Engine assessment
simulatedThe customer graph around this agent forms a closed referral chain: six policyholders acquired within a short span share a surname pair, an address block in the same district, and the 010-84xx number range. Their contracts stack hospitalization and surgery cover, and claims begin 2–4 months after issue — each larger than the last, eight of nine treated at the same clinic. One payout account recurs across four claims of different insureds, which has no benign household explanation in this cluster. The combination matches an organized soft-fraud ring rather than coincidental utilization; the agent's below-par production with a claims-heavy book is consistent with recruitment-based selling into the ring.
Evidence 1ledger records
Live dataNine claims across the cluster; amounts escalate monotonically and eight route through Hanseong Medical Center.
| Claim | Insured | Type | Filed | Claimed | Payout account |
|---|
| CLM-2025-01001 | Han Kyunghee | Hospitalization | Nov 26, 2025 | ₩420k | Han Kyungheeshared |
| CLM-2025-01002 | Oh Hojin | Surgery | Dec 28, 2025 | ₩660k | Oh Hojin |
| CLM-2026-01003 | Yoo Seoah | Outpatient | Jan 26, 2026 | ₩780k | Han Kyungheeshared |
| CLM-2026-01004 |
Evidence 2ledger records
Live dataProtection-product stacking across the six-customer cluster; issue dates cluster ahead of the claim series.
| Contract | Policyholder | Premium | Applied | Status |
|---|
| POL-2025-116021 | Han KyungheeHanbit Everyday Accident Guard | ₩37k | Aug 23, 2025 | Inforce |
| POL-2025-116022 | Han YunaHanbit Everyday Accident Guard | ₩30k |
Evidence 3signal metrics
Cluster statistics vs. branch baseline.
Claims within 120d of issue9 of 11 contractsbranch rate: 1.1%
Single-hospital concentration8 of 9 claimsno other agent > 3
Shared payout account1 fingerprint / 4 claims, 3 insuredsexpected: 0