DETECTION OF INTERNAL FRAUDS

Embodiments of the present invention provide systems and methods for detecting internal fraud. The systems and methods for detecting internal fraud involve: receiving information pertaining to a case; receiving information pertaining to a case worker assigned to a case; compiling and configuring the...

Ausführliche Beschreibung

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Bibliographische Detailangaben
Hauptverfasser: Prasad Balunaini, Marin Mike A, Paramashivapa Vivek K
Format: Patent
Sprache:eng
Schlagworte:
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Beschreibung
Zusammenfassung:Embodiments of the present invention provide systems and methods for detecting internal fraud. The systems and methods for detecting internal fraud involve: receiving information pertaining to a case; receiving information pertaining to a case worker assigned to a case; compiling and configuring the sensitivity of the tasks needed to complete a case; determining a path by which a case is completed; and comparing a path of a first case with the path of a second case. A threshold value is configured to determine the level of deviation between the path of the first case and the path of the second case. If a case is determined to have a level of deviation at or above a threshold value, then an alarm is triggered to indicate a potential fraud.