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Process Stages

Stage 1 - Validation
Stage 2 - Confirmation
Stage 3 - Investigation

   
Claims Validation
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Stage 3 Investigation
 
Objective – Prove the Fraud

  • Only High-Risk cases not already managed away or self-adjusted
      
  • AVS driven investigation according to cost-benefit including desk-based enquiries and field investigation
     
  • Focused investigation of areas of concern as highlighted by AVS Stages 1 & 2
     
  • At the conclusion of the AVS driven investigation, investigators and supervisory staff are able to review all accumulated evidence and make defensible decisions to prosecute, deny or otherwise conclude a case according to the burden of proof in both criminal and civil law
     
 
Stage 1 - Validation Stage 2 - Confirmation Stage - 3 Investigation