Fraud Detection for Insurance Company

CLIENT
Insurance Company
INDUSTRY
Insurance
CONSULTANT ROLE
Digital Transformation Consultant
LOCATION
The Nordics
Defending against Insurance Fraudsters

The client, an insurance company in the Nordics, sought a digital transformation consultant to introduce an automated fraud detection tool that would increase efficiency and accuracy of identifying fraudulent claims.

“The battle against insurance fraud was relentless, and we needed to bolster our defenses.” — Head of Fraud Prevention

Role of Consultport

Consultport proposed 3 consultants within 24 hours. The client interviewed 2 candidates and selected a former Senior Consultant at Capgemini specializing in insurance technologies. The consultant started working with the client 72 hours after the initial request.

Well-rounded Assessment

Working with the client’s fraud prevention team, the consultant conducted a thorough assessment on the client’s historical claims data and existing fraud detection process.

The consultant also engaged key stakeholders to grasp the specific requirements and objectives of the tool.

The Results

The implementation of the fraud detection tool significantly strengthened the client’s ability to prevent fraudulent activities, improve claim processing, and enhance customer trust.

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Efficient Fraud Detection
The new system could rapidly process and analyze vast amounts of claims data, flagging suspicious activities in real time. This reduced manual oversight requirements and ensured quicker identification of fraud patterns.
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Increased Customer Satisfaction
By minimizing delays in claims handling and reducing false positives, the tool directly improved the customer experience. Clients benefitted from faster resolutions and greater confidence in the company’s ability to protect their interests.
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Strategic Agility
The integrated digital dashboard with visualization and reporting features provided actionable insights, enabling fraud prevention teams to anticipate emerging risks. This allowed the company to proactively adapt fraud strategies instead of reacting after losses occurred.
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Stronger Internal Capabilities
Through targeted training sessions, the customer support and fraud prevention teams gained the skills to use the system effectively, embedding fraud detection best practices into daily operations and creating long-term resilience.
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The collaborative approach between the consultant and our teams created a synergy that propelled our fraud detection efforts to new heights.
- Head of Fraud Prevention of Insurance Company
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