Insurance Fraud Intelligence

The Unified Data Layer
for Claims & Fraud.

Stop playing defense against the insurance detection gap. LepreCon's Criminal Mind Engine proactively exposes the sophisticated fraud networks and syndicated rings that operate undetected for years.

Fraud syndicates hold the upper hand

The asymmetric intelligence gap leaves insurers structurally blind to complex networks.

60–80%
Soft fraud goes undetected
20–60%
Hard fraud goes undetected
$135B+
Lost to US insurance fraud annually

Insurance Fraud Intelligence Hub

Every source. One intelligent picture.

Insurance Fraud Intelligence Hub

Architecture overview: Internal Data, Ecosystem Forensics, and Entity Resolution feeding into the LepreCon Engine.

Infrastructure. Platform. Brain.

Not another point solution — the layer everything else runs on.

01

Infrastructure

The unified data model for claims & fraud. Connects systems that speak different languages to build one cross-referenced picture of events and entities.

  • ✔ Foundation for analytics, models & LLMs
  • ✔ Weeks, not an IT project
02

Platform

An ecosystem that plugs in. Specialist technologies (voice, documents, photos, vehicles) connect once. Your own and third-party models run on the same layer.

  • ✔ Cross-references every signal with every other
  • ✔ Plug in once, use everywhere
03

Brain

Criminal-Mind AI. Asks: "If we were a fraud ring, how would we exploit this system?" Employs adversarial simulation rather than standard anomaly scoring alone.

  • ✔ Thinks like the attacker
  • ✔ Exposes networks others miss

Open By Design

Future-proof: Your AI runs on LepreCon.

Open By Design

One orchestration hub for databases, real-time queues, and APIs that connects core internal systems with specialist technologies.

Go Beyond the Crash

Fraud rarely looks like a ring. We connect the right data across vehicles, people, claims, and payments to reveal the full story.

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Multi-Ring Intelligence

Fraud Rarely Looks Like a Ring

Fraudsters test detection limits and swap entities. LepreCon cross-references thousands of quiet signals to expose networks no single claim surfaces on its own.

Real-world case: One garage with recurring front-end damage patterns led to the discovery of three distinct, coordinated fraud rings.
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Vehicle Forensics

Deep Vehicle & Entity Resolution

Isolating vehicle telemetry, component timelines, and cross-party relationships to build an irrefutable chain of evidence for SIU investigations.

• Swapped parts & mileage
• Crash timestamps
• Shared repair facilities
• Linked disbursement flows

From Kickoff to Real Signal in 6 Weeks

100% on-premise. Your data never leaves your environment. Near-zero IT effort.

Week 0–1

Discovery

Easily available data sources and top target KPIs defined.

Week 2–3

Connect

On-prem, your private cloud, or your isolated sandbox environment.

Week 4–5

Shadow Run

Live model tuning and agreed KPI tracking alongside your fraud team.

Week 6

Validate

Real detections reviewed and verified jointly with your SIU investigators.