Amal Htait

Muhammad Shakeel Akram, Amal Htait, Abdul Hamid Sadka et al.

Insurance fraud imposes substantial financial losses and operational inefficiencies, raising premiums and impacting trust among legitimate policyholders. Early detection at FNOL remains a persistent challenge. Existing approaches rely largely on private, text-only datasets, limiting progress on multimodal methods that integrate linguistic, behavioural, and speaker-based indicators. We introduce a synthetic multimodal framework that replicates FNOL conditions. It generates agent-customer dialogue transcripts and two-speaker audios, performs ASR and diarisation. Downstream modules combine NER, regex-based feature extraction, LLM-RAG retrieval, and speaker embeddings in a rule-based risk score to flag narrative reuse, structural inconsistencies, and cross-case voice repetition while balancing sensitivity and false positives. Dataset validation and component-level evaluations show stability and transfer potential, offering a reproducible baseline beyond text-only fraud detection.

Muhammad Shakeel Akram, Amal Htait, Abdul Hamid Sadka et al.

Insurance fraud remains costly and operationally difficult, particularly in call-centre workflows where many customer interactions begin at FNOL. While recent fraud detection methods mainly rely on structured data, text, or images, repeated speaker identity across calls remains underused as an investigative signal. This paper presents DG^VoiC, a voice clustering framework for customer verification and cross-profile speaker linking on anonymised real call-centre audio. The approach combines sensitive information-aligned anonymisation, speech-focused preprocessing, sliding-window speaker embedding extraction, and cosine similarity based clustering to identify repeated speakers under real telephony conditions. The method was evaluated on 121 recordings, with a curated reference subset of 56 samples in 22 human-agreed speaker clusters. used for validation. The best configuration achieved 96% AMI, 95% ARI, 98% completeness, 100% homogeneity, and 99% V-measure. These results show that speaker clustering can provide a strong additional signal for fraud investigation by helping analysts verify speaker consistency and surface repeated voices across customers.