From digging around, this seems kind of a new trend. I seriously doubt that "every claim at any insurance company" is being analyzed this way. And, sure, it's possible it was in use at the company where I worked and I simply did not know. But from reading some of what you linked to, I doubt it. (Though perhaps that has changed since I left.)
From one of the sites you linked to:
"Industry research indicates 10 percent of all claims contain an element of fraud," says Wolfe, and as of the end of 2010, CNA was seeing just 3.7 percent of its claims referred as potential fraud. "That’s considerably below the industry average, and we wanted to find out how much we were missing that wasn’t identified by our adjustors."
So, yeah, that's relatively recent and the searches I did sort of imply that this is an emerging market, they are still trying to convince insurance companies to do this, etc. Insurance is a very conservative industry. They tend to be somewhat slow to adopt new technologies. They are regulated by both federal laws that cover financial companies and also federal laws that cover medical companies (like HIPAA). So they have a huge regulatory burden and this makes change especially hard. Any new tech or new processes have to really be put through their paces to see if they still pass muster on multiple fronts. The de facto result is that insurance companies are kind of sticks in the mud.
Where I worked, a lot of the software was homegrown. It had been developed in-house. They didn't like hiring outside vendors/buying outside solutions. From what I gather, they were fairly cutting edge -- though, of course, it is possible that was just company hype. Since I worked there, I sometimes knew that some statements amounted to spin-doctoring. But I did only have an entry level job and was not really expecting it to turn into a career, so I am sure there is plenty that I missed.
Thanks for replying.