Detect suspicious activity across policies, claims, and payments in real time while reducing false positives and meeting evolving regulatory expectations.

AML Risk Monitoring for Insurance

Advanced Real-Time AML Transaction Monitoring & Risk Intelligence for Insurance Compliance

  • €63.5B+ global AML fines since 2007
  • €29.5M+ Malta fines since 2019
  • Rising regulatory scrutiny and enforcement
  • Multi million euro fines and enforcement actions
  • Loss of license or regulatory restrictions
  • Severe reputational damage and loss of customer trust
  • Increased operational costs due to remediation and audits
  • FATF Recommendations
  • EU AML Directives (AMLD5/6)
  • Local Supervisory Authorities
  • Risk-based approach requirements for customer and transaction monitoring

Illicit Fund Layering

Insurance products enable layering and integration of illicit funds for e.g., early policy surrender, overpayments, claim manipulation

Distribution Risk Exposure

Complex distribution networks (brokers, agents) increase exposure to financial crime

Cross-Border Risk

Cross-border policies introduce jurisdictional risk

Insurance-Specific Monitoring Capabilities

  • Up to 90-95% reduction in false positives (industry estimates)
  • Real-time detection instead of reactive investigations
  • Scalable monitoring across high transaction volumes
  • Unified view across fragmented systems and data silos

Premium Monitoring

Detect anomalies such as overpayments, structured payments, and third-party funding

Claims Monitoring

Identify suspicious claims patterns, early surrenders and unusual beneficiary changes

Policy Lifecycle Tracking

Monitor risk across underwriting, servicing and payouts

Intermediary Risk Monitoring

Asses brokers and agents for suspicious activity patterns

Purpose-Built to Address Unique AML Risks and Workflows of Insurers

Automated Alerts & Prioritisation

Case Management

Risk-Scoring

AI-Powered AML for Complex Insurance Operations.

1

Dynamic behavioural profiling of policyholders

Tracks policy activity and payment patterns to flag unusual behaviour early.
2

Network analysis linking customers, beneficiaries, and intermediaries

Reveals hidden relationships to identify potential collusion and risk.
3

Adaptive risk scoring that evolves with emerging typologies

Continuously updates risk scores based on new threats and patterns.

We reduced false positives by over 80% and gained full visibility into policyholder behaviour across jurisdictions

Insurance FirmChief Compliance Officer

The AI-driven monitoring transformed our ability to detect suspicious claims activity—something we struggled with for years.

Regional InsurerMLRO

Regulatory audits became significantly smoother thanks to automated reporting and explainability.

Insurance FirmAML Director

Why do insurers need AML transaction monitoring?

How is AML risk different in insurance compared to banking?

What risks are we mitigating with a monitoring platform?

Is the solution compliant with global regulations?

What is the ROI of an AML monitoring platform?

What audit and reporting capabilities are required?

What data is required for effective transaction monitoring?

How difficult is integration with core insurance systems?

Can it integrate with existing systems?

Can the platform handle both batch and real-time monitoring?

How scalable is the platform?

What about data security and privacy?

Build vs buy: should we develop internally or purchase a solution?

How quickly can it be deployed?

Transform Your AML Operations