|
Good quality fraud referrals are important because they:
- are a key step in detecting and deterring fraud
- establish an LA's reputation for rigour in claims processing
- give an indication of the type of fraud which may be prevalent in an area
- help identify weaknesses in benefit administration systems and the remedial action necessary
- assist in the full and effective use of fraud investigation resources
- give management a level of assurance that:
- verification processes operate to identify fraud and error
- fraud is being identified and referred to the appropriate officers
- could lead to the identification and recovery of overpayments.
To assist in compliance with standards, we can:
- Develop a BFI compliant referral form with accompanying guidance notes
- Analyse referrals and provide statistical information on types of fraud reported, referral sources and outcomes.
- Develop a referral risk scoring and prioritising system.
- Advise on bulk referrals such as HBMS and NFI
|
