AI in Insurance Fraud Investigation: What Actually Works for Investigator Teams in 2026
If you have spent time in a counter-fraud team over the last few years, you will have sat through more than one conversation about what...
The Claims Investigation Automation Workbench
For insurance investigation teams.
Plug into detection and core systems to triage, progress and close fraud cases automatically, with consistent decisions and audit-ready controls.
Technology Partner of the Year
Insurance POST Claims & Fraud Awards 2025
FINALIST | Insurance Startup Award
Insurance Times Tech & Innovation Awards 2025
Discover how FraudOps transformed Zurich's Investigative Efficiency
"FraudOps has transformed how we manage our investigations from initial receipt of referral right through to investigative outcome. Far too many fraud tools focus on detection and neglect investigation case management - something FraudOps unique offering delivers exceptionally well. FraudOps has helped us drive efficiency savings across the investigation lifecycle, stronger management of referrals and better operational management of our fraud function. It has also been a key component of our intelligence management strategy."
David Clements
Claims Fraud Operations Manager
Zurich Insurance
Meet Our CIU Assistants
Supercharge every stage of the claims lifecycle with three AI agent assistants
purpose-built for insurance
Investigation Agent
Intel Agent
Claims Admin Agent
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.
Our Industry Insights
Crash for Cash Fraud in 2026: How Organised Rings Have Professionalised and What SIUs Need to Do Differently
The crash for cash fraud that most SIU teams were originally built to catch look quite different to the ones arriving in investigation queues today....
Fraud Data Quality: Why It Determines the Quality of Everything in Your Counter-Fraud Operation
Every counter-fraud operation runs on data. Detection models are fed data to identify suspicious patterns. Investigators draw on data to build their cases. Management information...
