AI Fraud Detection Software | Case Management Platform

Fraud Case Management Software

for Insurance Investigation Teams

Discover how FraudOps transformed Zurich's Investigative Efficiency

Our partnership with Toolagen has been very successful and we look forward to working with them in the future. The team are technically excellent and works in a highly collaborative, creative and agile fashion. Toolagen clearly enjoys working in true partnership and takes real pride in delivering a solution which doesn’t just deliver against core requirements but delivers the best user experience possible.

David Clements
Claims Fraud Operations Manager
Zurich Insurance

Transformative Success

95% Reduction in Open Fraud Cases in Three Months

Our team has successfully reduced open fraud cases by 95% within three months. This accomplishment has led to a substantial enhancement in referral quality, showcasing our dedication to swift and effective resolutions.

Boosting Efficiency

40% Faster Claims Processing with Automation and Collaboration

By automating workflows and enhancing collaboration, we've increased claims processing speed by 40%. This improvement leads to faster resolutions and greater efficiency, benefiting both our operations and customer satisfaction.

Uncovering Fraud

£100 Million in Suspected Fraud Claims Investigated

Over £100 million worth of suspected insurance fraud claims have been investigated through our dedicated fraud case management platform built to streamline investigations, boost collaboration, and drive faster resolutions.

Why FraudOps?

A solution built by insurers for insurers

Referral Management

Streamline fraud tracking, assign cases, enable 360-degree feedback for claim handlers, and enhance collaboration for faster, more effective fraud response.

Investigation Management

Consolidate evidence, collaborate seamlessly, and use automated workflows to accelerate investigation process and optimise results.

Case Management

Resolve fraud cases, their investigation and tracking, with ease to ensure efficient fraud management, prevention, and mitigation.

Intelligence Management

Transform data into actionable insights. Identify suspicious patterns, track trends, and combat and manage fraud threats with intelligence management.

Operations Management

Streamlines fraud prevention process by optimising workflows, automating rule enforcement, and ensuring policy adherence.

Reporting & Analytics

Get real-time insights, use dashboards and anomaly detection to assess risks, enhance accuracy, and strengthen fraud prevention strategies.

Smarter Fraud Investigations

FraudOps has helped teams cut fraud losses by 40%, driving faster resolutions and improving case quality through:

AI-Augmented Triage

Helps SIU and CIU teams prioritise high-risk referrals quickly with intel-led, resource-light decisioning.

Workflow Visibility

Gives teams one place to manage referrals, tasks, and escalations—keeping investigations on track.

Audit-Ready Reporting

Automatically captures every step for clear, consistent, and defensible outcomes.

System Integration

Works with existing fraud detection tools to orchestrate, not replace, fraud investigations.

Improve your Investigation Teams

Fraud is becoming more advanced—don’t fall behind.
Join a growing network of insurers using smarter fraud prevention.