You can't afford to waste SIU resources on false positives and low-impact claims. Pathfinder eliminates the three biggest drains on your profitability:
Manual Reviews & False Positives
Referral volatility drives endless manual reviews, wasting expert hours on false positives instead of real investigations.
Decisions Without Data
High-stakes decisions rely on subjective judgment, leading to costly errors without data to validate them.
Leakage & Lost ROI
Unoptimized decision-making and longer cycle times mean higher operational leakage, directly impacting your bottom line.
Pathfinder
From Detection to Direction
Red flags alone don't solve your claims. Pathfinder provides definitive direction to automate decisions and delivers the clearest path to resolution.
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Faster Claims Decisions
Cut hours spent on manual reviews & false positives. Pathfinder processes, scores, and delivers action plans in seconds.
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Accuracy on Every Claim
Validated fraud signals and objective scoring replace guesswork with consistent, data-driven decisions.
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Higher ROI than Traditional Methods
Optimized actions focus spend where it matters most, ensuring every investment dollar is used on the most impactful cases.
Instantly convert massive claim files into scannable summaries with validated red flags that signal whether SIU is warranted.
Strategic Direction
Tailored Action Plan & Recommendations
You don't just get a fraud alert - you get the playbook. Pathfinder lays out the optimal path to resolution and explains the "why" behind every recommendation.
Quantified Savings
Projected Impact & Average ROI
Each recommended action includes projected impact and average ROI, giving your team the clarity needed to make confident, cost-effective decisions grounded in data.
Pathfinder
How it Works
Upload
Seamlessly upload the claim file or integrate via API
Analyze
Pathfinder processes your claim in seconds
Act
Clear insights guide your team’s next steps and keep the claim moving
Built on Decades of Claims Data
Pathfinder isn't just theory - it's validated by real-world outcomes and deep industry data.
Get a personalized demo to see how Pathfinder automates your claims processing and supports intelligent decision-making.
Frequently Asked Questions
What data do you need?
To deliver the most accurate insights, Pathfinder works best with the full claim file. More context in = more precise scoring, stronger recommendations, and better outcomes.
How do we send you this data?
You can share claim data in whatever way works best for your team - upload through SIGHTLINE, send it via email, or connect through a secure API. For teams looking for automated, ongoing ingestion, the API is the recommended option.
What third-party sources does Pathfinder use?
Pathfinder enriches your claim data with Claims Search History, SIU databases, social media intelligence, and other OSINT sources to strengthen accuracy and fraud validation.
Can Pathfinder live on our technology stack?
Today, Pathfinder operates within the SIGHTLINE ecosystem. A customer-hosted option is part of our future product roadmap. In the meantime, API integrations are available to securely connect Pathfinder with your existing systems.
What is the turnaround time?
Pathfinder reviews, scores, and produces your action plan in seconds. You can expect to get the results same-day.
Can we run Pathfinder on our own?
Pathfinder is a fully managed service—our SIU analysts operate the platform, validate findings, and ensure consistent, expert-level results for every claim.
How much does it cost?
Pricing depends on volume and integration needs. Schedule a demo and we’ll walk you through the best fit for your organization.
Listen What our customers are saying
“The investigation will definitely result in completely changing the outcome of this claim…The report is thorough and an example of: professionalism, accuracy and integrity. I want to extend my many thanks to the investigator for a job well done!”
Sam, Special Investigations
“Everything went well. We love Ethos. We appreciate the effort and the video obtained. Claimant was a police officer and the investigator managed to still get good results.”
Barbara, Fraud Investigation
“I am extremely pleased with Ethos turnaround time and the fact that such good information was found on a hospital canvass. All of my future canvasses are going to Ethos Risk Services.”