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Detector is an innovative software platform for detecting, analysing and managing insurance fraud. Created by claims experts with 35 years of experience, it can be used during both claims settlement and policy underwriting.

The Detector system consists of six independent modules, and insurers can select the modules that best integrate with their systems to strengthen their ability to fight fraud.

The platform evaluates the risk of claims fraud through independent indicators, using a variety of approaches such as machine learning and geo-localisation, plus relational and socio-economic analysis.

The system is delivered via the Cloud. Easy implementation and rapid integration with in-house insurance systems make for stress-free installation.

Only minimal initial training on Detector is necessary, so your team will be ready to get the most from the platform in next to no time, to make timely and effective decisions.

Key Features

Rule-Based Analysis: Detector incorporates a robust set of rules and indexes designed to aid specialists in the systematic investigation of suspicious cases. This optimises the examination process and streamlines effort of precious Company’s resources.
Real-time Scoring:Detector Claims offers real-time scoring, enabling specialists to quickly ascertain the potential risk associated with a claim, enabling straight-to-processing claim settling.
Independent Risk Evaluation: Detector employs diverse methodologies in its fraud risk assessments, thus reducing the chance of false positives while preserving the capability to identify intricate fraud schema.
Data-Driven Insight: Detector leverages collective models, benefiting from the analysis of millions of claims to date.
Explainability: Detector elucidates the reasoning behind whether a claim warrants further investigation, or in the case of Detector U/W, if a quote should be postponed or declined.
Advanced Machine Learning: At its core, Detector utilises state-of-the-art machine learning algorithms. This ensures continual refinement of its internal models, proactively adjusting to emerging fraud trends and integrating user feedback.
Expert Collaboration: Developed in collaboration with insurance fraud specialists, Detector seamlessly integrates with leading claims systems, including Guidewire ClaimCenter, RGI, and MSA Clever.
Flexible Integration Options: Companies choose their integration pattern; throughout the integration exercise, the design of Detector ensures that the IT department's effort remains minimal.

Key Benefits

Enhance investigation
Following a scientific approach, Detector singles out risky claims and spots connections that would have passed unnoticed using manual checks.
Easy to Use
Thanks to the ergonomic design of the user interface, all details are easily accessible, and all data can be seen at a glance.
Specialist Excellence
Detector has been designed by business experts and represents a combination of functional experience and innovation, perfected over the past five years.
Better Insight
By shedding light on hidden and recurring relations between the parties involved, Detector provides a deeper understanding of the portfolio.
Reduce loss ratio
The reduction in false positives saves time and resources whilst accelerating payment of legitimate claims. The improvement in investigation efficiency drives profitability, facilitates compliance, and helps minimise operational risk.
Continuous improvement
Detector’s cutting-edge predictive engine leverages fraud history and monitors emerging trends to deliver better outcomes.

Product/Service details