Explainable, advisory-only AI
Every score carries human-readable drivers; no solely-automated adverse decisions — humans decide, Covtura informs.
NIIRA 2025 puts every insurer on a 60-day settlement clock, with fines for delay. Covtura scores every claim for fraud risk the moment it's filed — with an explanation your adjusters, auditors and the regulator can read — so you settle honest claims fast and stop the rest before the money leaves.
Verified regulator figures — not vendor slides. Nigeria's claims pool is large, motor claims are decided and paid locally, and no insurer has a measured fraud rate. Whoever measures first, wins.
A hybrid engine — machine-learned model plus hard compliance flags — returns a 0–100 fraud score and risk band in-process, before the claim reaches an adjuster's desk.
Each score ships with its drivers: claim-to-coverage ratio, reporting lag, claim history, policy status. Your team sees why — no black box, and exaggerated claims (the most common fraud type in Nigeria) light up on exactly these signals.
HIGH-risk claims raise an alert into an investigator queue automatically. Honest claims flow through untouched — the 60-day clock keeps running in your favour.
One click opens a case and drafts an investigation brief — claim, policy, customer history and risk drivers assembled by AI, advisory-only, every output validated and logged.
Network intelligence links claims through shared phone numbers, bank accounts and BVNs to surface organised fraud rings no single claim reveals.
"Give us your last 12 months of closed claims. We'll show you exactly which ones we would have flagged — and you already know which ones turned out to be fraud."
A retrospective pilot runs entirely in shadow mode: no workflow change, no live decisions, results in weeks. You get a quantified report of the leakage sitting in your own book — the first measured fraud data in the Nigerian market — and a clear read on what Covtura would recover at your claim volumes.
A mid-tier motor book of ₦5–10bn/year plausibly leaks hundreds of millions of naira annually. Every tier below is a fraction of that recovery — the platform pays for itself at modest detection rates.
| Tier | Scope | Price |
|---|---|---|
| Retrospective pilot3 months, shadow mode | Historical claims re-scored; quantified leakage report; go/no-go evidence | ₦2–5M one-off |
| Coreannual contract | Live scoring up to ~2,000 claims/month; alerts, triage, case management | ₦2–4M / month |
| Enterpriseannual contract, negotiated | Unlimited claims; network/ring intelligence; API access; priority support | ₦6–10M / month |
Annual contracts with yearly repricing. Launch-partner terms available for the first reference customers.
Every score carries human-readable drivers; no solely-automated adverse decisions — humans decide, Covtura informs.
EU data residency, encryption at rest and in transit, and full provenance on every assessment and AI brief.
Row-level security enforced in the database — your data is walled off from every other insurer, provably, even against application bugs.
Every score, alert, assignment and decision is logged immutably — evidence on demand for auditors and NAICOM.