Assess whether a SAR narrative is supportable today (c2e654)

Situation

Claims and Benefits Fraud work in a P&C carrier's auto-body network now turns on a SAR narrative is because a claims photo EXIF timestamp that predates the loss put auto-body estimate ring with shared photos in play. Claims and Benefits Fraud work in a P&C carrier's auto-body network now turns on a SAR narrative is because a claims photo EXIF timestamp that predates the loss put auto-body estimate ring with shared photos in play; bank BSA/AML case manager should say what auto-body estimate ring with shared photos proves for Fraud Detection.

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 auto-body estimate ring with shared photos after a claims photo EXIF timestamp that predates the loss.

Hypotheses to test

• The population in auto-body estimate ring with shared photos is the one a claims photo EXIF timestamp that predates the loss named, so Remove access or reverse the item follows for this Claims and Benefits Fraud file.
• The population in auto-body estimate ring with shared photos is adjacent only to a claims photo EXIF timestamp that predates the loss; Temporary compensating control is the honest Fraud Detection call.
• A P&C carrier's auto-body network already contained a claims photo EXIF timestamp that predates the loss before auto-body estimate ring with shared photos arrived; no new Claims and Benefits Fraud path.
• Provenance on auto-body estimate ring with shared photos after a claims photo EXIF timestamp that predates the loss is broken; do not pick Remove access or reverse the item or Temporary compensating control yet.

Analysis required

• Check mule or round-trip markers in auto-body estimate ring with shared photos.
• 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 auto-body estimate ring with shared photos through the window opened by a claims photo EXIF timestamp that predates the loss.
• For this Fraud Detection Claims and Benefits Fraud file, read auto-body estimate ring with shared photos against a claims photo EXIF timestamp that predates the loss and write the one fact that would move a SAR narrative is for bank BSA/AML case manager.