Regulator Fraud Reports
Every suspected-fraud report drafted on the right state or IRDAI form, tracked against its clock and signed on time.
Why it matters
Each state has its own fraud-bureau form, trigger and deadline, and India has its own fraud-monitoring returns; compliance teams retype case facts and track clocks in spreadsheets.
How the solution handles it
Agents read the concluded case, work out which states or regulators need a report, fill each form with cited facts and track every clock from the day of decision. They also assemble annual antifraud returns. A compliance officer reviews and signs every filing.
How a report moves
Five agents read the case, map each jurisdiction, fill the forms, track every clock and build the annual returns; a compliance officer reviews and signs every filing.
What it reads, and what it hands back.
What goes in
- Concluded SIU case file
- State fraud-bureau forms
- Antifraud plan and SIU filings
- Fraud-monitoring committee records (India)
What comes out
- Filled, cited fraud report
- Clock per jurisdiction
- Annual antifraud returns draft
- Filing log
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
of a 30-day clock
“Target” = design goal, measured in the live solution · Sources: N.Y. Ins. Law §405 (30 days) · Cal. Ins. Code §1872.4 (60 days) · IRDAI Insurance Fraud Monitoring Framework Guidelines, 2025 · agents = the live solution’s configuration
5 specialist agents. One person decides.
More in this division.
Every fraud referral scored and explained in minutes, so investigators open the files that matter first.
Document TamperingEvery invoice, photo and receipt checked for edits and reuse before money moves, each finding marked on the page.
Investigation FileEvery SIU case becomes one cited file — timeline, statements, findings — ready for counsel or the fraud bureau.
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