Hesper AI

Product

The investigation platform for insurance SIU teams

Every flagged claim gets its own AI investigator. 15 investigation phases, database verification, OSINT research, and audit-ready reports - all in hours, not weeks.

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[01] Investigation Agent

15 investigation phases, fully automated

Hesper AI replicates the complete SIU investigation workflow. Each claim gets a dedicated AI agent that runs every phase a human investigator would - from initial triage through to case resolution and regulatory filings.

Intake & Planning

01

Triage & Red Flag Detection

Initial screening identifies high-risk indicators and prioritizes cases by severity and potential exposure

02

Investigation Planning

Generates a structured investigation plan based on detected red flags, document types, and claim characteristics

03

Document Collection & Review

Aggregates all submitted documents, performs forensic analysis, and flags inconsistencies across the full document set

Verification & Research

04

Database & Index Bureau Checks

Queries NICB, ISO ClaimSearch, DMV, NMVTIS, and other industry databases for prior claims, stolen vehicles, and known fraud indicators

05

Entity & Context Verification

Validates claimant identities, business registrations, professional licenses, and claimed relationships against authoritative records

06

Background Investigation

Researches claimant history, prior claims, litigation records, and financial indicators relevant to the claim

07

Social Media & OSINT

Scans public social media, online marketplaces, and open-source intelligence for information that contradicts or supports the claim

Field & Forensic Analysis

08

Physical Surveillance

Geo-fencing analysis, scheduling optimization, and pattern analysis for cases requiring physical verification

09

Scene Investigation

Analyzes photos, videos, and location data from loss scenes to verify consistency with reported events

10

Interviews & Recorded Statements

Transcript analysis of recorded statements, detecting inconsistencies, rehearsed language, and deception indicators

11

EUO Preparation

Generates examination under oath preparation materials based on detected inconsistencies and investigation findings

12

Forensic Analysis

Deep forensic review including forgery detection, billing anomaly analysis, and forensic accounting on financial documents

Resolution & Reporting

13

Network & Ring Analysis

Maps shared doctors, lawyers, body shops, and other service providers to identify organized fraud rings

14

Case Narrative & Report Assembly

Compiles all findings into a structured, evidence-backed case narrative ready for review and action

15

Resolution & Referral

Produces denial justifications, SAR filings, compliance documentation, and referral packages for law enforcement

[02] Reports & Dashboards

Investigation outputs your compliance team can act on

Every investigation produces structured, evidence-backed outputs. No more manually compiling case files or drafting denial letters - Hesper AI delivers everything ready for review, submission, or legal proceedings.

Investigation Report

Structured, evidence-backed narrative covering every phase of the investigation. Each finding includes source references, confidence scores, and supporting evidence.

  • Executive summary with verdict
  • Chronological findings timeline
  • Per-phase analysis with evidence citations
  • Risk scoring with confidence intervals

Evidence Package

Exportable bundle of all supporting materials organized for compliance review, legal proceedings, or regulatory filings.

  • Annotated document forensics with pixel coordinates
  • Database verification results
  • OSINT findings with source URLs
  • Network analysis maps

Compliance & Regulatory

Pre-formatted outputs for regulatory submissions and internal compliance workflows.

  • SAR filing drafts
  • Denial justification letters
  • Audit trail and decision log
  • Law enforcement referral packages
hesper-dashboard

Claims Investigated

1,247

+18% MoM

Fraud Confirmed

312

25% hit rate

Avg. Resolution Time

< 60 min

vs 14 days manual

Savings Identified

$4.2M

This quarter

Recent Investigations

CLM-4821Auto - Collision
Fraud Confirmed
CLM-4819Property - Water Damage
Legitimate
CLM-4817Workers Comp - Medical
Fraud Confirmed
CLM-4815Auto - Theft
Inconclusive

Fraud by Category

Document Tampering38%
Staged Accidents24%
Inflated Claims19%
Identity Fraud12%
Provider Rings7%

[03] Integrations

Fits into your existing claims stack

Hesper AI works downstream of your existing fraud detection tools and integrates directly with your claims management system. Detection tools flag suspicious claims - Hesper AI investigates them.

Detection Layer

FRISS
Shift Technology
Verisk

Investigation Layer

Hesper AI

15-phase investigation

Claims Management

Guidewire
Duck Creek
Majesco

Claims Management Systems

Guidewire ClaimCenter

Push investigation results directly into Guidewire workflows. Hesper AI reads claim data and attaches completed reports to the claim file.

Duck Creek Claims

Bi-directional integration with Duck Creek's claims management platform. Trigger investigations on new claims, return results in-platform.

Majesco ClaimVantage

Connect Hesper AI to Majesco's cloud-native claims platform for automated investigation on flagged claims.

Fraud Detection Tools

FRISS

When FRISS flags a claim as high-risk, Hesper AI picks up the investigation. FRISS scores the risk - Hesper AI proves it.

Shift Technology

Shift detects anomalies and patterns. Hesper AI investigates the flagged claims end-to-end and produces audit-ready reports.

Verisk / ISO ClaimSearch

Hesper AI queries Verisk databases during investigation and complements their detection scoring with full investigation workflows.

[04] Security & Compliance

Enterprise-grade security, zero data retention

Insurance data is sensitive. Hesper AI is built with a zero-retention architecture - your documents are never stored, never used for training, and never leave your compliance boundary.

SOC 2 Type II

In progress

Pursuing SOC 2 Type II certification. Security controls are already implemented and operational across all infrastructure.

Zero Data Retention

Active

Documents are analyzed in-memory and discarded immediately after processing. Hesper AI never stores your documents, never trains on your data, and never retains PII.

GDPR-Ready

Active

Architecture designed for GDPR compliance from day one. No personal data is persisted. Processing happens in isolated, ephemeral environments.

Encryption in Transit & at Rest

Active

All data is encrypted with TLS 1.3 in transit. Infrastructure uses AES-256 encryption at rest for any transient processing state.

Request a Demo

See how Hesper AI investigates claims end-to-end. Book a 30-minute walkthrough with our team and bring your own documents to test.

Request Demo