Addendum A / Insurance
Claims verification, fraud detection, SIU support, catastrophe assessment, and underwriting.
Claims Decision Disclaimer
“The geographic analysis of image(s) submitted in connection with claim no. [CLAIM #] was performed by Oceanir, a probabilistic geo-estimation system built on machine-learning models. This analysis indicates [FINDING] with [CONFIDENCE] confidence. This result is an investigative tool only and is not a forensic determination. It has been reviewed by [ADJUSTER/INVESTIGATOR NAME, LICENSE #] on [DATE] and is one factor among others considered in the evaluation of this claim.”
Fraud Referral Disclaimer
“Geographic analysis by Oceanir has identified potential inconsistencies in images submitted with this claim. This finding has been referred to [SIU/FRAUD UNIT] for further investigation. No coverage decision has been made based solely on this model-generated analysis.”