fraudgraph
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Insurance Claims Fraud Detection
Safeguard your bottom line
We help Insurers maximise profitability...rapidly detecting and reducing the cost of claims
Partners
Smaller to Medium size Insurers, MGAs and TPAs face the greatest risk from claims fraud
Yet they may have little to no AI fraud detection tools
Insurance Fraud growing at 25% per annum
$308.6bn stolen from US consumers annually
Insurance claims outstripping rapidly rising premiums
Now, for the first time, the latest fraud detection AI is within reach of of all Insurers.
Rapid Time to Value
Zero Disruption
No existing systems to replace.
No new digital infrastructure to manage.
Easy Onboarding
Connect to data sources and begin detecting fraud within hours.
Performant
Delivering savings
100x faster than our rivals
Onboarding
A simple onboarding process that
accommodates all sizes of Insurer
● A straightforward CSV data dump for
customers without a claims
management platform
● Customised, partitioned and secured
data environment for each customer, to
defence standards
● As soon as the data is uploaded into
FraudGraph, the customer can begin
analysis of claims
Increased Profitability
More Accurate
Target fraudulent claims 10x more accurately.
Leverage defence grade tech that hits the mark.
Highly Targeted
Minimise False Negatives.
Minimise False Positives.
Detecting More
Grow detection rates by over 100%.
Worth $m’s to your bottom line.
Claims Assessment
The assessment capability is built with the same
types of AI previously only accessible to Tier 1
Insurance companies
Claims with a higher propensity for Fraud are identified and described in plain language with a combination of
● Supervised & Unsupervised Machine Learning
● Probabilistic Network Graph Databases
● Advanced Entity Resolution
● Large Language Models
Offering a higher detection rate than market leading solutions consumed by Tier-1 insurers.
Increase Productivity
Stratify Risk
Focus on the most likely and costly frauds - 3x more productive.
Reducing Referral Time
From months to days.
Drastically reducing reserved capital.
Increasing Performance
Triple Investigator’s fraud discovery.
Up to $1m, per investigator, per year.
Fraud Analysis
A plain language explanation of why fraud is suspected, combined with.
● Automatic stratification of claims into ‘highest’ ⬆ risk & ’lowest’ ⬇risk of fraud & capital loss
● Directs the investigator to the claims representing the greatest risk to the business, making the most efficient use of their time.
Claims Monitoring
Simple claims interface enables an
investigator to:
● Continuously trace incoming claims and the potential cost of them to the business.
● Automatically triage the claims into priority order of work.
● Highlight the next claims to be investigated and those that are now closed or assessed to be of lower risk due to the emergence of new data.
A lean and focussed workflow, designed to enhance user experience and minimise training requirements.
See our Webinar!
In 30 minutes learn about general trends in fraud techniques and use of technology by those committing fraud, technologies more apt to keep up with techniques used by those committing fraud, and how can these technologies be made accessible to smaller insurers, MGAs and TPAs.
Connect with us on Linkedin and learn more about our approach to finding Fraud!
Companies Our Team Has Worked At
