Whether to refer to law enforcement or keep civil from auto-body estimate

Situation

After a claims photo EXIF timestamp that predates the loss, auto-body estimate ring with shared photos is what SIU investigator can touch in a workers'-comp insurer after a surge in CT claims. Fraud Detection will live with To refer to law enforcement versus Keep civil on this 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 auto-body estimate ring with shared photos after a claims photo EXIF timestamp that predates the loss.

Hypotheses to test

• Authorize To refer to law enforcement now; auto-body estimate ring with shared photos already has the discriminator after a claims photo EXIF timestamp that predates the loss.
• Keep Keep civil in force until auto-body estimate ring with shared photos is completed after a claims photo EXIF timestamp that predates the loss for SIU investigator.
• Treat auto-body estimate ring with shared photos as To refer to law enforcement because both readings appear after a claims photo EXIF timestamp that predates the loss.
• Refuse a Fraud Detection close: SIU investigator does not have the page to refer to law turns on in auto-body estimate ring with shared photos.

Analysis required

• Check mule or round-trip markers in auto-body estimate ring with shared photos.
• 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 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 Payments 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 to refer to law for SIU investigator.

Recommendation

Choose To refer to law enforcement / Keep civil on this Fraud Detection / Payments Fraud packet (auto-body estimate ring with shared photos after a claims photo EXIF timestamp that predates the loss). The follow-on Payments Fraud action is what SIU investigator does next: implement the option, assign an owner, and log the missing fact.