Fraud Investigations — External
Insurance Fraud Detection (DAF)
Most insurance fraud is not hidden — it is simply unexamined. We analyse active claimants at scale against their open-source digital activity and identify the cases that do not add up, with evidence ready to act on.
7% average detection rate
Across all active claimant programmes
48–72h delivery
From case intake to structured report
100% legally admissible
Documented methodology, full chain of custody
3-year active engagement
Ongoing volume programme with a leading insurer
Where volume hides the fraud:
this is what we resolve
01
Too many open cases to review manually
We analyse hundreds or thousands of claimants each month — systematically, consistently and at a fraction of the cost of manual investigation.
02
Suspected fraud but no evidence to act
We document every finding with source, date and methodology. The output is a structured report ready for legal, compliance or claims use.
03
Fraud that slips through standard controls
Social media, public activity and digital behaviour reveal inconsistencies that no database check can surface. We look where others don’t.
Leaders in corporate investigation and intelligence in Spain. A track record defined by constant innovation and a firm commitment against risks, critical actors and threats.
Three desks,
the same claim
A suspicious claim passes through several hands before anyone can act on it. Fraud sets the priorities, Claims carries the volume and Legal decides whether the evidence holds.
Fraud Directors
Detection targets across a claimant portfolio that is too large to review case by case.
Insurance
Claims Managers
High-value or suspicious claims that need a decision, and a turnaround that fits the claims cycle.
Insurance
Reinsurance
Legal & Compliance
Findings that have to survive a challenge from the claimant's own lawyers, with full chain of custody.
Insurance groups
Insurance · Spain · 3 years
Volume DAF programme for a top-tier insurer. Monthly analysis of all active claimants against public digital activity, with structured reporting per case.
7% positive detection rate — ongoing
Insurance · Spain · Ad hoc
Individual claimant investigations requested by the claims department for high-value or suspicious cases. Rapid turnaround with court-ready evidence.
Evidence accepted in disciplinary proceedings
We can start with a pilot — define scope, volume and expected outcomes before you commit.