Solutions  /  Fraud Intelligence
Risk & Financial

Detect suspicious claims, transactions, and behavior earlier

Use machine learning to prioritize fraud investigations and reduce avoidable losses, assisting your investigators, not replacing them.

0.91
Precision on the top-50 prioritized cases
4.2h
Time-to-flag, down from days
−35%
False positives vs. rules-only screening
$1.8M
Exposure surfaced and prioritized weekly
The problem

Fraud is caught too late, and investigators are overloaded

!Fraud caught after the loss
!Investigators buried in low-value alerts
!Static rules that fraudsters learn to beat
!No prioritization by exposure
!Siloed claims, transaction, and account signals
!High false-positive friction for good customers
What the system does

Score anomalies, prioritize the cases worth chasing

Score anomalies

Rank claims and transactions by suspicion.

Prioritize by exposure

Surface the cases with the most at stake first.

Behavior scoring

Flag suspicious customer and account behavior.

Network signals

Detect rings and linked-entity patterns.

Real-time flags

Catch transaction anomalies as they happen.

Reduce false positives

Cut noise so investigators focus on real risk.

Case routing

Send ranked cases to the right SIU investigator.

Investigator assist

Provide evidence summaries, not auto-denials.

Use cases
Claims fraud
Banking fraud
Insurance fraud
Transaction anomaly detection
Suspicious behavior scoring
Investigation prioritization
Outcomes
Earlier detection
Fewer avoidable losses
Less investigator time wasted
Lower false-positive friction
Higher recovery on real fraud

Fraud Intelligence FAQ

Does the system replace investigators?

No. It assists them. OKEMA ranks and prioritizes cases with evidence summaries; humans decide. It never auto-denies a claim or blocks a customer on its own.

Does it work across claims and banking?

Yes. The same anomaly-scoring and prioritization approach applies to claims fraud, transaction fraud, and suspicious account behavior.

Will it flood our team with alerts?

The opposite. Cases are ranked by exposure and precision-tuned, so investigators spend time on the highest-value, highest-likelihood fraud.

How does it adapt as fraud evolves?

Confirmed outcomes feed back as labels, so the models keep learning new patterns instead of relying on static rules.

Build a fraud intelligence roadmap

Start with a roadmap that quantifies avoidable-loss reduction across your fraud surface.

Book an AI Opportunity Call →