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Fraud Case Management Software for TPAs and Investigation Firms

When Every Client Has a Different Process

Managing investigations across multiple clients can mean juggling different processes, systems and reporting requirements.

Client Complexity

Different processes
Different SLAs
Different requirements

Operational Workload

Multiple teams
Multiple investigators
Multiple case queues

Limited Visibility

Manual reporting
Disconnected systems
Hard to track progress

FraudOps - 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.

Give your TPA investigation operation greater control.

Centralise investigations, automate operational work and improve visibility across every case.

Track Every Case From Referral To Resolution

The same governed six-stage workflow, sized for a three-to-fifteen-person team — SLA enforcement, mandatory checkpoints, and a full audit trail your insurer clients can see.

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

ROI Calculator
£ Cost of Waste
📈 Revenue Potential
🎯 Complete Picture

Your Current Situation

TEAM DETAILS

Annual Admin Cost
£0
Monthly Admin Cost
£0
FTE Doing Admin
0 FTE
Hours Wasted Per Week
0 hrs
Cost Per Wasted Hour
£0
What This Means

Your team is spending the equivalent of 3 full-time investigators on administrative tasks. That's £175,500 in salary costs that could be redirected to actual investigation work.

Your Current Situation

OPERATIONS

Additional Annual Revenue
£0
Additional Cases Per Month
+0
Additional Cases Per Year
+0
Additional Monthly Revenue
£0
Break-Even Cases
8/month
Revenue Opportunity

With improved efficiency, your team could handle +30 additional cases per month, generating £144,000 in extra annual revenue. You only need 8 additional cases per month to cover the platform cost.

Your Current Situation

TEAM DETAILS

OPERATIONS

Total Annual Impact
£0
Reclaimable Admin Cost
£0
Additional Revenue
£0
Net Annual Benefit
£0
Payback Period
0 months
The Complete Picture

Efficiency Savings: Reclaim £87,750 by reducing admin overhead.

Revenue Growth: Generate £144,000 in additional revenue with 30 extra cases per month.

Net Impact: After platform costs, your net benefit is £195,750 annually.

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Professional Investigations Without the Enterprise Overhead

One System Your Whole Team Actually Uses

Referrals, cases and evidence in one place instead of six inboxes and a spreadsheet.

Governance You Can Show Insurer Clients

Reportable, defensible investigation handling — the evidence you need to win and keep contracts.

Live in Weeks, Not Quarters

Configured to your workflow with no IT project, so a small team can adopt it without a systems function.

An Audit Trail Built for Client and Regulator Scrutiny

Every action and decision logged automatically, defensible to your clients, their regulators and the courts.

Results That Speak For Themselves

95%

Reduction in Outstanding
Referrals

25-30%

Faster Investigation Completion

50,000+

Settled
Investigations

£150m+

Suspected Claims Managed

Connects to the Systems Your Insurer Clients Already Use

Email, CSV, form or API intake from client claims systems, with no bespoke integration project before go-live.

Client CMS

Email Intake

CSV Upload

API

Insurer Portal

Win and Keep Insurer Contracts With Governed Investigations

Fraud case management and investigation software for TPAs and specialist investigation firms

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