SIU investigator must resolve whether to refer to law enforcement or keep

Situation

The desk packet is BEC wire instruction-change email thread after a check deposited in two banks the same afternoon. SIU investigator in a workers'-comp insurer after a surge in CT claims has to name To refer to law enforcement or Keep civil for this Fraud Detection Payments Fraud file.

Decision

SIU investigator in a workers'-comp insurer after a surge in CT claims must choose To refer to law enforcement / Keep civil using BEC wire instruction-change email thread after a check deposited in two banks the same afternoon.

Hypotheses to test

• The population in BEC wire instruction-change email thread is the one a check deposited in two banks the same afternoon named, so To refer to law enforcement follows for this Payments Fraud file.
• The population in BEC wire instruction-change email thread is adjacent only to a check deposited in two banks the same afternoon; Keep civil is the honest Fraud Detection call.
• A workers'-comp insurer after a surge in CT claims already contained a check deposited in two banks the same afternoon before BEC wire instruction-change email thread arrived; no new Payments Fraud path.
• Provenance on BEC wire instruction-change email thread after a check deposited in two banks the same afternoon is broken; do not pick To refer to law enforcement or Keep civil yet.

Analysis required

• Map typology and hold authority SIU investigator actually has in a workers'-comp insurer after a surge in CT claims.
• Trace funds, counterparties, and reversals in BEC wire instruction-change email thread through the window opened by a check deposited in two banks the same afternoon.
• Quantify loss if the hold is released before BEC wire instruction-change email thread is complete.
• For this Fraud Detection Payments Fraud file, read BEC wire instruction-change email thread against a check deposited in two banks the same afternoon and write the one fact that would move to refer to law for SIU investigator.

Recommendation

Choose To refer to law enforcement / Keep civil on this Fraud Detection / Payments Fraud packet (BEC wire instruction-change email thread after a check deposited in two banks the same afternoon). The follow-on Payments Fraud action is what SIU investigator does next: implement the option, assign an owner, and log the missing fact.