Fraud & Risk
Pattern detection across shop behavior, claim sequences, and billing signatures. Explainable — see what drives every score.
Detected patterns
Component upcoding — rear bumper repairs
Austin West shows unusual over-spec frequency on rear bumper repairs — full replacement claimed where peers typically repair. 73 instances last 60 days, 2.1× peer rate.
Phantom supplement pattern
Two shops show supplement filings with minimal additional labor hours logged — common marker for rate-shopping behavior. Cross-reference with payroll before escalating.
Shared-VIN anomaly
Four ROs across three shops reference the same VIN within a 30-day window — possible cross-shop fraud ring or data-entry issue. Flag for manual review.
Off-contract labor rates
Tulsa shows labor rates above the carrier-approved maximum on 8% of State Farm claims — small volume, but a denial-rate driver if left unchecked.