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Fraud Investigations

Don’t Manage Risk, Mitigate It

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Financial institutions (FIs) know that having robust risk mitigation is key to safeguarding both customers and your institution. NICE Actimize's comprehensive approach to Fraud Investigations acknowledges the evolving landscape, where traditional fraud, scams, and money mules pose constant challenges. Operations and Investigation teams need scalability to meet surges in claims and be prepared for future regulations.

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Fraud Team Challenges Include

Siloed processes between Prevention and Operations

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Existing Processes
are Broken

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Poor Customer Experience and Complaints

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Layers in Scams and Scam Losses

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Regulators are Playing Hard Ball

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Authentication Disparate, Manual and Error-Prone Procedures

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Reduce Operational Cost and Enhance Investigative Efficacy

Oversight and Reporting

Prevention & Detection

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Intake

Customer Verbatim & Claim Categorization

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Triage / Assignment

Automated Claim Assignment & Escalation Workflows

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Investigation

Full Investigation Workbench & Evidence Archive

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Adherence

Regulatory Reporting To Ensure Timely SLAs

Reg. Filing

Configuration and Development

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Solving Operational Challenges With IFM: Purpose Built

  • Dynamic Workflow: Automate and enrich processes for enhanced efficiency, proper claim assignment, and escalation handling
  • Automated SAR Filing: Simplify SAR (Suspicious Activity Report) filing with automated fields, narrative generation, and e-filing capabilities
  • Reimbursement & Recovery Management: Streamline the management of claims and facilitate efficient reimbursement and recovery processes
  • Closed Loop: Enable seamless feedback integration into prevention module to stop future fraud with continuous learning
  • Holistic View: Ensure transparency and full audibility across operations for comprehensive oversight and reporting
  • End-to-End Fraud Prevention: Implement comprehensive measures to prevent fraud at every stage of the customer lifecycle

Resources

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