Industry · Insurance AI Platform

Fraud Analytics

Detect and prevent claims fraud at scale — spot suspicious claims and organised fraud early, cutting leakage while treating genuine claimants fairly.

0%Fraud detected
0%Fraud leakage reduced
0%False positives cut
Overview

What is Fraud Analytics?

Fraud Analytics at MindCraft Solution helps insurers cut the costly leakage of claims fraud. We build analytics that score claims for fraud risk, detect networks of organised fraud, and surface the suspicious cases for investigation — so you reduce fraudulent payouts while settling genuine claims quickly and fairly.

Fraud is increasingly organised and hard to spot manually. We combine predictive models, anomaly detection and network / link analysis over claims, parties and history to flag both opportunistic and organised fraud, with explainable indicators and case-management tools for your special investigations unit.

Integrated with your claims workflow, the result is lower fraud leakage and faster, fairer settlement for honest customers — with the explainability and audit trail investigations require.

What's included

What Fraud Analytics includes

Everything you need to take fraud Analytics from idea to a dependable, owned capability.

Fraud risk scoring

Score every claim for fraud likelihood.

Network & link analysis

Detect organised fraud across parties and claims.

Anomaly detection

Surface unusual patterns and outliers.

SIU case management

Tools and context for investigators.

Explainable indicators

Clear fraud indicators investigators can act on.

Claims-workflow integration

Screening built into the claims process.

The impact

Outcomes we target

Typical results from MindCraft insurance AI Platform engagements.

0%
Fraud detected
0%
Fraud leakage reduced
0%
False positives cut
+0%
Investigation efficiency
How we work

Our delivery model

A clear, low-risk path from first call to a running, optimized solution.

  1. 1

    Analyse fraud patterns

    We study your fraud history, data and current controls.

  2. 2

    Build detection

    We build scoring, anomaly and network-analysis models.

  3. 3

    Integrate

    We embed screening into the claims workflow and SIU tools.

  4. 4

    Operate & adapt

    We refine with investigation outcomes and new patterns.

Challenges we solve

From problem to outcome

The pressures we see in insurance — and how we fix them.

  • Challenge

    Slow claims settlement

    How we solve it

    Touchless claims automation that settles faster.

  • Challenge

    Inconsistent underwriting

    How we solve it

    Data-driven, explainable underwriting AI.

  • Challenge

    Claims fraud leakage

    How we solve it

    Advanced fraud analytics before payout.

Tools & technology

The stack we use

PythonXGBoostGraph analyticsNeo4jSnowflakeKafkaREST API
Deliverables

What you get

Concrete, owned artifacts — not just advice.

  • Fraud scoring models
  • Network / link analysis
  • SIU case-management tools
  • Claims-workflow integration
  • Dashboards & reporting
FAQ

Questions, answered

Through network and link analysis — connecting parties, claims, addresses and history to reveal rings and patterns that scoring a single claim in isolation would miss.

No — the goal is the opposite: by quickly clearing low-risk claims and focusing scrutiny on suspicious ones, honest customers are settled faster while fraud is caught.

Yes — we surface clear, explainable indicators and context so investigators understand why a claim was flagged and can act with confidence.

Yes — scoring runs in the claims workflow and flagged cases flow into SIU case-management tools with the supporting evidence.

Ready to talk about Fraud Analytics?

Tell us where you are and what success looks like. We'll bring the right people, stack and plan — and reply within one business day.