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Statement of Fraud Application is required on fraudulent application claims.
Documentation
Note: The Review Documents assignment only generates when the Statement of Dispute Fraud Application is required and received. The claim will pend for 10 calendar days after Enrichment is skipped. If the Statement of Dispute Fraud Application is not received within 10 calendar days, this node will resolve and the Review Documents assignment will not generate. The dispute will move onto the Provisional Credit assignment where the analyst can submit a second request for the Statement of Dispute Fraud Application or proceed without documentation.
In this assignment, analysts will review the document to ensure it meets the Statement of Dispute Fraud Application requirement.
Review DocumentsResearch Case
Analysts will complete an investigation by following internal procedures to resolve the case. This may include using external systems to view the account details and to close the account.
Processing this assignment requires the analyst to enter the claim amount and determine whether to pay or deny the claim.Expand
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