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Dialogue to Detection: A Multimodal Hybrid NLP Pipeline for Insurance Fraud Detection

paperactiveprovisionaldialogue-to-detection-a-multimodal-hybrid-nlp-pipeline-for-insurance-fraud-detection-8510a1bd·1 events·first seen 13h ago

Aliases: Dialogue to Detection: A Multimodal Hybrid NLP Pipeline for Insurance Fraud Detection

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3arXiv · cs.CL·13h ago·source ↗

Multimodal NLP pipeline for insurance fraud detection at FNOL using synthetic dialogue and audio

A new arXiv preprint introduces a synthetic multimodal framework for insurance fraud detection at the First Notice of Loss (FNOL) stage, combining ASR, speaker diarisation, NER, regex extraction, LLM-RAG retrieval, and speaker embeddings into a rule-based risk scoring system. The framework generates synthetic agent-customer dialogue transcripts and two-speaker audio to address the scarcity of multimodal fraud datasets. Component-level evaluations show stability and transfer potential, offering a reproducible baseline for multimodal fraud detection research.