kbs detect
Proactively surface risk across claims, policies, and networks.
How it works: A comprehensive approach
In today’s complex insurance landscape, fraud is increasingly sophisticated, networked, and fast-moving. Our Detect solutions are designed to identify suspicious activity across multiple touchpoints before it becomes a loss. By combining advanced analytics, machine learning models, and configurable business rules, we enable insurers to detect fraud signals early and accurately.
Whether it’s spotting anomalies in claim behaviour, identifying links between seemingly unrelated entities, or scoring policy risk in real time, our tools empower fraud teams to take immediate, informed action.
Our Detect services
We employ an array of targeted techniques in our automated fraud prediction process. These include models trained on your data using the latest machine learning methodologies
FAQs
How our detection capabilities work in practice and how they fit into real-world operations.
What does ‘Detect’ cover in the kbs Intelligence platform?
Detect is the set of capabilities that identify suspicious activity early, before losses grow. It combines configurable rules, advanced analytics and machine learning to surface the right referrals for your fraud or claims teams.
How does AI improve fraud detection compared to rules alone?
AI learns patterns from historical outcomes and adapts as fraud tactics change, while rules give you control and transparency. Most insurers get the best results by combining both: AI to spot subtle patterns and rules to enforce policy and appetite.
How do you reduce false positives so investigators aren’t overwhelmed?
We tune thresholds by product and segment, combine model signals with rules, and use feedback loops from confirmed outcomes. This keeps alert volumes manageable and improves hit rate over time.
What data do we need to get started?
You can start with core claims/policy fields and historical outcomes, then expand to documents, images, device/location signals and third‑party data as needed. We’ll help you identify a minimum viable dataset and a roadmap to enrich it.
Can Detect integrate with our existing claims and policy systems?
Yes. The platform supports API-based integration and flexible data ingestion so referrals, evidence and status updates can flow to and from your existing claims, policy and case-management tools.
How do we measure success in fraud detection?
Common success metrics include hit rate (confirmed fraud), false-positive rate, investigator throughput, time-to-triage, leakage prevented/recovery, and customer impacts such as complaint rates and cycle time.
Build stronger cases, faster.
By taking a proactive approach to risk detection, insurers can stay ahead of evolving fraud tactics and protect both operational efficiency and customer trust. Our Detect solutions are designed to scale with your needs and integrate seamlessly with your existing processes and data environments.
Explore the full range of services available within Detect to see how kbs intelligence can help you transform fraud prevention from reactive to strategic.
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