Fraud Detection Solutions for Every Insurance Line of Business
95%
Decrease in Outstanding
Referrals
50,000+
Settled Investigations
100m+
Fraudulent Claims Managed
10+
Ready Integrations
Unified Platform for Every Insurance Line
Insurance fraud takes many forms across different insurance lines of business, from staged accidents in motor claims to ransomware attacks targeting cyber policies. Traditional systems rarely account for these variations, leaving insurers with blind spots that fraud networks exploit. The lack of sector adaptability often results in slower investigations, higher claim leakage, and wasted resources.
FraudOps transforms this with sector-specific fraud detection that tunes rule-sets, data layers, and dashboards for every business line. Each claims team gets tools aligned to their unique needs, while executives access enterprise-wide visibility and performance insights.
Tailored dashboards align with insurance lines of business, giving investigators only the most relevant insights.
Rule-sets adapt to specific claim types, improving accuracy and reducing false positives in fraud detection.
Public, commercial, and specialty portfolios benefit from unified workflows without duplicate systems or tools.
Centralised reporting delivers seamless cross-sector oversight, avoiding silos and fractured risk management approaches.
Smarter Fraud Solutions Across Industries
FraudOps delivers industry fraud solutions that work across motor, property, liability, cyber, marine, and niche markets. By training models on millions of historic claims and updating continuously with fresh intelligence, the platform adapts to shifting risk profiles and regulatory environments. Each sector benefits from its own tuned workflows while still connected to a common enterprise spine.
This cross-sector fraud prevention ensures insurers balance operational speed with investigative accuracy, protecting both individual business lines and the enterprise. The result is measurable efficiency: faster triage, stronger compliance, and clear demonstration of value in every claim decision.
Models adapt to evolving loss trends in property, liability, motor, cyber, and specialty insurance portfolios.
Cross-sector fraud prevention strengthens oversight by consolidating enterprise intelligence in one investigation platform.
Audit trails ensure transparency and regulatory compliance across all industry fraud solutions and workflows.
Continuous intelligence updates support proactive detection, reducing delays and investigative blind spots across insurance lines.
Experience how FraudOps adapts to every insurance line with tailored detection and investigation workflows.
One Platform, Tailored to Each Sector
Fraud is never uniform across insurance lines. Each sector carries its own vulnerabilities, risks, and fraud methods. Motor claims are targeted differently from home insurance, while travel and health face distinct challenges altogether. FraudOps provides insurance lines of business fraud detection built to adapt to each scenario. By tuning models, workflows, and detection rules to these contexts, investigators gain sharper accuracy and faster results. This sector-focused approach strengthens insurers against typology-driven fraud, helping protect portfolios while maintaining efficiency and fairness in managing claims.




Commercial Lines
Commercial insurance fraud brings higher values, complex documentation, and multiple stakeholders, making it harder to investigate. Each line carries its own typologies, from property fires to professional negligence claims. FraudOps delivers insurance lines of business fraud detection with workflows tuned to commercial environments. By applying sector-specific fraud prevention, insurers improve accuracy, reduce leakage, and maintain fairness while handling large-scale, high-value claims.




Specialty Lines
Specialty insurance involves high-value, complex risks across global markets. From maritime trade to cyber incidents, each line demands unique fraud detection. FraudOps delivers sector-specific fraud prevention tools that address these distinct challenges. With tailored workflows, analytics, and intelligence, the platform empowers investigators to manage fraud effectively across marine, aviation, cyber, and credit or political risk. This ensures both operational efficiency and strong protection against specialized fraud typologies.




See how insurers reduced losses with sector-specific fraud prevention and cross-line resilience.
Why Sector Specific Matters
Fraud in one insurance line looks nothing like fraud in another. A staged crash ring operates differently from a ransomware scheme, and liability claims differ again. FraudOps delivers sector-specific fraud prevention by tuning workflows, rules, and analytics to the unique context of each line. This flexibility enables insurers to strengthen fraud detection without sacrificing cross-line oversight.




Cross-Line Strength
Fraud schemes rarely stay confined to one line of insurance. Organized rings exploit multiple sectors, shifting tactics across motor, property, and liability claims. FraudOps provides industry fraud solutions that unify intelligence across all lines, enabling insurers to connect cases, reuse investigation knowledge, and strengthen oversight. This approach enhances resilience against fraud networks operating across diverse insurance portfolios.




Decision Support Systems
Fraud investigations often involve judgment calls under pressure. FraudOps strengthens those decisions with systems designed to provide structured, evidence-backed guidance. From real-time risk scores to resource planning tools, every recommendation is rooted in data. These capabilities improve consistency, reduce uncertainty, and align investigation choices with broader business and compliance objectives.

Whether suggesting document reviews, escalation paths, or case closures, these insights are tailored to investigation context. Recommendations adapt as new evidence is added, ensuring investigators stay aligned with protocols. This guided decision-making improves accuracy, reduces oversight gaps, and supports quality-driven outcomes across all fraud case workflows.

Tools
Risk levels are continuously updated as investigations progress, allowing for smarter task allocation and faster resolution of high-risk claims. Built-in visualisations help teams quickly understand which cases need urgent attention and why. This not only improves efficiency but also supports compliance documentation by making risk evaluation steps transparent and auditable. It ensures decisions are made systematically and defended with clear evidence.

Suggestions evolve dynamically as new evidence enters the system, helping to avoid missed steps or premature decisions. This built-in guidance supports consistency across teams and improves onboarding for newer investigators. By combining process knowledge with smart prompts, teams achieve better alignment, reduced variance in decisions, and more predictable case outcomes.

These insights help managers assign resources more effectively and anticipate investigation delays. Data-driven dashboards offer real-time inputs on task distribution, case load balance, and backlog risk. With clearer visibility into operations, leaders can reallocate efforts where most needed and maintain consistent case outcomes even under shifting workloads.
Compliance and Governance
Meeting regulatory expectations and internal policy standards is essential for fraud operations. FraudOps reinforces this through systems that document, enforce, and monitor every step of the investigation process. By maintaining full audit trails, supporting policy adherence, and ensuring data security, it helps teams stay aligned with external regulations and internal governance models, while enhancing confidence in outcomes.

The platform ensures that all necessary documentation is captured, logged, and easily retrievable for audits or reviews. Alerts and validations flag missing elements before cases can progress, ensuring regulatory readiness throughout. Customisable rules reflect jurisdiction-specific mandates, giving teams flexibility without compromising structure. These tools reduce manual compliance checks and ensure standardisation across regions. With automated documentation and real-time monitoring, organisations stay audit-ready and focused on quality-driven investigation outcomes.

Through built-in workflows and permission-based access, FraudOps delivers fraud case insights that show where governance lapses may occur and how they can be prevented. Custom governance settings can vary by department or jurisdiction, offering flexibility alongside accountability. These frameworks also make it easier to onboard new team members, drive compliance culture, and maintain operational standards across case types.

This supports better real-time reporting and minimises risks tied to oversight failures. Case actions are monitored and flagged when policies are bypassed, enabling managers to intervene before issues escalate. Enforcement rules are configurable, allowing organisations to reflect policy updates quickly across workflows. With stronger enforcement, investigation quality improves, and operational discipline is preserved even in high-volume environments.

Timeline views help trace decisions and provide critical evidence in legal or compliance reviews. Data is stored securely and can be exported for third-party auditing or internal review. Teams can use these records to support root cause analysis, uncover process bottlenecks, and demonstrate accountability. This transparency supports both quality control and regulatory defence.
Integration and Customisationn

System Integration

Custom Workflows

Flexible Dashboards

Team-Level Configuration

Reporting Compatibility

Scalable
Deployment
Comprehensive Sector Fraud Detection Guide
Gain detailed insights with our comprehensive sector fraud detection guide, designed to help insurers understand the specific risks across personal, commercial, and specialty lines. This resource explains how insurance lines of business fraud detection can be applied effectively to each sector, highlighting common fraud typologies, regulatory considerations, and operational pressures. By reviewing sector-specific strategies, insurers can strengthen fraud prevention frameworks, improve investigative accuracy, and ensure consistent protection across portfolios. Download the guide to explore tailored approaches for fraud resilience.