Bringing Efficiency in
Fraud Case Management
with the Comprehensive Feature Set of FraudOps
95%
Decrease in Outstanding
Referrals
50,000+
Settled Investigations
£100m+
Fraudulent Claims Managed
10+
Ready Integrations
Industry Challenges
with Traditional Methods of Fraud Case Management
Lack of Visibility & Tracking
Organisations struggle to track the volume and types of fraud cases, especially those retained or referred back, leading to inefficiencies, increased costs, and poor customer experiences.
Manual & Inefficient Processes
Fraud investigation teams rely on manual, inefficient processes, such as copying and pasting data into multiple systems, resulting in inflated caseloads and slow case resolutions.
Quality & Case Analysis Challenges
Difficulties in reviewing fraud case analyses and tracking fraud handlers' work quality lead to inefficient case reviews and poor decision-making.
Lack of Data Mining & Referral Feedback Tools
No feedback tool exists to evaluate the value of referrals or intelligence. Searching for linked entities within multiple fraud cases is cumbersome due to reliance on external data feeds.
Communication & Case Prioritisation Issues
Urgent cases are manually managed without prioritisation, and identifying linked fraud cases is time-consuming and labor-intensive.
System Integration & Intelligence Management Gaps
Lack of a centralised intelligence hub makes storing and reviewing fraud-related intelligence difficult. Additionally, visual tools for identifying linked claims are absent.
Better Visibilty & Tracking
To enhance oversight of fraud case volumes and types, especially retained or referred-back cases, the Fraud Referral Report provides valuable insights by offering:
Real-time visibility & tracking
Gain instant insights into all fraud cases, eliminating blind spots.
Significant Cost reduction
Minimise unnecessary expenses by streamlining fraud investigations.
Enhanced fraud detection
Improve efficiency and accuracy in identifying fraudulent activities.
Automated & Efficient Processes
By replacing manual and inefficient processes that increase caseloads and slow down case resolutions, the Referral Portal with a 360-Feedback Loop enhances efficiency by providing:
Unified platform
Consolidates case data to reduce fragmentation and improve accessibility.
Process automation
Minimises manual effort and streamlines fraud investigations.
360° feedback loop
Enhances collaboration between fraud handlers and referrers for efficiency.
Enhanced Quality & Case Insights
Challenges in reviewing fraud case analyses and assessing the quality of fraud handlers' work can result in inefficient case evaluations and poor decision-making. Audit Logging & Case Review improves this process by providing:
audit logging
Tracks audit histories for transparency and compliance
Clear system access
Provides fraud handlers with secure and structured case visibility
Real-time reporting
Generates actionable insights to support better decision-making
Improved Communication & Case Prioritisation
Manually managing urgent cases without prioritisation and identifying linked fraud cases can be time-consuming and labor-intensive. The Case Allocation & Triage System addresses these challenges by:
Urgent case prioritisation
Marks high-risk claims for immediate attention.
Triage filtering
Identifies and manages high-priority fraud cases efficiently
Easy case linking
Connects related cases to ongoing fraud operations for better coordination.
Seamless System Integration
Most tools lack integration with other systems, and visual tools for identifying linked claims are absent. FraudOps resolves this by providing:
platform integration
Seamlessly integrates with top platforms like Telesign, Experian, Creditsafe, LexisNexis, HeadsUP, and SymphonyAI.
Enhanced cross-case analysis
Groups related fraud cases together for deeper and more comprehensive cross-case insights.
Smarter fraud investigations
Enhances operational efficiency by identifying connections and patterns more quickly.
Better Intelligence Management
Without a centralised intelligence hub, storing and reviewing fraud-related intelligence becomes challenging. FraudOps solves this by providing:
Centralised data storage
A unified hub ensures easy access and retrieval of fraud-related intelligence.
Fraud Pattern Recognition
Investigators can seamlessly connect cases and identify fraud patterns.
Efficient intelligence review
Quick access to past fraud intelligence that improves decision-making.
Effective Strategies for Fraud Management at Your Fingertips
Learn about the effective strategies to combat insurance fraud
with proven operational approaches and best practices. Optimise fraud management, prevention, compliance, and risk mitigation today!
