Coverage desk

Fraud Operations

Source-backed reporting and analysis connected to the companies, capabilities, authorities, and operating domains it affects.

July 29, 2026Fraud Operations

NAIC Model 680 keeps fraud scores outside the verdict

The Insurance Fraud Prevention Model Act supplies a model statutory structure for prevention, reporting, investigation, and authority. A model output can prioritize review, but it cannot establish fraud, intent, liability, or a lawful adverse action.

8 minInsurance fraud-governance analysis

July 19, 2026Claims Operations

Automated claims need a decision chain—not an automation percentage

Across intake, extraction, triage, fraud, estimates, guidance, and communication, the buyer test is whether the final action remains traceable to data, rules, authority, exceptions, and verified result.

7 minComparative market analysis