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Transforming Fraud Detection with New Approaches

Founder’s experience | Insurance | Operating model

Founder’s prior consulting experience with a top-five US property and casualty insurer.

The insurer needed to redesign and launch the operating model for its Special Investigation Unit, including workflows, resources, responsibilities, and adoption across the organization.

SOLUTIONS

The founder’s earlier consulting work developed an operations strategy and redesigned the investigation operating model. The team worked with senior leaders on workflows, resources, and the change-management approach needed for launch.

CLIENT PARTICIPATION

Client associates joined the analysis, decisions, and implementation planning, taking ownership of workstreams and building familiarity with the new model.

“I learned so much from watching how the Manager and Partner worked and interacted with the Executive Team.”

Director SIU

IMPACT

The new Special Investigation Unit operating model was launched. The work addressed investigation workflows, resource allocation, and organizational change. It was an operating-model engagement, not an AI deployment; no quantified performance result is claimed here.

OUR RECOMMENDATIONS

Operating Model Redesign

Redesigned the Special Investigation Unit operating model, including workflows and resource allocation.

1

Change Management

Planned training, communication, and support for adoption of the new operating model.

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