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AI Agents

Risk and Fraud Assessment Agent

Employee

Can we approve the closure of this claim?

Risk and Fraud Assessment Agent

I'm performing a risk score in seconds, evaluating suspicious patterns and deciding whether the case can be automatically approved or requires human review.

I identified a fraud pattern: this same third-party CPF (Brazilian tax identification number) has been involved in 3 other 'rear-end collision' claims in the last 6 months, all with the same repair shop issuing the invoice.

I assigned a 'Critical' risk score and generated a potential fraud alert. I immediately forwarded the case to human auditing and suspended automatic closure for investigation.

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What this Agent solves for you

What it does

It performs risk scoring to automatically approve simple claims and escalate only critical cases.

Automated activities

  • Risk analysis in seconds
  • Generation of potential fraud alerts
  • Automatic referral for human review in complex cases.

Agent Subfunction

  • Risk Assessment and Decision
  • Closure or Escalation

Results and impact

65%

less time spent validating invoices

Up to 98%

reduction in total reconciliation workflow.

Your life gets faster with Pipefy AI Agents

65% faster

Traditional path

1–3 hours

With Pipefy AI Agent

30 min–1 hour

Frequently Asked Questions about Pipefy AI Agents

Read frequently asked questions about Pipefy AI Agents.

What is the Risk and Fraud Assessment Agent and how does it work?
The Risk and Fraud Assessment Agent is a specialized AI Worker within Pipefy's AI-Powered Accounting Reconciliation solution. It executes operational steps autonomously — making decisions within its defined scope, triggering approvals, and maintaining full traceability of each action. Unlike spreadsheets and manual financial processes, it operates seamlessly integrated with the workflow, from start to finish, with native human oversight built in.
How much does it cost to use the Risk and Fraud Assessment Agent in Pipefy?
The cost of the Risk and Fraud Assessment Agent in Pipefy varies based on process volume, number of users, and the integrations required with your company's systems. Plans are scalable and adapt to operations of any size — from teams just getting started to large enterprise operations. Talk to our team to receive a personalized proposal.
What is the difference between the Risk and Fraud Assessment Agent and spreadsheets and manual financial processes?
While spreadsheets and manual financial processes rely on manual intervention at every step, the Risk and Fraud Assessment Agent executes tasks autonomously, records the reasoning behind each decision, and enables real-time oversight. This results in faster cycles, less rework, and 100% traceability of actions — without giving up human control where it matters most.
How do I choose the best Risk and Fraud Assessment agent for my company?
To choose the right Risk and Fraud Assessment agent, evaluate: ability to integrate with your current systems, governance and traceability of agent decisions, ease of configuration without relying on IT, and support for complex processes with exceptions. Also check the vendor's track record with clients in your industry and real implementation case studies.
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