Insurance · SIU & Fraud Detection

Sharpen SIU referral signals so adjusters spend less time on dead-end leads and more time stopping real fraud, lifting fraud-save dollars without slowing legit pay.

Frequently asked questions

What does the Insurance · SIU & Fraud Detection blueprint do?

Sharpen SIU referral signals so adjusters spend less time on dead-end leads and more time stopping real fraud, lifting fraud-save dollars without slowing legit pay.

What KPIs does the Insurance blueprint target?

SIU Referral Precision from 32 to ≥ 60 (monthly). Adjuster Referral Rate from 5 to 8 - 12 (monthly). Adjuster Certification from 55 to 100 (monthly).

How long does the Insurance · SIU & Fraud Detection deployment take?

12 weeks.

What systems does the Insurance blueprint integrate with?

Integrates with FRISS, Shift Technology, ISO ClaimSearch, LexisNexis through the AEROSS Execution Mesh. All writes are credit-metered, CAPS-gated, and audit-stamped.

What regulatory requirements does this blueprint address?

State fraud bureau reporting; Coalition Against Insurance Fraud All agent actions inherit AEROSS CAPS governance — autonomy ceilings, human approval gates, and a tamper-evident audit log.