insurance software

Anti-fraud Solution

Detect and prevent insurance fraud in real time with our Anti-fraud System — powered by machine learning, analytics, and automation.

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Insurance Software

Why Anti-fraud System?

Our Anti-fraud System is a proactive and adaptive solution, designed not only to detect fraud in real time but also to protect the experience of your legitimate customers while boosting operational efficiency. By investing in our technology, you gain a partner who helps transform risk management into a competitive advantage.

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Comprehensive Fraud Detection

We combine business rules, machine learning algorithms, and behavioral analytics to effectively identify both known and emerging fraud patterns.

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Real-Time
Decisions

Our system instantly detects suspicious activity without disrupting the customer journey for your legitimate clients.

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Holistic Risk Assessment

We integrate and analyze data from multiple sources (internal systems, external databases, device data) to build a comprehensive and accurate risk profile.

Meet our solution

How Our Anti-fraud System Works

A strong anti-fraud solution should be proactive, data-driven, and adaptive. This is best illustrated by the presentation slide. Ultimately, an effective anti-fraud solution not only prevents financial crime but also enhances customer experience and drives operational efficiency.

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Multi-layered detection

Combining business rules, machine learning algorithms, and behavioral analytics to identify both known and emerging fraud patterns.

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Real-time decisions

Instantly detecting suspicious activity without disrupting the experience of legitimate customers.

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Data integration

Aggregating and analyzing information from multiple sources (internal systems, external databases, device data, biometrics, IoT) to build a complete risk profile.

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Transparency & explainability

The system should clearly indicate why a given case was flagged as suspicious, supporting investigative teams and meeting regulatory requirements.

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Continuous learning

Detection models must evolve in real time to keep pace with increasingly sophisticated fraud tactics.

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Analyst-friendly tools

Intuitive interfaces and functionalities that enable quick case analysis, uncovering connections, and prioritizing actions.

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A Simple Anti-frauds System For a Major Insurer

In our anti-fraud solution, a key role is played by Higson - our proprietary business rules engine, which enables flexible creation and management of fraud detection logic. The solution has been integrated with one of the client’s systems, collecting and analyzing data from multiple sources.

Based on this data, a machine learning model generates a numerical fraud risk score. The entire implementation was delivered through a lightweight API integration, ensuring fast deployment and easy adaptability to the client’s evolving processes.

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case study

Embargo – Our Proprietary Anti-fraud Algorithm

Another client implementation example is Embargo - a solution based on a matching algorithm designed to identify individuals or entities appearing on so-called “blacklists,” such as sanction lists, watchlists, or databases linked to criminal activity.

In practice, client data is instantly cross-checked against trusted international sources, including the Dow Jones Watchlist. By leveraging advanced fuzzy matching algorithms, the system can detect even subtle similarities — for example, variations in spelling or transliteration of names. In just fractions of a second, the system is able to identify potential matches.

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Benefits

Reduce Financial Losses

We swiftly identify and block fraudulent attempts in real time, directly protecting your bottom line and keeping losses under control.

Optimize Operational Costs

By automating fraud detection and providing analysts with actionable insights, our system significantly reduces case resolution time, allowing your team to focus on the most complex incidents.

Stay Ahead of Future Threats

Our adaptive models continuously learn and evolve, enabling the system to proactively protect your organization not just from today's threats, but also from the unknown fraud methods of tomorrow.

Enhance Customer Satisfaction

We automate processes for legitimate customers, ensuring a fast and seamless experience without unnecessary verification steps, which builds their trust.

Make Faster, Smarter Business Decisions

Through a holistic analysis of data from multiple sources, the system provides a comprehensive view of risk, enabling you to make more informed and accurate decisions at every stage.

Used by the World's Leading Companies

Let’s Build the Future of Insurance Together

Start a conversation with our team and discover how Decerto can accelerate your digital transformation.

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