Illustrative scenario. Figures are modelled on typical Omnifys deployments and are not drawn from a named client engagement.
The challenge
An insurer processing 36,000 claims a year reviewed claims individually. Organised fraud spanning multiple claims, providers and claimants was effectively invisible, and investigators worked from tip-offs rather than data.
What Omnifys deployed
- Behavioural anomaly detection across claim histories
- Network analysis linking claimants, providers and repairers
- Case files with evidence bundles for investigators
- Feedback learning from confirmed outcomes
Agents used: Fraud Detection Agent, Smart Request Matching Agent, Knowledge Insights Agent.
Results
- $1.8M — annual fraud identified
- 4 — organised networks detected
- 62% — reduction in investigator time per case
- 0 — increase in legitimate claim friction
Why it worked
The constraint was protecting genuine claimants. Detection ran in the background — honest customers saw no additional friction at all.
Explore this for your business
Every Omnifys agent routes tasks across 15+ leading LLMs, integrates through n8n, Zapier and 300+ connectors, and ships with monitoring, audit trails and human-approval steps you control. Typical deployment runs two to six weeks from discovery to production. Book a free 30-minute consultation to map the highest-impact automation for your team.