ClaimVerifier AI

Advanced AI-powered fraud detection system for insurance claims with multi-layer forensics and real-time document verification.

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What We Can Do

What we do

We build and operate ClaimVerifier AI — a digital-native SaaS platform for detecting fraud in insurance claims (e.g. AI-generated or edited fake receipts and documents).

Problems we solve

We help insurers and TPAs reduce fraud, waste and abuse; speed up investigations; and cut claim losses through multi-layer forensics, database matching, and real-time verification.

Target audience

Insurers, third-party administrators (TPAs), and health ecosystems globally who process claims and need automated, AI-assisted fraud detection.

Product

What we build and offer: AI-powered fraud detection for insurance claims. Digital-native SaaS platform.

Product status

Fully launched

ClaimVerifier AI — Now Live and Scaling

Developed and fully operated by CÔNG TY TNHH MEDICONCEN VIỆT NAM, ClaimVerifier AI is in live production and immediately available for integration by insurers and TPAs. It builds directly on MediConCen's proven AI claims automation ecosystem — already supporting millions of insured lives across the region — to deliver specialized, high-accuracy fraud detection at enterprise scale.

  • Multi-layer forensics to detect AI-generated or edited receipts/documents
  • Real-time database matching (clinics, hospitals, billing patterns)
  • Automated, AI-assisted fraud flagging with minimal false positives
Fully launched

ClaimVerifier AI — Now Live and Scaling

Developed and fully operated by CÔNG TY TNHH MEDICONCEN VIỆT NAM, ClaimVerifier AI is in live production and immediately available for integration by insurers and TPAs. It builds directly on MediConCen's proven AI claims automation ecosystem — already supporting millions of insured lives across the region — to deliver specialized, high-accuracy fraud detection at enterprise scale.

  • Multi-layer forensics to detect AI-generated or edited receipts/documents
  • Real-time database matching (clinics, hospitals, billing patterns)
  • Automated, AI-assisted fraud flagging with minimal false positives
ClaimVerifier AI forensic analysis interface detecting an edited dental receipt with 87% fraud probability – suspicious high-amount scaling & polishing entry highlighted
ClaimVerifier AI in action: Real-time detection of an edited insurance claim document (dental receipt flagged as Edited with high fraud probability).

Core Capabilities & Proven Impact

How ClaimVerifier AI delivers accuracy, speed, and savings — capability and outcome in one.

Multi-Layer Forensics

Metadata and pixel analysis to detect edits, synthetic content, and AI-generated fakes — delivering 90%+ accuracy on manipulated documents.

Database Matching

Real-time verification against a vast clinic/hospital database for logos, fonts, billing norms, and patterns — enabling 75% faster investigations.

Real-Time Detection

Instant flags via checksums, pattern recognition, and anomaly checks — with minimal false positives and continuous adaptation to emerging zero-day threats.

Quantified Results

These capabilities combine to achieve 1%+ annual claim savings, faster triage, and enterprise-scale fraud prevention trusted across millions of insured lives.

90% Accuracy 75% Faster 1%+ Savings Zero-Day Ready

Leadership & Team

ClaimVerifier AI is a digital-native insurtech startup developed and operated by CÔNG TY TNHH MEDICONCEN VIỆT NAM, building on the MediConCen Group's insurtech expertise.

Management

Henry Phan

Henry Phan

MBA

CEO
CÔNG TY TNHH MEDICONCEN VIỆT NAM

Drives innovation to turn insurance claims from a cost center into a strategic advantage. With 25+ years in insurance digital transformation, he specializes in AI-powered automation—including Intelligent Document Processing (IDP) and Fraud, Waste & Abuse (FWA) analytics—to deliver superior accuracy, speed, and customer experience.

Key Expertise:
  • 25+ years in insurance digital transformation
  • AI-powered claims automation & IDP
  • FWA analytics & STP
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William Yeung

William Yeung

FSA

Co-founder & Group CEO
MediConCen Group

Actuary and insurtech entrepreneur. Supports group strategy and partnerships for ClaimVerifier AI.

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Kelvin Yeung

Kelvin Yeung

FRM

Co-founder & Group COO
MediConCen Group

Full-stack engineer and serial entrepreneur; multiple technology and entrepreneurship awards across Asia. Oversees product delivery and platform operations, supporting the Vietnam entity.

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Jenny Lau

Jenny Lau

 

Co-founder & Group CMO
MediConCen Group

Seasoned private banker and insurance advisor across Asia Pacific. Leads commercial strategy and insurer engagement for ClaimVerifier AI.

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Singo Shen

Singo Shen

PhD

AI Research Lead
MediConCen Group

PhD in Information Systems, City University of Hong Kong. Leads advanced AI development for fraud detection and generative content analysis, supporting ClaimVerifier AI.

Advisors

David Wong

Advisor / Board Member, MediConCen Group

Former CEO of multiple leading insurers. Provides strategic guidance supporting Vietnam operations.

Clifford Yang

Advisor / Board Member, MediConCen Group

Senior experience in insurance and financial services. Provides strategic guidance supporting Vietnam operations.

Eliza Cott

Advisor / Board Member, MediConCen Group

Extensive experience in insurtech and digital transformation. Provides strategic guidance supporting Vietnam operations.

Teresa Lai

Advisor / Board Member, MediConCen Group

Background in insurance and technology. Provides strategic guidance supporting Vietnam operations.

About & Traction

CÔNG TY TNHH MEDICONCEN VIỆT NAM develops and operates ClaimVerifier AI — our advanced SaaS platform for AI-powered fraud detection in insurance claims, using multi-layer forensics to combat AI-generated and edited fake documents.

Building on the proven expertise, patents, and track record of the MediConCen group (founded in Hong Kong in 2018), we deliver localized, scalable fraud prevention solutions for Vietnam, Asia, and beyond.

Key Milestones & Traction (Supported by MediConCen Group):

  • Millions of policyholders supported across Asia and the Middle East through group-level insurer and hospital network partnerships.
  • Cumulative Series A funding: USD 14.5 million (MediConCen group).
  • Patents granted: Blockchain (US, Singapore, Hong Kong); Generative AI (Hong Kong) — powering our AI innovations.
  • ClaimVerifier AI: Fully launched and in production, ready for integration by insurers and TPAs. It extends the group's AI claims automation capabilities with specialized fraud detection.

Recognition & Achievements (MediConCen Group Support)

  • Blue Innovation Challenge 2020 – Best Innovation Award (Top 10)
  • IFTA 2019 – Insurtech Diamond Award
  • Fintech Gold Award (Banking, Insurance and Capital Markets)
  • Hyperledger Fabric – Top Code Contributor in Greater China (2020)
  • Trusted by leading international insurers and major hospital networks (group partnerships benefiting Vietnam operations).
90%
Detection Accuracy
75%
Faster Investigations
1%+
Annual Savings

Awards

From MediConCen Group – powering our insurtech innovation

…more awards