The Industry Spent A Decade Learning To Flag Fraud. Working It Is Still Manual.
FraudOps is the AI-powered investigations workbench for insurance fraud teams.
Purpose-built to convert your referral pipeline into worked cases, with automation doing the admin so investigators spend their time investigating.
Insurance POST Claims & Fraud Awards 2025
In production
Insurance POST Claims & Fraud Awards 2025
We Are Not Another Tool In The Stack. We Are The Glue That Holds It Together.
Detection and screening tools are good at finding suspicion. Claims systems are good at managing claims. Data vendors are good at answering questions. None were built to run an investigation, so joining them up falls to the investigator: seven tabs, three logins and a spreadsheet.
FraudOps is the layer that binds them.
Risk Scoring And Screening
Data And Public Records
UK Industry Fraud Data
Your Core Claims System
What we are: the operational layer above your investigation team.
What we are not: a detection engine, a claims system, or a bespoke build.
Your Core System Integration Does Not Have To Come First
Most fraud technology projects stall in the same place: the integration queue. Your IT team has a roadmap, your core system is old, and the business case sits behind development capacity you do not control.
Forward The Referral Email
Or Paste A Screenshot
Integrate When It Suits You
Start in days. Integrate when it suits you.
Why A Spreadsheet Ended Up Running Your SIU
The investigator became the case system. That holds until they are on leave, until referral volume doubles, or until someone asks how a decision was reached eighteen months ago.
Purpose built for handling the end to end investigations & intelligence workflow, not custom fields bolted onto something else.
Investigators spend half the day as admins
It is time to let them do what they do best.
Work More Cases And You Will Find More Fraud
Not because they’re weak. Not enough capacity.
of manual time, aimed at the cases you’re letting go.
a year, modelled for a 50-person investigation function on a 20% success rate.
Inside The Workbench
One surface for the work an investigation actually involves.
Referral Queue
Case View
Intelligence And Search
Operational MI
AI That Does The Work, Not The Deciding
The investigator does not review the AI. The AI works for the investigator.
“Human in the loop” usually means software decides and a person signs it off. That is not what happens here. The investigator leads the case, sets the direction and makes every call. The AI does the work they would otherwise do by hand.
Case Handler Agent
Intel Agent
Investigation Assistant Agent
Nothing closes a case. Nothing clears a referral. Nothing scores a decision on your behalf. Every action is logged with what it used, what it produced and which investigator did what with it.
We do not build predictive models. We make yours useful.
"Far too many fraud tools focus on detection and neglect investigation case management."
David Clements
Claims Fraud Operations Manager
Zurich Insurance
The Questions You Are Already Asking
Is this a detection tool?
How long until we are live?
Do we need our IT team?
Will investigators actually use it?
Can we defend the AI to an auditor or regulator?
Do you do deepfake or synthetic document detection?
Security And Governance
Built on Microsoft Azure · Data residency in your region, including the US · SSO · Role-based access and permissioning · Configurable retention rules · Full audit trail across cases, decisions, searches and changes · Dedicated tenant for insurers · Cyber Essentials Plus certified
See It Against Your Own Referral Queue
Thirty minutes, your process, our workbench. We will show you where your referrals are losing time, whether or not you buy anything.
Our Industry Insights
The Fraud KPI Most SIU Teams Should Track: Your Decline Overturn Rate
