Overview
FraudOps is a fraud case management platform for insurance carriers, providing AI-driven investigation automation across motor, health, cyber, and other commercial lines. The platform centralizes fraud referrals from multiple sources and automates the triage, assignment, investigation, and closure of cases while maintaining audit-ready controls and consistent decision-making.
Delivered as a SaaS workbench, FraudOps includes three built-in AI agent assistants -- an Investigation Agent, an Intel Agent, and a Claims Admin Agent -- that guide and accelerate each stage of the fraud investigation lifecycle. The platform also offers Rapid Screen, an FNOL screening workbench for initial claim triage, alongside core capabilities for case visibility, intelligence management, quality analytics, and multi-system integration.
Founded in May 2025 and based in Redhill, England, FraudOps has already attracted Zurich Insurance as a customer and reports customer outcomes including a 95% reduction in open fraud cases within a three-month period and a 40-45% reduction in fraud losses. The company was named Technology Partner of the Year at the Insurance POST Claims and Fraud Awards 2025.
Products & Services
Claims Investigation Automation Workbench
The core platform for automating insurance fraud investigation workflows. Aggregates fraud referrals from multiple sources, assigns and tracks cases, and applies AI-assisted guidance throughout the investigation lifecycle.
Key Features
- Agentic AI assistants for investigation, intelligence, and case administration
- Automated case triage, prioritization, and assignment
- Multi-source integration for fraud referral ingestion
- Quality insights and case analytics dashboards
- Audit-ready controls and consistent decision framework
Target Users: Special Investigation Unit (SIU) Managers, Claims Managers, IT Directors
Rapid Screen
An FNOL screening workbench that provides initial assessment and triage of incoming claims before they enter the full investigation workflow.
Key Features
- First Notice of Loss claim assessment
- Early-stage risk flagging and routing
- Integration with the core investigation workbench
Target Users: Claims teams, fraud operations staff
At a Glance
- Founded
- 2025
- Headquarters
- Redhill, England, United Kingdom
- Employees
- 1-10
- Funding
- Bootstrapped
Category & Focus
- Category
- Claims Technology
- Subcategories
- Fraud Detection FNOL Claims Automation Case Management
- Insurance Verticals
- P&C Commercial P&C Personal Health Specialty/E&S
- Target Customers
- Carriers
Customers
- Zurich Insurance
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Last updated: 2026-05-17