Where Fraud Cases Get Lost: The Cost of Handoffs Between Claims, SIU and Legal
Every fraud case handoff between claims, SIU and legal loses context and duplicates intel work. Here is where cases stall, and how one case record...
Claims Investigation Automation Workbench
For investigation & Intelligence 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
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
£11m+
Savings Uplift
25-30%
Faster Investigation Completion
15
FTE Capacity Created
Meet Our CIU Assistants
Supercharge every stage of the claims lifecycle with three AI agent assistants
purpose-built for insurance
Investigation Agent
Intel Agent
Case Handler Agent
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 outstanding fraud referrals by 95%, 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
The Fraud KPI Most SIU Teams Should Track: Your Decline Overturn Rate
SIUs measure fraud caught and savings booked, but not how many declines get reversed. Why your decline overturn rate is the KPI that matters most.
The Real Cost of Using Spreadsheets Vs. SIU Case Management Software in 2026
Still tracking fraud cases in spreadsheets? Here's what it actually costs an SIU team in time, errors and lost audit trail.
