Priority Queue (8)
CASE-0008
In ReviewAG1005 · Policy PL900045
AG1004 · Spouse
Combined Risk
72.3%
Exposure THB 34,314
Rule-based
82.0%
3 rule alerts triggered
Anomaly
59.2%
loan, status transition
Supervised
73.8%
Fraud · conf 48%
Policy Profile
StatusLapsed
PlanLIFE-A
Issued2024-11-04
ANP PremiumTHB 25,800
Sum AssuredTHB 350,000
Status changed2026-02-09
Overdue Status
28d — High
Next Due Date2026-01-18
Premium DueTHB 25,800
Last Pay Date2026-01-24
Due Date (m1)2026-01-26
Status Transition History
M-2 (2025-12-17)
In-forceM-1 (2026-01-16)
LapsedChanged: 2026-02-10
⚡ Rapid Transition
I → L within 25 days
Threshold: ≤ 30 days → RB-03
Payment Receipts (2)
| Date | Amount | Channel | Type | Citizen ID | Payer Name |
|---|---|---|---|---|---|
| 2025-12-08 | 25,800 | Counter Service | Renewal | 1310000000004 | Payer-45 |
| 2026-01-07 | 25,800 | Auto Debit | New | MISSING | MISSING |
Policy Loans (1)
| Loan No. | Amount | Date | Receiver | Agent? | Ratio |
|---|---|---|---|---|---|
| LN-PL900045 | THB 98,040 | 2026-01-30 | Self (S) | No | 3.8×High |
Rule Violations (3)
HIGHRB-05 · Premium overdue and not reconciled
Overdue 28 days with next due still open
Triggered: 2026-02-15
MEDIUMRB-02 · Missing payer identity on high premium receipts
1 receipt(s) missing citizen_id or payer_full_name
Triggered: 2026-02-15
HIGHRB-03 · Rapid policy status deterioration
Policy moved from In-force to Lapsed within one review cycle
Triggered: 2026-02-15
Anomaly Signal Breakdown
Overdue Days
0d
Loan/Premium
3.8×
Missing Payer
1
Top factors:loanstatus transitionrules
Supervised Model Output
Prediction
Fraud
Fraud Probability
73.8%
Confidence
48%
Model
v1.3-insurance-agent
Top features:loanstatus transitionrules
Investigator Decision