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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.

Win and Keep Insurer Contracts With Governed Investigations

Fraud case management and investigation software for TPAs and specialist investigation firms — from £1,000 per month, live in weeks.

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