Assess whether to refer to law enforcement or keep civil (b1d669)

SITUATION The working file is first-party friendly-fraud dispute pack after a customer calling to reverse a 'authorized' card charge. Wire-desk escalation officer in a workers'-comp insurer after a surge in CT claims has to name To refer to law enforcement or Keep civil for this Fraud Detection Claims and Benefits Fraud file.

DECISION Wire-desk escalation officer in a workers'-comp insurer after a surge in CT claims must choose To refer to law enforcement / Keep civil using first-party friendly-fraud dispute pack after a customer calling to reverse a 'authorized' card charge.

HYPOTHESES TO TEST 1. Authorize To refer to law enforcement now; first-party friendly-fraud dispute pack already has the discriminator after a customer calling to reverse a 'authorized' card charge. 2. Keep Keep civil in force until first-party friendly-fraud dispute pack is completed after a customer calling to reverse a 'authorized' card charge for wire-desk escalation officer. 3. Treat first-party friendly-fraud dispute pack as To refer to law enforcement because both readings appear after a customer calling to reverse a 'authorized' card charge. 4. Refuse a Fraud Detection close: wire-desk escalation officer does not have the decision to refer to law turns on in first-party friendly-fraud dispute pack.

ANALYSIS REQUIRED 1. Quantify loss if the hold is released before first-party friendly-fraud dispute pack is complete. 2. Test a one-off dispute against the first edge of a scheme around to refer to law. 3. Check mule or round-trip markers in first-party friendly-fraud dispute pack. 4. For this Fraud Detection Claims and Benefits Fraud file, read first-party friendly-fraud dispute pack against a customer calling to reverse a 'authorized' card charge and write the one fact that would move to refer to law for wire-desk escalation officer.

RECOMMENDATION Choose To refer to law enforcement / Keep civil on this Fraud Detection / Claims and Benefits Fraud packet (first-party friendly-fraud dispute pack after a customer calling to reverse a 'authorized' card charge). The follow-on Claims and Benefits Fraud action is what wire-desk escalation officer does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Fraud Detection option on to refer to law, then the evidence in first-party friendly-fraud dispute pack, then the action for wire-desk escalation officer - Hypothesis scorecard against first-party friendly-fraud dispute pack: supported / rejected / untestable - Named option among To refer to law enforcement, Keep civil and the fact that kills the others - Owner and next date for wire-desk escalation officer in a workers'-comp insurer after a surge in CT claims