Source-level evidence
Every signal, score and recommendation links back to the underlying record — the email, the filing, the transaction, the document — with the source visible at a click.
Find the network behind the claim.
Compass connects claims, policyholders, vehicles, providers, experts and witnesses to detect recurring fraud patterns that are invisible in isolated files.
The problem
Organized fraud repeats. Single-claim review misses it.
The same vehicle, the same medical provider, the same witness, the same broker — reappearing across claims, across portfolios, across years. Each file in isolation looks legitimate. The pattern only appears in the network.
How Compass works
From claim file to fraud network.
- 01
Ingest claims, policies, providers, vehicles, experts and external sources
- 02
Resolve entities and link claims through shared parties and assets
- 03
Detect recurring patterns, hubs and improbable coincidences
- 04
Score claims with relational fraud indicators and evidence
- 05
Recommend SIU review with full reasoning
Non-obvious relationship
Five unrelated claims. One recurring medical expert.
Each claim passes individual triage. Compass surfaces a recurring medical expert appearing across all five, plus two shared addresses and one repeated witness — and recommends the cluster for organized-fraud investigation.
Outputs & benefits
What you get out.
- Claim-level fraud scoring with relational evidence
- Network reconstruction across portfolios
- Recurring-actor detection (experts, providers, witnesses)
- SIU-ready evidence chain
- Continuous monitoring of incoming claims
Order of magnitude
+35%
Organized-fraud rings detected
−45%
False positives on triage
ROI
Recovery on flagged claims
Trust by design
Evidence, explainability, audit — built into every output.
Explainable recommendations
No black-box outputs. Each priority states why it was promoted, which signals contributed, which were declassed, and which model version produced it.
Audit trail by default
Signals, model versions, reviewers and actions are logged and reconstructable later — ready for internal control, regulators and your own governance.
Human-in-the-loop
Compass recommends. Authorized people decide. Every consequential action requires a named reviewer who can confirm, override or annotate the reasoning.
Human-in-the-loop
Claim decisions, denials and SIU referrals remain with authorized adjusters and investigators. Compass surfaces patterns and supplies evidence — it does not adjudicate claims.
See it on your data.
30 minutes. We'll wire Compass to a representative slice of your environment — and walk you through the relationships, signals and actions it would surface today.