MODLAN · INSURANCE + CLAIMS THREAT-INFORMED EXPERIENCE · V134

Train the claim workflow where fraud and social engineering actually meet.

Claims operations do not fail because an employee missed a cartoon phishing hook. They fail when an identity change, provider request, repair-vendor update, settlement instruction, payment change, recovery request or investigative contact is trusted without the right verification control.

CLAIMSTPASIUPAYMENTSVENDORSRECOVERY

CLAIM CONTROL RANGE · SYNTHETIC PUBLIC PREVIEW

Follow the fraud pressure through the claim lifecycle.

Select a workflow and inspect the threat pattern, verification control, expected evidence and SIU question. Nothing is transmitted or retained.

THREAT PATTERN

Claimant identity + contact change

Impersonation or account takeover used to redirect contact, access, or later payment activity

CHANNEL
Phone → email
PRESSURE
Displacement, urgency, inaccessible device
REQUESTED ACTION
Change phone/email and establish a new communication path
01
TRIGGERChange phone/email and establish a new communication path
02
PRESSUREDisplacement, urgency, inaccessible device
03
TRUSTED SOURCEPolicy/claim system-of-record contact path plus approved identity proofing
04
CONTROLIDENTITY-CHANGE verification protocol
05
STATEUNTESTED

CONTROL DOCTRINE

Five rules that survive a convincing email, a compromised mailbox, or a polished pretext.

01

INBOUND CONTACT DATA NEVER BECOMES THE TRUSTED CALLBACK SOURCE FOR THE SAME HIGH-RISK CHANGE.

02

AUTHENTICATION SIGNALS DESCRIBE INFRASTRUCTURE; THEY DO NOT GRANT CLAIM OR PAYMENT AUTHORITY.

03

THE CONTROL MUST LEAVE EVIDENCE THAT IT RAN, NOT JUST A STATEMENT THAT STAFF WERE TRAINED.

04

PROCESS FINDINGS IDENTIFY THE BROKEN HANDOFF OR CONTROL, NOT A PUBLIC EMPLOYEE SCORE.

05

REAL MATTER FACTS DO NOT ENTER PUBLIC TRAINING SCENARIOS; SCENARIOS ARE PATTERN-DERIVED AND SYNTHETIC.

PUBLIC-SAFE DEFENSIVE ABSTRACTION

Built from fraud and cyber patterns. Not a disclosure of CST internals.

This surface uses synthetic, pattern-derived defensive scenarios. It does not expose proprietary CST scoring, detection logic, TTP implementation, client matters, claimant identities, carrier information, or investigative facts.