Fraud triage rollout
Rapid fraud triage pilot
Stand up a controlled scoring path for suspicious claims without ripping out your core fraud stack.
- Duration
- 10 weeks
- Format
- Hybrid workshops + weekly architecture reviews
- Indicative fee
- ₩18,900,000
Overview
We map signals already available at first notice of loss, define a shadow scoring lane, and align investigators on escalation thresholds. The pilot is sized for one line of business so you can observe behaviour before wider rollout.
What is included
- Signal inventory across FNOL, vendor feeds, and internal notes
- Threshold workshop with SIU and compliance
- Shadow scoring harness with immutable audit trail
- Investigator UI cues that respect existing adjuster habits
- Runbook for model updates and challenger tests
- Handover pack for internal risk committee
- Post-pilot readout with quantitative and qualitative findings
Outcomes you can inspect
- Documented decision path from score to human review
- Clear backlog of integration fixes ranked by risk reduction
- Governance checklist aligned to your model risk policy
Hana Seong
Engagement director for APAC carriers; former lead for claims transformation at a regional P&C group.
FAQ
No. The pilot is designed to interoperate with vendors you already pay for. We focus on routing, evidence packaging, and governance rather than swapping scoring engines.
We start with the cleanest subset of claims and document gaps explicitly. Remediation tasks are sized for your IT backlog; we do not promise overnight enrichment.
We do not draft regulatory filings, perform external penetration testing, or manage vendor contract negotiations as part of this package.
Experience notes
“The shadow lane narrative finally got finance comfortable with incremental change. We still need better telematics hygiene, which they flagged early instead of glossing over.”