and improve compliance through AI-driven insights.