Risk & Claims
Fraud Signals
Flag suspicious patterns for human review, with reasons.
01 / The problem
The problem.
Fraud teams receive too many alerts or too few. Each alert costs investigator time, and the reasons are often unclear.
02 / What it does
What the agent does.
- Scores cases for suspicious patterns
- Explains each signal in plain terms
- Sends cases to investigators, never decides alone
03 / How it is built
Built on ContextLab.
Ontology
Case, party, relationship
Process
Investigation workflow
Formal Knowledge
Fraud indicators and thresholds
AI Technologies
Anomaly detection · Graph features · Gradient boosting
04 / Results
Typical KPIs we measure.
- Alert precision
05 / Integration
Integrations and deployment.
Claims system · Core systems
On-premise or private EU cloud
Related agents
More in Risk & Claims.
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