Risk Intelligence Dashboard for Atlas Insurance
Atlas Insurance was losing $8.2M annually to claims fraud. Lumina built a real-time Risk Intelligence Dashboard that cut fraud by 31% within two quarters.
Client
Atlas Insurance
Category
Analytics
Year
2022
The Challenge
What Was at Stake
Atlas Insurance's fraud detection relied on a rules-based system built in 2009. As fraud patterns evolved, the system's false-negative rate climbed to 34%, allowing $8.2M in fraudulent claims to pass undetected annually. Meanwhile, a 28% false-positive rate was frustrating legitimate customers and increasing processing costs.
"For the first time, our investigators have a system that thinks like a fraudster."
Our Approach
How We Tackled It
Lumina's data science team analyzed 6 years of claims data (4.2M records) and built a
graph-based anomaly detection model that maps relationships between claimants, providers, and adjusters. We identified 47 new fraud patterns invisible to the legacy rules
engine.
The Solution
What We Built
The Risk Intelligence Dashboard combines graph analytics, behavioral scoring, and real-
time network analysis into a unified investigator interface. Claims are scored in under
200ms, with high-risk cases automatically routed to specialized investigators with a pre-
populated evidence package.
Project Timeline
01
Discovery
2 weeks
Audit of legacy fraud systems and 6-year claims data analysis.
02
Model Development
6 weeks
Graph anomaly detection model trained on 4.2M historical records.
03
Dashboard Build
4 weeks
Real-time investigator interface with automated evidence packaging.
04
Deployment & Training
2 weeks
Zero-downtime rollout and investigator enablement program.
Measurable Outcomes
31%
Fraud Detection Improvement
More fraudulent claims identified vs. legacy system.
67%
False Positive Reduction
Fewer legitimate claims flagged incorrectly.
$2.5M
Annual Savings
Direct fraud prevention impact in year one.
12,000+
Claims Scored/Day
Real-time scoring at scale.
TO
"The ROI was visible in the first month. Lumina didn't just build a dashboard they rebuilt our entire fraud intelligence capability."
Thomas Okafor
Chief Risk Officer, Atlas Insurance
