Claim Fraud Detection Agent
Investigates suspicious claims with cross-claim, social, and provider signals.
SIUFraud
Claim Fraud Detection Agent
Polished agent demo — preview
Agent running
Agent thinking
- 1Reading inputs and pulling relevant context across systems…
- 2Building a plan: 4 steps, 2 tools, 1 human approval gate.
- 3Executing steps with progress streaming back to the user.
- 4Decision made. Drafting summary and queuing for review.
This demo is a polished preview. Book a build to see the production version.
The problem
Fraud detection runs on rules and SIU intuition. Real fraud rings escape detection until losses pile up.
What the agent does
- Correlates claim with prior claims, public records, and provider patterns
- Builds an investigation file with red flags and evidence
- Recommends action with explainable reasoning
Business value
Lifts fraud detection rate by 35% with fewer false positives.
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