Detect fraud and financial crime across the policy lifecycle

Run fraud, AML, and screening on rails shaped by the insurance policy lifecycle so your team covers exposure across policy, claims, and premium flows from one platform.

Claims fraud detection

Policyholder AML screening

Premium laundering monitoring

Agent and broker due diligence

INSURANCE USE CASES

Run fraud and compliance operations from quote-to-bind through settlement

[ Policyholder onboarding ]

Screen and risk-score every policyholder at quote-to-bind

Verify applicant identity, check beneficial owners on commercial policies, and run sanctions and PEP screening before binding coverage. Adjust risk scoring by product type across life, annuity, and P&C.

Give your underwriting team a single risk view per applicant and log every screening decision to an audit trail examiners can pull directly.

See policyholder onboarding
Screen and risk-score every policyholder at quote-to-bind
[ Claims fraud detection ]

Flag suspicious claims before adjudication

Cross-reference claimant identity against application data, detect document tampering on submitted evidence, and surface link-analysis patterns across related claims: staged accidents, inflated losses, phantom injuries.

Hand SIU every case pre-enriched with identity matches, document forensics, and connected-claim graphs.

See claims fraud detection
Flag suspicious claims before adjudication
[ Premium and policy monitoring ]

Catch laundering patterns in premium payments and surrenders

Monitor for premium overpayments followed by refund requests, early policy surrenders on life and annuity products, and unusual ownership transfers.

Trigger alerts on structured premium payments, rapid surrender-and-repurchase cycles, and third-party funding of cash-value products.

See premium monitoring
Catch laundering patterns in premium payments and surrenders
[ Case management ]

Carry every SIU and AML case from intake through filing inside one workspace

Move every fraud, AML, and policy-related case from intake through investigation to resolution inside one workspace so your SIU and compliance teams work the same evidence whether they close a claim or file a SAR.

Hand your investigators every case with policy, claimant, and payment context already attached.

See case management
Carry every SIU and AML case from intake through filing inside one workspace

PLATFORM CAPABILITIES

Map platform capabilities to insurance-specific workflows

Run fraud, AML screening, and regulatory reporting from the insurance lifecycle up.

Screen policyholders across product types

Adjust risk scoring across life, annuity, P&C, and commercial lines so each product type carries its own AML exposure and thresholds.

Detect claims fraud with link analysis

Connect related claims, claimants, providers, and addresses in one graph so organised rings spreading across carriers surface as connected clusters.

Monitor premium flows for laundering typologies

Run rules tuned to overpayment-refund cycles, early surrenders, structured top-ups, and third-party funding on cash-value products.

Manage SIU cases with filing-ready output

Work SIU cases from alert through disposition in one interface, with filing narratives generated from case evidence and a complete audit trail attached.

Resolve entities across policies and claims

Link the same person across every policy, claim, and role in one identity graph so applicant, claimant, beneficiary, and agent collapse onto a single record.

Catch tampered claim documents with forensic analysis

Run forensic analysis on every claim document so your SIU catches alterations, manufactured records, and reused evidence before adjudication.

INTEGRATION

Connect your policy admin system in days.

Connect your policy administration system and claims platform via API or scheduled file upload, and normalise applicant, policyholder, and claimant records into a unified risk graph.

Set screening thresholds, claims fraud typologies, and premium monitoring rules tuned to your book of business. Run life and annuity products on different rule sets from P&C or commercial lines.

Run policyholder screening at quote-to-bind and premium and claims monitoring continuously, and route every alert to your compliance team or SIU with the signals and evidence behind it already attached.

Generate regulatory filing narratives from case evidence, file to the relevant regulator, and log every screening decision, alert disposition, and investigation step to keep the audit trail examiner-ready.

RELEVANT SOLUTIONS

See the solutions insurance carriers run on OneLattice

Run every solution your insurance program needs from one platform.

Policyholder Onboarding

Verify policyholder identity, screen beneficial owners, and risk-score applicants at quote-to-bind.

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Policyholder Risk Assessment

Score policyholders by product type, geography, premium size, and behavioral signals.

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Sanctions Screening

Screen policyholders, claimants, and beneficiaries against global and domestic sanctions lists.

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Premium & Policy Monitoring

Monitor premium payments, surrenders, and refund patterns for laundering typologies.

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Investigation & Reporting

Manage SIU cases, generate regulatory filing narratives, and file reports to the relevant regulator from one interface.

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Identity Fraud Prevention

Detect synthetic identities, document tampering, and deepfakes at policyholder onboarding.

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Adverse Media

Screen applicants and existing policyholders against negative news across global sources.

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PEP Screening Screening

Identify politically exposed persons and their relatives or close associates at onboarding and ongoing.

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See OneLattice in action.