claimdesk-fraud-mcp

MCP server for insurance fraud detection. Score fraud risk, analyze red flags, generate SIU referral packages, check claims against known fraud schemes, and produce investigation checklists.

Tools

| Tool | Description | |------|-------------| | score_fraud_risk | Score fraud risk (0-100) based on 30+ red flag indicators | | red_flag_analysis | Detailed red flag breakdown by category with investigation actions | | siu_referral | Generate structured SIU referral package with investigation plan | | pattern_check | Match claim against known fraud schemes by line of business | | investigation_checklist | Tailored investigation checklist based on flags and score |

Lines of Business

Auto, Property, General Liability, Workers Comp, Health, Professional Liability, Product Liability, Marine, Cyber, Umbrella/Excess.

Red Flag Categories

Timing, Claimant Behavior, Documentation, Financial, Medical, Provider, Pattern, Coverage, Witness, Vehicle, Property.

Install

npx claimdesk-fraud-mcp

Claude Desktop Config

{
  "mcpServers": {
    "claimdesk-fraud": {
      "command": "npx",
      "args": ["-y", "claimdesk-fraud-mcp"]
    }
  }
}

Example

Score an auto claim for fraud:

score_fraud_risk({
  line_of_business: "auto",
  claimed_amount: 45000,
  description: "Owner reports vehicle stolen, keys present, no forced entry, vehicle found burned",
  days_to_report: 5,
  policy_age_days: 22,
  prior_claims: 2,
  injury_involved: false,
  litigation_filed: false,
  has_police_report: true,
  financial_stress: true,
  witness_count: 0
})

Full claims management platform: claimdeskai.com

License

MIT