Decide whether to refer to Compliance OfficerStep
Determine if the case meets threshold or warrants escalation
Outgoing relations
- PERFORMED_BYFraud Investigation UnitActorFraud Investigation Unit often loops in Compliance Officer earlier than required when case looks seriouspracticalclaims-fraud-investigation.md
- RELATES_TOCompliance OfficerActorofficialclaims-fraud-investigation.md
Incoming relations
- Interview policyholderStepNEXT_STEP →officialclaims-fraud-investigation.md