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Evaluates claim behavior to determine when a Suspicious Activity Report may be required and facilitates the reporting process.


Page Properties

Details

Description


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List of scenarios that may require suspicious activity reporting, based on the following criteria:

  1. Claim Reason Type is "Fraud" AND
  2. Sum of Dispute Amount > $25k OR
  3. (Sum of Dispute Amount > $5k AND Suspect Count > 0) AND
  4. Not already associated with a SAR case


Category


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Report KeySUSPICIOUSACTIVITYSAR
Report TypeList
Fields

Customer Name, Number of Claims, Total Dispute Amount, Total Suspect Count

Filter Parameters

Claim Type, Claim Category, Contact Date, Account Type


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