DETECTION OF INTERNAL FRAUDS
First Claim
1. A method comprising:
- identifying, by one or more processors, respective paths executed by each case in a plurality of cases, wherein each case includes respective case information;
responsive to receiving a new case, creating, by one or more processors, an OLAP schema that specifies respective paths associated with the new case; and
determining, by one or more processors, whether the new case is a candidate for audit based on a measure of deviation between the respective paths associated with the new case and the respective paths of each case within the plurality of cases.
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Accused Products
Abstract
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.
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Citations
20 Claims
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1. A method comprising:
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identifying, by one or more processors, respective paths executed by each case in a plurality of cases, wherein each case includes respective case information; responsive to receiving a new case, creating, by one or more processors, an OLAP schema that specifies respective paths associated with the new case; and determining, by one or more processors, whether the new case is a candidate for audit based on a measure of deviation between the respective paths associated with the new case and the respective paths of each case within the plurality of cases. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A computer program product comprising:
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a computer readable storage device program instructions stored on the computer readable storage device, the program instructions comprising; program instructions to identify respective paths executed by each case in a plurality of cases, wherein each case includes respective case information; responsive to receiving a new case, program instructions to create an OLAP schema that specifies respective paths associated with the new case; and program instructions to determine whether the new case is a candidate for audit based on a measure of deviation between the respective paths associated with the new case and the respective paths of each case within the plurality of cases. - View Dependent Claims (9, 10, 11, 12, 13, 14)
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15. A computer system comprising:
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one or more computer processors; one or more computer readable storage device; and program instructions stored on the one or more computer readable storage device for execution by at least one of the one or more processors, the program instructions comprising; program instructions to identify respective paths executed by each case in a plurality of cases, wherein each case includes respective case information; responsive to receiving a new case, program instructions to create an OLAP schema that specifies respective paths associated with the new case; and program instructions to determine whether the new case is a candidate for audit based on a measure of deviation between the respective paths associated with the new case and the respective paths of each case within the plurality of cases. - View Dependent Claims (16, 17, 18, 19, 20)
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Specification