Fraud Detection

Find fraud your rules can't see

Rules score transactions one by one, so clusters stay hidden. With CARTO, score them together to find patterns and anomalies.

CARTO map of Houston-area flood claims with a claim marked for fast-track settlement because recorded rainfall supports it, beside fraud risk and flood risk widgets

What fraud teams run in CARTO

Find and check fraud securely in your own cloud, whether you're working with insurance claims, card payments, or digital accounts.
See the industry view for insurance and financial services.

Find fraud hotspots

Scored one at a time, fraud that clusters in one area looks like a run of unrelated cases.

CARTO lets you group fraud signals into hotspots on an H3 grid and rank every area by how far it stands out, using hotspot analysis in a saved, reusable Workflow, which can be called as an MCP tool in your agent platform.

Workflows
CARTO AI Agent comparing billing charge ratios across clusters, beside a hotspot map of high-high billing clusters across the United States

Check claims against events

Confirming that a storm actually hit an address on the claimed date usually means a manual lookup or an inspector visit.

CARTO lets you join each claim to the storm, fire, or flood behind it, using weather and hazard data from the Data Observatory or from external APIs and services like Google Earth Engine, and flag the ones that don't match.

Data Observatory
CARTO AI Agent on a map of earthquake, storm, flood, and wildfire hazards alongside exposed assets

Test reported locations

A claimed loss or a card transaction can come from somewhere it could never have happened, and nobody checks the geography.

CARTO lets you compare where something was reported with where it could have happened, using drive-time areas, flood extents, or wildfire perimeters.

Isoline maps
CARTO map of Houston-area flood claims with a claim marked for fast-track settlement because recorded rainfall supports it, beside fraud risk and flood risk widgets

Build spatial features

Fraud models often treat location as one raw column, because building features from it takes custom code.

CARTO lets you add distances, neighbor counts, and area profiles to your fraud models and refresh them on new data, all in a saved, reusable Workflow that can be called as an MCP tool in your agent platform.

Spatial data science
CARTO Workflow that buffers Texas properties, extracts rainfall from Google Earth Engine, and joins it with claims and flood risk data

Rank cases

Investigators have more cases than time, and the queue rarely says which ones to open first.

CARTO lets you score every case by risk and location, and lets investigators ask an AI Agent which ones to start with.

CARTO AI Agents
CARTO AI Agent flagging high-risk flood claims in Texas where satellite rainfall data does not support the reported damage

Share live risk maps

Customers want to see their own risk on a map, but a portal that serves maps to thousands of users is a project of its own.

CARTO lets you embed live risk maps in your own portal, built with deck.gl and the CARTO APIs, so your customers can explore the risk themselves.

CARTO for developers
Street Safety Monitor app mapping New York City collision records, with severity, road user, and contributing factor breakdowns
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A better way to see where fraud happens

Insurance fraud alone costs the United States an estimated $308.6 billion a year, according to the Coalition Against Insurance Fraud (2022).
Fraud teams have the signals but not the geography. CARTO lets you add the spatial layer inside the warehouse where the data already lives, so investigators get answers and nothing is copied out.

* Describes typical setups. Individual tools and teams vary.

BI dashboards*
In-house visualization layers*
CARTO
Where the data lives
BI dashboards

Exported into the dashboard, or sampled

In-house visualization layers

Copied into a separate store with its own pipeline

CARTO

Queried in place in your warehouse

Working at scale
BI dashboards

Tables and totals, unable to work with billions of events and claims

In-house visualization layers

Custom tiling code, reworked as volume grows

CARTO

Runs inside your warehouse, so maps and analysis stay fast on billions of events and claims

Checking claims against events
BI dashboards

Weather and hazard data looked up by hand

In-house visualization layers

One-off scripts for each check

CARTO

Weather, hazard, and imagery data from sources like the Data Observatory and Google Earth Engine, enriched directly in your warehouse

Adapting and iterating
BI dashboards

Wait for an analyst to build a new report

In-house visualization layers

Have the author rerun the script

CARTO

Build AI Agents and MCP tools so investigators and claims handlers can question your data and analysis, in Builder maps or in agent platforms like ChatGPT

Sharing and audit
BI dashboards

Screenshots and static reports

In-house visualization layers

A bespoke portal that engineers maintain

CARTO

Live maps and agents, embeddable for customers, with every query logged and auditable, whether your team or its AI Agents ran it

Featured story

Get inspired by our customers

Tokio Marine Highland

Faster flood insurance operations at Tokio Marine Highland

Tokio Marine Highland, a specialty managing general underwriter, uses CARTO across its flood insurance operations, raising underwriter productivity by 30% and cutting storm analysis time by 90%.

Read the story
Tokio Marine Highland flood insurance map in CARTO
Data partner logos available in the CARTO Data Observatory

The context around every claim

Bring in weather, hazard, demographic, and imagery data from more than 12,000 datasets in the Data Observatory, or pull it from external APIs and services like Google Earth Engine, with satellite imagery search available inside Workflows.

Explore the Data Observatory

Frequently asked questions

Why not build something like CARTO ourselves?

Many teams do build a visualization layer, and it works until the work around it grows: tiling, filters, permissions, sharing, and maintenance. With CARTO those pieces are already built, and your engineers can extend them with deck.gl where the product is unique to you, so they spend their time on what only you can build. See CARTO for developers.

Does our data stay in our own systems?

Yes. CARTO lets you run the analysis inside your existing cloud data warehouse (BigQuery, Snowflake, Redshift, Databricks, or Oracle), under your access controls, and CARTO can also be self-hosted. AI Agents can use the model you choose, including your own.

Will CARTO keep up with billions of events?

Yes. CARTO is built to handle billions of points. Because CARTO is cloud-native, the analysis runs inside your warehouse and scales with it, and formats like spatial indexes (H3, for example) and dynamic tiling mean a map loads only what is on screen, not every row. For very large volumes, the best check is a short technical evaluation on your own data, with your volumes and your filters.

How can insurers detect fraudulent claims with location data?

Join each claim to the weather, hazard, and imagery data for its place and date, from the Data Observatory or from external APIs and services like Google Earth Engine, then flag the claims that don't match the event or sit out of line with their neighbors. Spatial joins and hotspot analysis do the matching and the clustering, and a composite score ranks the cases for investigators.

How is GIS used in fraud detection?

Fraud has a geography: claims cluster after the same event, devices cluster in the same places, and transactions show up where the customer could never have been. GIS adds that view. In CARTO, hotspot analysis, spatial joins, drive-time analysis, and composite scoring run as reusable Workflows on your own cloud data, and investigators explore the results on live maps and with AI Agents.

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