Fraud Case Management Software for Insurers, TPAs and SIU Teams
Manage referrals, investigations, intelligence and outcomes in one AI-powered workbench — with a full audit trail behind every decision.
Spreadsheets Weren't Built to Run a Fraud Operation
Most fraud teams still track cases in Excel, inboxes and disconnected portals — referrals slip, cycle times stretch, and savings are hard to evidence at board level.
What Fraud Case Management Software Should Do
Referral Management
Capture referrals from claims handlers, detection systems and direct intake into one structured, prioritised queue — with 360° feedback to referrers.
Investigation Case Management
Run the full case lifecycle — tasks, evidence, strategy, financials and outcomes — with configurable workflows and SLA tracking at every step.
Intelligence Management
A secure intelligence repository with entity matching across parties, past cases and watchlists — alerts when a new case touches known risks.
AI Agents, Human Decisions
Case Handler, Intel and Investigation Assistant agents automate the repetitive work — investigators always make the determination.
Evidence Management
Centralise all evidence — documents, audio, video — with version control, access permissions and chain of custody.
Audit & Compliance
Every action, decision and search automatically logged — a defensible trail for FCA Consumer Duty and legal review.
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 — the same engine whether you're an insurer SIU, a TPA or a specialist investigation firm.
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
Complete Visibility Across Your Fraud Operation
Every Referral in One Place
Claims handlers, detection systems and direct intake all land in one structured, prioritised queue.
One Workbench, Two Editions
Dedicated tenancy for insurers, multi-tenant for TPAs and investigation firms — same product, sized to your team.
Consistent, Auditable Investigations
Standardised workflows and SLA enforcement, whatever the size of the team running them.
A Full Audit Trail Behind Every Decision
Every action, decision and search logged automatically — defensible for FCA Consumer Duty and legal review.
Results That Speak For Themselves
95%
Reduction in Outstanding
Referrals
25-30%
Faster Investigation Completion
50,000+
Settled
Investigations
£150m+
Suspected Claims Managed
Built to Sit at the Centre of Your Fraud Ecosystem
Connects to detection systems (Quantexa, Symphony AI, Clearspeed, NetReveal), data vendors (LexisNexis, Experian, DVLA, Companies House) and your claims system. No rip-and-replace.
Which Edition Fits Your Team
Dedicated Edition
20–200+ investigator insurer SIUs. £10,000–£20,000 per month, scaled to team size.
Multi-Tenant Edition
3–15 investigator TPAs and specialist investigation firms. £1,000–£1,500 per month.
