ChecklistGuro Fraud Detection Case Management Process
Streamline your investigations with our Fraud Detection Case Management Process. Mastercase end-to-end fraud workflows, from automated alert triggering and real-time risk assessment to deep-dive forensic analysis and rapid resolution. Optimize investigative efficiency, reduce false positives, and mitigate financial loss with a structured, audit-ready framework designed to detect, track, and neutralize fraudulent activities in real-time.
Start
Start of the Workflow/Process.
1. Fetch Suspicious Transactions
Retrieve all transaction entries from the Transaction Data Model that exceed the defined fraud threshold.
2. Calculate Total Risk Exposure
Sum the total value of all retrieved suspicious transactions to determine the total financial impact.
3. Calculate Risk Score
Execute a formula combining transaction frequency, amount, and user history to generate a unified Risk Score.
4. Create Fraud Case
Create a new entry in the Fraud Case Data Model containing the calculated risk score and linked transaction IDs.
5. Assign Investigator
Create a task for a Fraud Analyst to review the newly created Fraud Case.
6. Retrieve User Profile
Fetch the associated user profile data (KYC status, location, age) linked to the flagged transactions.
7. Perform Identity Verification
Create a sub-task to verify the identity documents of the user involved in the suspicious activity.
8. Update Case Status
Update the Fraud Case entry status to 'Under Investigation' once the task is picked up.
9. Notify Compliance Officer
Send an automated email alert to the Compliance Department regarding a high-risk fraud case creation.
10. Fetch Blacklisted IPs
Retrieve a list of known fraudulent IP addresses from the Blacklist Data Model for cross-referencing.
11. Match IP Risk
Compare the transaction IP address against the blacklist to determine a match/no-match boolean.
12. Flag High-Risk Account
Update the User Data Model to set the 'Account Status' to 'Restricted' if the risk score is critical.
13. Alert User of Suspicious Activity
Send an SMS to the customer's registered phone number asking them to confirm recent transactions.
14. Record Investigation Findings
Update the Fraud Case entry with notes and evidence gathered during the investigation task.
15. Final Decision Task
Create a task for the Senior Manager to approve or reject the fraud case closure.
16. Remove False Positives
Delete temporary alert entries from the Alert Buffer if the investigation confirms no fraud occurred.
17. Generate Monthly Fraud Report
Create a summary report aggregating all resolved fraud cases, total losses prevented, and investigator efficiency.
End
End of the Workflow/Process.
Start of the Workflow/Process.
Retrieve all transaction entries from the Transaction Data Model that exceed the defined fraud threshold.
Sum the total value of all retrieved suspicious transactions to determine the total financial impact.
Execute a formula combining transaction frequency, amount, and user history to generate a unified Risk Score.
Create a new entry in the Fraud Case Data Model containing the calculated risk score and linked transaction IDs.
Create a task for a Fraud Analyst to review the newly created Fraud Case.
Fetch the associated user profile data (KYC status, location, age) linked to the flagged transactions.
Create a sub-task to verify the identity documents of the user involved in the suspicious activity.
Update the Fraud Case entry status to 'Under Investigation' once the task is picked up.
Send an automated email alert to the Compliance Department regarding a high-risk fraud case creation.
Retrieve a list of known fraudulent IP addresses from the Blacklist Data Model for cross-referencing.
Compare the transaction IP address against the blacklist to determine a match/no-match boolean.
Update the User Data Model to set the 'Account Status' to 'Restricted' if the risk score is critical.
Send an SMS to the customer's registered phone number asking them to confirm recent transactions.
Update the Fraud Case entry with notes and evidence gathered during the investigation task.
Create a task for the Senior Manager to approve or reject the fraud case closure.
Delete temporary alert entries from the Alert Buffer if the investigation confirms no fraud occurred.
Create a summary report aggregating all resolved fraud cases, total losses prevented, and investigator efficiency.
End of the Workflow/Process.
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