Assess whether a provider should be suspended pending SIU (9e7927)

Situation

After a new device from a different metro on a 2am login, straw-buyer occupancy file is what bank BSA/AML case manager can touch in a P&C carrier's auto-body network. Fraud Detection will live with Remove access or reverse the item versus Temporary compensating control on this Claims and Benefits Fraud file.

Decision

Bank BSA/AML case manager in a P&C carrier's auto-body network must choose Remove access or reverse the item / Temporary compensating control / Approve a documented exception / Hold using straw-buyer occupancy file after a new device from a different metro on a 2am login.

Hypotheses to test

• Straw-buyer occupancy file reads as Remove access or reverse the item once a new device from a different metro on a 2am login is lined up to the same Fraud Detection population.
• Straw-buyer occupancy file is closer to Temporary compensating control after a new device from a different metro on a 2am login; Remove access or reverse the item would over-claim this Claims and Benefits Fraud extract.
• Approve a documented exception is still live in straw-buyer occupancy file for bank BSA/AML case manager in a P&C carrier's auto-body network.
• Straw-buyer occupancy file is missing the fact bank BSA/AML case manager needs after a new device from a different metro on a 2am login; stop this Fraud Detection close.

Analysis required

• Check mule or round-trip markers in straw-buyer occupancy file.
• Map typology and hold authority bank BSA/AML case manager actually has in a P&C carrier's auto-body network.
• Trace funds, counterparties, and reversals in straw-buyer occupancy file through the window opened by a new device from a different metro on a 2am login.
• For this Fraud Detection Claims and Benefits Fraud file, read straw-buyer occupancy file against a new device from a different metro on a 2am login and write the one fact that would move a provider should be for bank BSA/AML case manager.

Recommendation

Choose Remove access or reverse the item / Temporary compensating control / Approve a documented exception / Hold on this Fraud Detection / Claims and Benefits Fraud packet (straw-buyer occupancy file after a new device from a different metro on a 2am login). The follow-on Claims and Benefits Fraud action is what bank BSA/AML case manager does next: implement the option, assign an owner, and log the missing fact.