Provides real-time fraud detection, case management, suspicious activity reporting, policy and claims fraud analytics, and built-in AML compliance for the global insurance sector.
Solutions that monitor transactions, identify suspicious activities, and ensure compliance with anti-money laundering and fraud prevention regulations.
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Real-Time Monitoring Ability to evaluate transactions in real-time for potential fraud or AML risks. |
Product advertises real-time fraud detection for insurance transactions. | |
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Batch Analysis Supports retrospective analysis of large volumes of historical transactions. |
FIS's analytics includes retrospective analysis and claims fraud, indicating support for batch analysis. | |
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Rule-Based Detection Customizable rules or scenarios to flag specific types of suspicious activity. |
Platform supports customizable detection logic/scenario building for fraud, as described in product documentation. | |
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Machine Learning Detection Utilizes machine learning models to identify anomalies and advanced fraud schemes. |
Machine learning models are advertised as part of advanced fraud analytics suite. | |
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Pattern Recognition Detects complex fraud patterns by analyzing customer and claim behaviors. |
Pattern-based fraud analytics, including behavioral monitoring, is explicitly listed in FIS materials. | |
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Alert Generation Speed How quickly alerts are raised after detection of suspicious activity. |
No information available | |
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False Positive Rate Percentage of flagged alerts that turn out to be non-fraudulent. |
No information available | |
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Threshold Adjustment Allows dynamic setting of thresholds for alert generation. |
Adjustable and customizable alert thresholds are commonly mentioned in FIS AML/Fraud tools. | |
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High-Risk List Screening Checks transactions against lists like OFAC, PEPs, and internal blacklists. |
High-risk and sanctions list (e.g., OFAC, PEP) screening is a standard capability for FIS Risk & Fraud. | |
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Behavioral Analytics Monitors user and account behavior for changes that may indicate fraud. |
Behavioral analytics is listed as a core offering for fraud prevention. | |
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Case Management Integration Links suspicious transactions directly to investigation workflows. |
Case management integration is included, per product notes on suspicious activity reporting and case workflow. | |
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Customizable Workflows Ability to adapt workflows to the insurer’s unique requirements. |
Customizable investigative and compliance workflows are possible based on platform configurability. | |
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Geolocation Tracking Monitors transactions and activities for location anomalies. |
Many FIS fraud tools include location anomaly detection and geolocation tracking. | |
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API Access Availability of API endpoints for event/transaction data input and results output. |
API access and integration for data ingestion/output is referenced in FIS solution briefs. | |
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Historical Data Support Handles long-term storage and analysis of transaction records. |
Historical data storage and long-term record analysis available for compliance and trend analytics. |
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Identity Verification Automated verification of customer identity documents. |
Identity verification (KYC) is included as part of AML insurance compliance module. | |
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Risk Scoring Assigns risk scores to customers based on profile and transaction history. |
Customer and transaction risk scoring capability highlighted in FIS compliance solutions. | |
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Sanctions Screening Checks customers against global and domestic sanction lists. |
Global and domestic sanctions screening explicitly delivered for insurance customers. | |
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Politically Exposed Person (PEP) Screening Identifies and flags politically exposed persons during onboarding and ongoing monitoring. |
PEP identification and monitoring referenced for onboarding and ongoing customer screening. | |
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Adverse Media Checks Regularly screens for negative news or legal actions associated with customers. |
Adverse media and negative news checks are available as part of EDD in FIS product suites. | |
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Automated Document Extraction Extracts and analyzes data from submitted identification documents. |
FIS documentation describes automated extraction of document/ID data for CDD/KYC workflows. | |
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Ongoing Customer Monitoring Periodically reassesses customers for potential risk changes. |
Ongoing customer and policyholder monitoring, with periodic risk review, included in AML suite. | |
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Enhanced Due Diligence (EDD) Extra checks for high-risk customers, including deeper background checks and monitoring. |
Enhanced due diligence functions are available for high-risk clients in FIS compliance platform. | |
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Custom Risk Rules Create and adapt risk rules for specific products or geographies. |
Custom risk rule creation and adaptation available in FIS's configurable compliance modules. | |
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Customer Data Storage Duration Duration for which customer due diligence data is retained. |
No information available | |
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ID Verification Time Average time required to verify customer identity. |
No information available | |
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Blacklist Integration Supports custom and industry blacklists for screening. |
Blacklist screening (internal/industry lists) supported within insurance fraud offering. | |
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Bulk Processing Capability Ability to verify large volumes of customers simultaneously. |
System is designed to handle bulk/batch verification for large insurance groups. | |
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Multi-language Support Availability of customer verification in multiple languages. |
No information available | |
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Investor Suitability Checks Evaluates customer suitability for insurance products based on profile. |
No information available |
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Automated Case Creation Automatically opens cases when alerts are triggered. |
Automated case creation upon alert suggested by case management system inclusion. | |
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Investigator Assignment Assigns cases to appropriate teams or individuals for review. |
Investigator/case assignment referenced in FIS case management tools. | |
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Case Prioritization Automatically prioritizes cases based on severity and risk. |
Prioritization of cases by severity/risk is a common feature in enterprise case management (supported by FIS). | |
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Evidence Attachment Stores all related documents, proofs, or analytics with a case record. |
System allows attachment of case-related evidence and documentation. | |
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Case Status Tracking Monitors and updates the progress of the investigation. |
Supports tracking and updating status of ongoing investigations. | |
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Audit Trails Detailed histories and logs of all case actions for compliance. |
Audit trail and case actions logging supports compliance requirements in FIS solutions. | |
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Notes and Collaboration Allows multiple investigators to add notes and collaborate on a case. |
Allows notes/collaboration between multiple investigators inside the case management system. | |
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Automated Escalation Rules Escalate cases based on predefined rules or deadlines. |
Automated escalation for unresolved/critical cases enabled in case workflow tools. | |
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Role-based Access Control Restricts access to sensitive case data based on roles. |
Role-based access to case data included for privacy and compliance assurance. | |
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Case Resolution Time Average time to resolve an investigation case. |
No information available | |
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Case Reassignment Ability to transfer cases between investigators or teams. |
Case reassignment features are standard in FIS and other insurance case management software. | |
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Case Linking Links related cases for context in wider investigations. |
Related alert/case linking supported by case management system as documented. | |
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Automated SAR/STR Drafting System assists in creating Suspicious Activity/Transaction Reports. |
Automated SAR/STR draft generation explicitly listed under suspicious activity reporting features. | |
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External Data Integration Link case investigations to third-party or external databases. |
Links to external data (watchlists, claims, etc.) referenced in product's interoperability documentation. | |
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Case Analytics Aggregate and analyze case data for trends and improvements. |
Case analytics and reporting built into FIS case management dashboards. |
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Automated SAR/STR Filing Systematically prepares and submits suspicious activity reports to authorities. |
Automated SAR/STR reporting/filing is a core compliance deliverable of the FIS solution. | |
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Currency Transaction Report Automation Handles volume-based reports (like CTRs) for high-value transactions. |
Currency transaction and threshold-based reporting included for AML compliance. | |
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Regulatory Format Compliance Processes and exports reports in regulator-mandated formats. |
Output and support for regulator-mandated report formats provided as a compliance feature. | |
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Regulation Library Maintains up-to-date regulatory requirements. |
FIS maintains an up-to-date regulatory requirements library within platform. | |
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Report Filing Audit Trail Keeps a detailed log of all report generations and submissions. |
Audit trails for report filing and submission are referenced under compliance recordkeeping. | |
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Submission Confirmation Receipt Stores official acknowledgments of filed reports. |
Stores electronic copies/confirmations of filings as part of submission workflow. | |
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Reporting Timeliness Average time from identification to report filing. |
No information available | |
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Automated Data Validation Checks completeness and accuracy of reports prior to submission. |
Data validation/quality checks prior to regulatory submission referenced in product materials. | |
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Bulk Reporting Capability Enables batch generation and filing of large numbers of reports. |
Batch/bulk reporting and filings specifically supported for compliance efficiency in FIS. | |
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Multi-Jurisdiction Support Supports simultaneous compliance with regulations across countries/regions. |
Multi-jurisdiction regulatory support for global insurance sector is featured on product page. | |
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Automated Filing Scheduling Configurable scheduling for recurring regulatory filings. |
No information available | |
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Template Customization Allows editing of report templates to match specific regulatory needs. |
Report templates are customizable as noted in product solution description. | |
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E-signature Integration Permits digital signing and approval of regulatory reports. |
No information available | |
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Alert-to-Reporting Automation Directly escalates flagged alerts to the regulatory reporting workflow. |
Alert-case-regulatory workflows are built in to automate alert escalation and reporting. | |
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XML/XBRL Export Exports reports in structured formats for electronic submission. |
XML/XBRL and similar formats referenced in reporting/export features. |
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Single Sign-On (SSO) Supports enterprise authentication systems for secure user login. |
Enterprise login and SSO integration is referenced in FIS's user management documentation. | |
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Multi-Factor Authentication (MFA) Adds extra account protection during login. |
Multi-factor authentication can be enabled for enhanced login security. | |
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Role-Based Permissions User access is granted according to job function or responsibility. |
Role-based user access and permissions included in the FIS security/access model. | |
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User Activity Logging Comprehensive logs of all user activity for auditing. |
Monitors/logs all user activity for audit and compliance review. | |
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Inactive User Timeout System automatically logs out inactive users. |
Automatic timeout/logoff after a period of inactivity described in technical control documentation. | |
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Granular Data Access Controls Fine-grained access management for different data and workflows. |
No information available | |
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Password Policy Enforcement Ability to enforce password expiry and complexity requirements. |
Password policy (expiration, complexity) enforcement is referenced within documentation for security compliance. | |
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Encryption of Data at Rest Ensures all stored data is encrypted. |
Data at rest is encrypted to meet regulatory/security requirements. | |
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Encryption of Data in Transit Secures data exchanged between components and external parties. |
Encryption in transit (TLS/SSL) is standard for FIS enterprise platforms. | |
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User Session Monitoring Tracks and manages concurrent user logins and sessions. |
No information available | |
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Access Revocation Speed Average time to revoke user access upon termination or suspicion. |
No information available | |
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Privileged Access Monitoring Monitors usage of elevated privileges or admin accounts. |
Privileged/admin user access is monitored to ensure security and compliance. | |
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Compliance with Security Standards Conforms with standards like ISO 27001, SOC 2, etc. |
FIS meets multiple security/compliance (ISO 27001, SOC 2) standards as part of its offering. | |
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Integration with IAM Solutions Works with third-party identity and access management systems. |
No information available | |
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Audit-ready Reporting Ability to generate user access and activity reports for audits. |
Audit-ready reporting included in access and compliance documentation. |
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Open API Availability Supports open APIs for inbound and outbound data exchange. |
Open API support, including for integration and interoperability, is highlighted in platform materials. | |
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Pre-built Connectors Out-of-the-box integrations with industry leading core and claims systems. |
Ecosystem connectors with core/claims systems cited as a competitive advantage. | |
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Data Import Flexibility Supports diverse file formats (CSV, XML, JSON) for data intake. |
Supports multiple input formats (CSV, XML, etc.) for data import and onboarding. | |
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External Watchlist Integration Ability to import and update external sanctions/PEP watchlists. |
Integration with external watchlists and regular updating referenced. | |
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Webhook Support Real-time notifications and event forwarding to external systems. |
Webhook/event notification support is noted for integrations and real-time data push. | |
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Legacy System Compatibility Facilitates interoperability with older insurance platforms. |
Legacy (mainframe, older systems) integration described as available, supporting wide insurance adoption. | |
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Data Enrichment Integration Connects to third-party data providers for enrichment and validation. |
Data enrichment with third-party sources, including validation, is a documented feature. | |
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CRM Integration Direct connection with customer relationship management systems. |
No information available | |
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Core Insurance System Integration Time Average time to integrate with main insurance platforms. |
No information available | |
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Custom Mapping Tools Tools for mapping data fields and records to internal schemas. |
No information available | |
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Data Export Automation Automated pushing of compliance data to external data warehouses. |
No information available | |
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Batch Processing Support Handles large volumes of data during off-peak hours. |
Batch processing and handling of data/alerts during off-peak is specifically listed. | |
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SOAP/REST API Support Compatibility with different web service technologies. |
SOAP and REST API support available for interoperability. | |
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Real-time Data Sync Instant synchronization with integrated systems. |
Real-time data sync across integrated systems referenced on technical architecture descriptions. | |
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Customization Services Offers configuration and integration customization. |
No information available |
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Customizable Alert Rules Enables creation and editing of alert rules and escalation paths. |
Customizable alert rules and escalation paths included in alerting configuration. | |
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Multi-Channel Notification Supports notifications via email, SMS, dashboard, or instant messaging. |
Multi-channel notification (email, SMS, dashboard) supported for critical fraud/AML alerts. | |
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On-Call Scheduling Assigns alerts to on-duty investigators based on schedule. |
No information available | |
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Alert Suppression/Grouping Advanced rationalization to avoid duplicate or low-impact alerts. |
Alert suppression/grouping supported to reduce noise and optimize incident response. | |
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Severity Levels Categorizes alerts by threat level or regulatory risk. |
Alerts categorized by severity/threat, configurable by client. | |
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Alert Rate Throttling Controls the frequency of notifications to avoid overload. |
No information available | |
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Notification Acknowledgement Requires recipients to confirm receipt of critical alerts. |
No information available | |
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Alert Remediation Automation Automatically initiates certain actions based on alert type. |
FIS solutions include automatic alert remediation for certain types of fraud/AML alerts. | |
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Escalation Matrix Configurable escalation workflows for unresolved issues. |
Configurable escalation matrix available for unresolved/critical issues. | |
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Alert-to-Case Conversion Speed Average time for converting an alert into a case. |
No information available | |
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Alert Retention Policy How long alerts are stored for review and audit. |
No information available | |
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Visual Alert Dashboard Centralized, real-time alert and incident dashboard. |
Visual dashboards for fraud/AML alerting and incident monitoring are a key selling point. | |
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Real-Time Anomaly Notification Immediate notification of flagged anomalies or threats. |
Real-time notification of anomalies integrated with dashboard and alerting. | |
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Bulk Alert Management Handles large incident volumes efficiently. |
Bulk incident/alert management referenced as necessary for large insurance organization deployments. | |
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Integration with Incident Management Automatic logging of alerts in enterprise incident management systems. |
No information available |
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Comprehensive Audit Trail Tracks all actions, configurations, and events for compliance validation. |
Detailed, comprehensive audit trail maintained for all compliance actions and configurations. | |
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Automated Compliance Checklists Guided checklists to ensure procedures are followed. |
No information available | |
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Regulatory Documentation Repository Centralized storage for all policy and regulatory documents. |
Regulatory document repository (centralized storage) present in compliance management suite. | |
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Policy Change Logging Tracks and logs every change to compliance policies. |
Policy change logging and audit referenced under compliance tracking. | |
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Automated Audit Preparation Prepares documentation and evidence for audits. |
Automated audit preparation features highlighted in compliance and legal solutions. | |
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Third-party Auditor Access Grants temporary access to auditors for system review. |
Temporary, granular system access for external/third-party auditors mentioned. | |
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Gap Analysis Tools Identifies areas of non-compliance or risk. |
No information available | |
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Compliance Dashboard Visual overview of compliance status and activities. |
Compliance dashboard and monitoring delivered on platform dashboards. | |
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Audit-ready Data Export Exports required audit data on demand. |
Audit-ready export capability confirmed in product documentation for compliance. | |
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Policy Version Control Maintains a version history of all compliance policies. |
Compliance policy version control included among product features. | |
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Automated Reminders Notifies users of upcoming compliance tasks and deadlines. |
Automated reminders/notices for deadlines and renewals available for compliance team. | |
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Control Effectiveness Ratings Tracks effectiveness of implemented compliance controls. |
No information available | |
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Compliance Training Tracking Monitors completion rates for required training modules. |
Tracks completion of compliance and AML training modules for users. | |
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Exception Management Manages and documents compliance/AML exceptions. |
Compliance exception management workflow present for onboarding and ongoing monitoring. | |
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Audit Trail Data Retention Duration for which audit trail data is kept. |
No information available |
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Data Validation Checks for completeness, accuracy, and correctness upon data entry. |
Data validation and data quality processes implemented as part of client onboarding and ongoing maintenance. | |
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Data Cleansing Automated correction and standardization of input data. |
Automated data cleansing included in data management capabilities. | |
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Duplicate Detection Identifies duplicate or redundant entries within the data. |
Duplicate detection and remediation is part of FIS data integrity assurance tooling. | |
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Data Lineage Tracking Monitors the history and journey of data across the system. |
Data lineage tracking is available for audit and compliance reporting. | |
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Field-level Encryption Protects sensitive fields with granular encryption. |
Field-level encryption available for sensitive data fields in compliance contexts. | |
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Data Backup Frequency How often backups of critical data are performed. |
No information available | |
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Data Restoration Time Average time to restore data from backup. |
No information available | |
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Data Retention Policy Compliance Conformance to regulatory or organizational data retention requirements. |
Product retains data per regulatory requirements (GDPR, CCPA, insurance regulation). | |
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Metadata Management Captures descriptive information about each data asset. |
Metadata management for compliance, client, and process data referenced in platform materials. | |
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Audit Logs on Data Changes Maintains logs of changes to any compliance data. |
Data change logs (audit logs) maintained for all compliance-relevant data. | |
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Automated Data Archiving Moves older data to secure storage locations automatically. |
Automated data archiving to secure storage locations included for compliance. | |
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Redundancy and Failover Duplicate data and process paths to ensure availability. |
Redundancy and failover for process/data availability specially highlighted. | |
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Data Access Monitoring Monitors and logs every access to sensitive or critical data. |
Data access monitoring and audit logs are generated for all user data accesses. | |
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Data Masking Conceals confidential data when displayed or exported. |
Data masking for sensitive fields when exporting or viewing referenced under privacy controls. | |
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GDPR/CCPA Compliance Meets international privacy and data governance regulations. |
Product addressed GDPR/CCPA compliance for global insurance customers. |
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Custom Dashboard Creation Allows users to create personalized analytics dashboards. |
Users can create custom dashboards for analytics/reporting purposes. | |
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Pre-built Reports Library of standard reports for compliance and fraud monitoring. |
Library of pre-built compliance/fraud reports is part of analytics offering. | |
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Ad Hoc Query Capability Users can create custom queries and reports on demand. |
Ad hoc reporting and querying capability discussed in advanced analytics literature. | |
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Drill-down Analytics Ability to explore analytics from summary views into detailed views. |
Drill-down analytics and ability to explore data interactively referenced. | |
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Scheduled Reporting Automatic report generation and distribution on a fixed schedule. |
Reports can be scheduled for automatic generation and distribution. | |
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Historical Trend Analysis Analyzes changes and patterns over time in compliance activities. |
Historical/trend analysis of fraud, cases, and compliance activities available. | |
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Alert/Case Analytics In-depth analysis of alert and case performance and statistics. |
In-depth alert/case analytics referenced in dashboard breakdowns. | |
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Export Formats Range of formats (PDF, Excel, CSV, etc.) for exported reports. |
Export to various formats (PDF, Excel, CSV, etc.) noted in reporting documentation. | |
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Interactive Data Visualization Dynamic charts, graphs, and heatmaps for visual analysis. |
Dynamic/interactive dashboard widgets, charts, graphs included. | |
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User Level Analytics Tracks productivity and actions by investigator or reviewer. |
Tracks actions/productivity at individual user and team level. | |
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Regulatory KPI Tracking Monitors compliance with regulatory key performance indicators. |
Regulatory KPI tracking available for compliance performance monitoring. | |
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Report Delivery Time Average time to generate and deliver standard reports. |
No information available | |
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Live Data Feeds Real-time streaming of analytics and monitoring metrics. |
Live (real-time) analytics/dashboard feeds available for fraud and compliance teams. | |
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Cohort Analysis Analyze behavior and outcomes for customer/claim segments. |
No information available | |
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Self-Service Reporting Non-technical users can access and build their own reports. |
Self-service query/report setup for non-technical users highlighted. |
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User Interface Simplicity Easy to use and navigate for all user roles. |
Product is described as user friendly and simple to navigate for typical insurance operations. | |
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Role-specific Views Improves productivity through customized dashboards for different roles. |
Role-based dashboard/views available to optimize for individual/team workflows. | |
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Contextual Help In-app assistance and training resources available. |
Context-sensitive help and in-platform tutorials included in product suite. | |
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Onboarding Support Comprehensive training and onboarding for new teams. |
Onboarding, implementation, and training support explicitly mentioned. | |
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24/7 Technical Support Round-the-clock technical support availability. |
24/7 technical support referenced for all major clients. | |
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Multi-language User Interface Supports multiple languages for global teams. |
No information available | |
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User Feedback Mechanism Easy submission of user feedback and product suggestions. |
User feedback channels are included for ongoing platform improvement. | |
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System Uptime Guarantee Percentage of time the system is guaranteed to be operational. |
No information available | |
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Release Frequency Average time between major product updates. |
No information available | |
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Knowledge Base Access Documentation and FAQs available for self-service help. |
Knowledge base/FAQ and documentation access provided as part of self-service support. | |
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Customizable User Preferences Users can personalize display, notifications, and workflow settings. |
Supports user customization of notifications and dashboard/user preferences. | |
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Accessibility Compliance Meets standards for barrier-free access (WCAG, ADA). |
No information available | |
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Guided Walkthroughs Built-in tutorials and interactive walkthroughs for new features. |
No information available | |
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Mobile Compatibility Available on mobile or responsive to mobile browsers. |
Mobile platform and browser compatibility are referenced in materials for insurance teams. | |
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Change Management Support Tools and resources to help teams adopt new workflows. |
No information available |
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