Consistent SIU case management means two investigators in different offices, or an in-house team and an outsourced partner, work the same type of referral to the same standard and record it the same way. It…
Over half of the respondents surveyed recently by Insurance Post and CRIF use AI driven fraud detection software, and adoption continues to grow. Detection tells an insurer which claims deserve a closer look, but the…
Insurers are bringing AI into counter fraud work quickly, yet very few teams can explain what their models are doing. The 2026 technology benchmarking report from SAS found that only 6% of fraud professionals feel…
Fraud investigation cycle time, the elapsed days between a referral landing and a decision being made, is stretching even though fraud teams are not getting more referrals. The fix is rarely more investigators. It is…
A stale fraud investigation case has gone quiet: no new evidence, task or decision logged for weeks, while still sitting inside its SLA. Most SIU teams measure time to a deadline, not time since the…
Every fraud case handoff between claims, SIU and legal loses context and duplicates intel work. Here is where cases stall, and how one case record fixes it.
Most SIU case management tracks cases, not the people working them. Here’s why that blind spot concentrates backlog and burnout on a few investigators, and what workload visibility actually fixes.
Detection fills the queue; fraud referral conversion decides how much you actually save. Where counter-fraud savings leak between referral and outcome, and how to close the gap.
How long should a fraud investigation take? Realistic SLA ranges by case type, what delay costs under Consumer Duty, and how to hit deadlines without cutting corners.
A unified fraud investigation workbench brings the whole case onto one surface. What that changes for case visibility, consistency and investigator capacity.
