Fraud Case Management Software for TPAs and Investigation Firms
Run client investigations on one governed workbench — live in weeks, no IT project, from £1,000 per month.
Excel Runs Out When the Contract Grows
Winning claims-handling work means demonstrating governance. Spreadsheets and inboxes can't evidence SLAs, audit trails or outcomes to insurer clients.
Built for Small Teams With Big Obligations
Referral & Intake
Email, form, CSV or API intake — every client referral lands in one structured, prioritised queue with nothing lost in inboxes.
Multi-Client Case Management
Governed workspaces on the multi-tenant edition — each insurer client's cases separated, tracked and reportable.
Evidence & Chain of Custody
Documents, audio and video centralised with permissions, version control and a chain of custody that stands up in court.
Client-Ready Reporting
Show insurer clients cycle times, outcomes and savings per contract, on demand — the governance story that wins renewals.
AI Assistants
Document summaries, automated data lookups and case summaries cut the admin burden on teams of three to fifteen investigators.
Audit & Governance
Every action and decision automatically logged — defensible for your clients, their regulators and the courts.
Track Every Case From Referral To Resolution
A structured six-stage workflow with SLA enforcement, mandatory checkpoints, and a full audit trail from first referral to final closure.
Referral
✓Intake Form
✓Risk Score
✓Source Log
Assessment
✓Initial Review
✓Classification
✓Assignment
Investigation
Interviews
Field Work
Data Queries
Evidence Review
Doc Analysis
Verification
Linking
Decision
Outcome
SIU Report
Recommendation
Closure
Archiving
Recovery Log
Audit Trail
Professional Investigations Without the Enterprise Overhead
Single Source of Truth
All referral data, case history, evidence, and communications unified in one operational system.
Operational Oversight
Real-time visibility for managers across team workloads, bottlenecks, and financial outcomes.
Investigation Consistency
Standardised workflows and SLA enforcement ensure every case is handled correctly, every time.
Audit Readiness
Immutable logs of every action, decision, and piece of evidence for regulatory compliance.
Results That Speak For Themselves
95%
Reduction in Outstanding
Referrals
25-30%
Faster Investigation Completion
50,000+
Settled
Investigations
£150m+
Suspected Claims Managed
Works With Your Existing Fraud Ecosystem
FraudOps connects with your claims systems, detection platforms, and data sources — no rip-and-replace required.
