FRAUD DETECTION CASE MANAGEMENT PROCESS

Created by ChecklistGuro (https://checklistguro.com)

[ ] Fetch Suspicious Transactions: Retrieve all transaction entries from the Transaction Data Model that exceed the defined fraud threshold.
[ ] Calculate Total Risk Exposure: Sum the total value of all retrieved suspicious transactions to determine the total financial impact.
[ ] Calculate Risk Score: Execute a formula combining transaction frequency, amount, and user history to generate a unified Risk Score.
[ ] Create Fraud Case: Create a new entry in the Fraud Case Data Model containing the calculated risk score and linked transaction IDs.
[ ] Assign Investigator: Create a task for a Fraud Analyst to review the newly created Fraud Case.
[ ] Retrieve User Profile: Fetch the associated user profile data (KYC status, location, age) linked to the flagged transactions.
[ ] Perform Identity Verification: Create a sub-task to verify the identity documents of the user involved in the suspicious activity.
[ ] Update Case Status: Update the Fraud Case entry status to 'Under Investigation' once the task is picked up.
[ ] Notify Compliance Officer: Send an automated email alert to the Compliance Department regarding a high-risk fraud case creation.
[ ] Fetch Blacklisted IPs: Retrieve a list of known fraudulent IP addresses from the Blacklist Data Model for cross-referencing.
[ ] Match IP Risk: Compare the transaction IP address against the blacklist to determine a match/no-match boolean.
[ ] Flag High-Risk Account: Update the User Data Model to set the 'Account Status' to 'Restricted' if the risk score is critical.
[ ] Alert User of Suspicious Activity: Send an SMS to the customer's registered phone number asking them to confirm recent transactions.
[ ] Record Investigation Findings: Update the Fraud Case entry with notes and evidence gathered during the investigation task.
[ ] Final Decision Task: Create a task for the Senior Manager to approve or reject the fraud case closure.
[ ] Remove False Positives: Delete temporary alert entries from the Alert Buffer if the investigation confirms no fraud occurred.
[ ] Generate Monthly Fraud Report: Create a summary report aggregating all resolved fraud cases, total losses prevented, and investigator efficiency.

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