Use Case
Spot fraud patterns before they cost you
Insutec flags suspicious claims and policy activity automatically, using patterns a single adjuster would never see.
Fraud shows up in patterns, not single claims
Fraud rarely shows up in a single claim; it shows up in patterns across claimants, providers, and time. Insutec continuously screens claims and policy activity for the patterns that indicate fraud, so your investigation team spends time on real cases, not false alarms.
Identify linked claims, repeat claimants, and provider patterns invisible when claims are reviewed one at a time.
A complete fraud detection solution
Insutec's fraud detection screens every claim and policy change against patterns across your entire book, not just the case in front of an adjuster. From first flag to case resolution, every step is logged, so your investigation team can move fast without losing the audit trail a regulator or auditor will ask for.
Cross-Claim Pattern Detection
Identify linked claims, repeat claimants, and provider patterns invisible when claims are reviewed one at a time.
Risk-Based Triage
Route only elevated-risk claims to investigators, so legitimate claims keep moving.
Investigation Case Management
Track fraud investigations from flag to resolution, with the evidence trail in one place.
See fraud detection in action
Get a walkthrough of how Insutec flags suspicious claims automatically.