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M4Planned

Fraud Detection

19 patterns, real-time scoring, graph analysis — flags everything, decides nothing

19 patterns, 0 auto-declines

How it works

Claim createdPolicy boundRow bookedPayment requestRule-based patternsBackdating, limit breaches, inception gapsStatistical anomaliesFrequency, severity, velocityGraph analysisNeo4j network detectionComposite score 0–10019 patterns · full explainability · pattern breakdownLow: 0–30Auto-clear — no actionMedium: 31–69Handler review queueHigh: 70+SIU investigation openedCross-cutting: watches claims, policies, and bordereaux simultaneously · flags everything, decides nothing

What this means

19 detection patterns

Across policy, claims, bordereaux, and network domains

Graph analysis

Neo4j detects connected parties across unrelated policies

Flag, never act

The system scores. Humans investigate. Architecturally enforced

Full explainability

Every score with pattern breakdown and evidence trail

Go to Fraud Detection →
ASSISTANT