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Review claim history in Policy Administration SystemStep

Compliance Officer examines relevant claim and policy records related to the complaint.

Outgoing relations

• NEXT_STEPInterview policyholderStepofficialclaims-fraud-investigation.md
• NEXT_STEPDetermine regulatory issueStepofficialcustomer-complaint-compliance-escalation.md
• PERFORMED_BYCompliance OfficerActorofficialcustomer-complaint-compliance-escalation.md
• USESPolicy Administration SystemResourceofficialclaims-fraud-investigation.md

Incoming relations

• Fraud investigationProcessHAS_STEP →officialclaims-fraud-investigation.md
• Forward to Compliance OfficerStepNEXT_STEP →officialcustomer-complaint-compliance-escalation.md

Mentioned in

• claims-fraud-investigation.md
• customer-complaint-compliance-escalation.md