How it works
Six tiers. Three of them never call a model at all.
The model never produces the score.
It produces discrete findings, each tied to cited evidence. A deterministic rubric turns those into a number. A score that comes out of a model cannot be calibrated, cannot be reproduced, and cannot be explained to a regulator. A score computed from findings by a published rubric can be all three.
The tiers
What we do not do
- NeverState that a claim is fraudulent
- NeverRecommend denial of a claim
- NeverContact a claimant
- NeverReceive a name, address, date of birth or any personal identifier
- NeverReason from a claimant’s language, education or manner of writing
- NeverRetain a raw photograph beyond 24 hours
Honest limits
The scoring model is not yet calibrated. Calibration requires claims with confirmed outcomes, which requires a carrier. Until then every report carries a banner saying so, and no accuracy figure should be quoted from this system as a probability of fraud.
Detecting AI-generated images from pixels alone does not work reliably. Every such detector collapses on a generator it was not built against, and published accuracy figures are always measured in-distribution. Our defence is tier 1: a generated image fails against independent records. We will not quote an AI-detection accuracy number.
Three detectors are switched off. They were measured against 2,672 licence-verified real photographs and found to have no discriminative power. One of them ran backwards. They remain documented rather than deleted, so the test and its result stay visible.