Insurance • Real-time scoring, alerts, investigations, external data, and payments hold (no SLA section)
Example API Endpoints
POST /score/fnol
Score FNOL payload; return risk band + reasons
POST /score/estimate
Score repair/medical estimate with provider history
POST /score/payment
Score payment order (bank acct/device match, mule patterns)
POST /alerts
Create alert with score and recommended action
POST /cases
Open SIU case; attach entities, alerts, exhibits
POST /cases/{id}/actions/hold
Place hold on payment/policy pending review
POST /network/expand
Return linked entities and community metrics
POST /watchlists/sync
Sync internal/external watchlists (hashed where possible)
POST /callbacks/status
Asynchronous updates back to Claims/PAS/Payments
Sample Scoring Request
POST /score/payment
{
"claimId":"CLM-992331",
"beneficiary":{"name":"Adi Wijaya","bank":"XYZ","account":"****1289"},
"device":{"fingerprint":"dfp-8a12","ip":"103.88.14.9"},
"amount": 18500000,
"history":{"priorClaims": 4, "daysSincePolicy": 21},
"links":["plate:B1234XYZ","phone:+62812****777"]
}
-- RESPONSE --
{
"score": 0.86,
"band": "HIGH",
"reasons": ["Shared device with 3 other claims","Bank account linked to prior fraud case","Early-tenure payout"],
"actions": ["PLACE_HOLD","OPEN_CASE"]
}