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Insurance

Reducing fraud losses by 35%

A multi-line insurer used FEME fraud detection to score every claim in real time, surfacing organized-fraud networks investigators had been missing.

Challenge

Organized fraud rings were slipping past manual review, while genuine policyholders waited on slow, blanket investigations.

Approach

Real-time risk scoring on every claim with behavioral anomaly detection and graph-based network analysis, surfaced to investigators through a prioritized workbench.

Results

  • Real-time risk scoring on 100% of claims
  • Uncovered 4 organized fraud rings
  • Sped legitimate payouts by 40%
  • <1s risk score per claim

Free tools

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