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Evaluates claim behavior to determine when a Suspicious Activity Report may be required and facilitates the reporting process. |
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| List of scenarios that may require suspicious activity reporting, based on the following criteria: - Claim Reason Type is "Fraud" AND
- Sum of Dispute Amount > $25k OR
- (Sum of Dispute Amount > $5k AND Suspect Count > 0) AND
- Not already associated with a SAR case
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| Category | | Report Key | SUSPICIOUSACTIVITYSAR | Report Type | List | Fields | Customer Name, Number of Claims, Total Dispute Amount, Total Suspect Count | Filter Parameters | Claim Type, Claim Category, Contact Date, Account Type | Sample Export | |
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Sample
Summary
Drill Down
Click on any row in the report to see the claim activity for that particular customer.
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