Analytics solution for abuse and fraud prevention
Social Security Institute integrates historical visibility and proactive detection to strengthen fraud control
Challenge
Uruguay’s Social Security Institute needed to strengthen its oversight capabilities to address abuse and fraud. The organization required deeper insight into behavioral patterns, clearer understanding of case evolution, and reliable visibility into contributor participation over time.
Without an integrated and traceable view, anticipating risks, prioritizing investigations, and ensuring consistent follow-up proved slow and fragmented.
Solution
An advanced analytics solution was implemented to convert historical data into actionable risk signals and structured management tools.
The approach combined behavioral analytics and pattern detection to proactively identify emerging cases, continuous monitoring to assess trends over time, and structured case management mechanisms to oversee investigations. Executive reporting capabilities were introduced to track progress and measure the impact of enforcement actions.
Benefits
The value behind the solution
Evidence-based prevention
Proactively detects new fraud patterns through behavioral analytics.
Continuous visibility and control
Monthly insight into magnitude and participant involvement.
End-to-end case management
Enables prioritization, assignment, tracking, and impact measurement.
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