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Document tampering fraud

The falsification or fabrication of claim documents, invoices, photos or certificates, using editing tools or generative AI, exposed through metadata, reverse image search and verification at the source.

Definition

In May 2019, a video of Nancy Pelosi, then Speaker of the House of Representatives, circulated slowed down to make her speech sound slurred: no artificial intelligence was involved, editing software was enough, and the press used the word shallowfake to describe this cheap manipulation, as opposed to a deepfake. In insurance, document tampering fraud means falsifying or fabricating the documents that support a claim. An invoice with a changed amount or date, a damage photo lifted from another claim or from the internet, an altered medical certificate or sick note, an inflated garage estimate, a reassembled bank statement. Consumer editing software was already enough; generative AI has brought the cost down, since a picture of a dented bumper or an appliance invoice bearing a retailer's letterhead now takes a few seconds and no skill. Deepfakes, for their part, cover the synthetic video and voice used to impersonate a person, and a synthetic identity fabricates an entire customer. Here, the person and often the loss are real, only the document lies. The countermeasures rank by cost. A photo's EXIF metadata (date, device, geolocation) gives away an image taken before the loss or downloaded, but it can be stripped or edited with no effort. Reverse image search finds a photo already published online. Forensic analysis looks for recompression traces, inconsistent shadows, a font that changes halfway through a line. Some insurers also require photos to be taken inside their app, time-stamped and geolocated at the moment of the inspection, and the C2PA standard offers a way to attach signed provenance to files. The safest countermeasure is still the oldest: verify at the source, by calling the shop, the garage or the hospital that supposedly issued the document.

Its 7 cross-references, woven across the glossary's 18 categories
Document tampering fraud: Claims & settlement glossary illustration, AlgoPolis
Example

Typical case: after a bicycle theft, a policyholder submits a 2,400-euro invoice with a flawless letterhead and layout. The seller, called by the claims handler, finds the sale: a 1,240-euro bike, with two digits swapped.

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Related terms
Also known as

document fraud, document tampering, shallowfake, cheapfake, doctored invoice, manipulated photo, fake supporting document

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