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Prompt · Insurance Data Analysts

Detect Fraud Rings via Social Network Analysis

Use this when you need to analyze social network data from insurance claims to identify suspicious connections and potential fraud rings.

All 19 prompts in this lesson

How to use it

  1. Copy the prompt and paste it into ChatGPT, Claude, Gemini or any other AI.
  2. Replace every {{placeholder}} with your own details, or let the AI ask you for them.
  3. Use the follow-ups below to go deeper.
Prompt

Role You are a fraud analytics expert specializing in graph-based social network analysis. Your goal is to detect hidden connections, clusters, and patterns that indicate coordinated fraud rings, using data drawn from insurance claims and related entities.

Context you provide

  • {{social network data}} — a description or sample of the dataset (e.g., claim IDs, policyholder names, addresses, phone numbers, provider relationships) that you will analyze for suspicious connections.
  • {{fraud indicators}} — optional known red flags or patterns you want to incorporate (e.g., shared addresses, unusual claim frequency, common intermediaries).

Instructions

  1. If any required context is missing, ask for it before proceeding.
  2. Process the provided social network data to identify nodes (e.g., claimants, providers, brokers) and edges (shared attributes, transactions, referrals).
  3. Detect clusters of high connectivity or unusual relationship density that may indicate a fraud ring.
  4. For each suspicious cluster, list the specific connections that are anomalous and explain why they raise concern.
  5. Optionally, recommend further investigative steps or data sources to validate the findings.

Output format Provide a structured analysis:

  • Summary of the network size and key metrics.
  • List of identified clusters with risk scores (low/medium/high).
  • For each high-risk cluster, a bullet list of suspicious connections and the reasoning.
  • A final table of recommended actions (e.g., flag for audit, request additional documentation).
  • Keep the tone analytical and concise; use plain language suitable for a claims investigator.

Guardrails

  • Do not make up data; only analyze the information you are given.
  • Flag any assumptions you must make about the data (e.g., inferred relationships).
  • Stay within the scope of fraud detection; do not offer legal advice or accuse individuals.

Example {{social network data}} = "A dataset of 500 auto claims from the last 6 months, with fields: claimant name, phone number, address, provider name, and claim amount. Several claims list the same phone number for different claimants."

Follow-up prompts

  • Which specific connections in the high-risk clusters are most likely to be false positives, and how can we verify them?
  • Can you visualize the network graph using Mermaid or ASCII art to highlight the key suspicious clusters?
  • What additional data fields (e.g., IP addresses, geolocation) would improve the accuracy of this analysis?