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Public Sector

Social benefits fraud detection

Client · National social-protection agency

A control-targeting system combining ML and graph analysis, multiplying the fraud detection rate by 3.5× at constant headcount.

01

Challenge

  • Control targeting historically based on known business rules, easily circumvented by organized fraudsters.
  • Very limited control capacity vs. >10M beneficiary base.
  • Low recovery rate on classic controls (<15%), generating a sense of inefficiency.
  • Strong requirements on explainability, algorithmic fairness and regulatory compliance.
02

Solution

  • Risk-scoring model per file, combining behavioral, declarative and cross-administrative features.
  • Fraudulent-network detection module via graph analysis (shared bank accounts, addresses, IPs) using GNN.
  • Algorithmic audit framework: fairness tests, drift monitoring, full documentation.
  • Investigator tool with graph visualization and automated reporting.
03

Business impact

  • Targeted control detection rate: 15% → 52% (3.5×).
  • +€85M additional recoveries identified in year one.
  • −35% investigation time per file.
  • Audit framework cited by the regulator as a sectoral best practice.

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