Score and prioritize transactions according to risk level

Trigger: A new transaction, such as a submitted claim or policy change request, enters the core processing system.

1. Ingest transaction data and supporting documentation
2. Extract key risk indicators from the transaction record
3. Evaluate data against fraud rules and predictive risk models
4. Calculate a composite risk score and priority tier
5. Route the transaction to the designated processing queue

Outcome: The transaction receives a definitive risk score, priority ranking, and is routed to the appropriate automated or manual workflow.