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LOKI Fraud Intelligence Platform Logo

​An ASG National Creation

Loss Observations. Kinetic Investigations. See the pattern. Stop the loss.

LOKI delivers a centralized intelligence layer across your entire claims ecosystem, combining collective fraud intelligence with AI-driven analytics to identify high-risk signals early and activate investigative workflows instantly

PATTERN RECOGNITION

Identify Repeat Actors and Behaviors

LOKI doesn’t just assess a single claim, it reviews all your claims, current and historical to identify repeat actors and coordinated behaviors across: attorneys, medical providers, claimants, addressees, employers and entities.

Connecting all the dots that otherwise go unnoticed.

FRAUD INTELLIGENCE

Dynamic Rules and Behavior Models

By applying dynamic rules, behavioral models and AI tools LOKI is able to detect:

  • Inconsistent injury narratives

  • Treatment and billing anomalies

  • High-frequency referral patterns

  • Pain scale vs. physiological inconsistencies
     

Enabling you to get ahead of potential fraud.

KINETIC INVESTIGATIONS

Investigations To Actions

Kinetic Investigations (KI) moves beyond identification and into a course of action. LOKI provides real-time alerts and scoring, configurable escalation workflows, SIU integration as well as offering litigation support insights.

Collective Intelligence Exchange Logo

What is the CIX?

The Collective Intelligence Exchange is a governed, permission-based intelligence ecosystem managed by the iFraud Foundation, where organizations contribute and receive validated fraud intelligence without relinquishing ownership of their underlying information. LOKI (Loss Observations & Kinetic Investigations) serves as the intelligence engine supporting the Collective Intelligence Exchange, identifying relationships and emerging fraud patterns while respecting governance, permissions, and participant ownership.

BUILT FOR CONNECTED INTELLIGENCE

LOKI complements your intelligence with collective fraud insights, delivering broader visibility, earlier detection, and faster investigative action.

YOUR DATA

Internal claims data from RMIS and claims management systems.

EXTERNAL INTELLIGENCE

Collective Intelligence Exchange (CIX) and multiple industry data sources.

AI & ANALYTICS

Dynamic rules, behavior models and machine learning detect risk.

ACTIONABLE INSIGHTS

Alerts, scoring, stakeholder collaboration, and workflows drive investigations to action.

How LOKI Works

LOKI Key Outcomes

LOKI Features 1
LOKI Features 2

See the Pattern. Stop the Loss.

LOKI delivers the intelligence you need to protect your program, reduce fraud, and improve outcomes.

Let’s build a smarter defense—together.

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