← Graph

Fraud Investigation UnitActor

Team that handles claims flagged for possible fraud

Outgoing relations

None.

Incoming relations

• Route to Fraud Investigation UnitStepPERFORMED_BY →officialclaims-fraud-investigation.md
• Fraud investigationProcessPERFORMED_BY →officialclaims-fraud-investigation.md
• Decide whether to refer to Compliance OfficerStepPERFORMED_BY →Fraud Investigation Unit often loops in Compliance Officer earlier than required when case looks seriouspracticalclaims-fraud-investigation.md
• Route claim to adjuster typeStepPERFORMED_BY →flagged for possible fraudofficialclaims-intake-and-triage.md

Mentioned in

• claims-fraud-investigation.md
• claims-intake-and-triage.md