fraud detection - digital transform

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Page 1: fraud detection - Digital Transform

pro-active intelligence-ledanti-fraud solution

fraud detection

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Page 2: fraud detection - Digital Transform

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The challenge

Fraud has become more widespread and sophisticated, populations have become more mobileand more data is being kept on non-integrated operational computer systems. As a result the

need to protect public funds, whilst at the same time improving efficiency and reducing costs,is putting enormous pressure on all areas of local government.

Increasing pressure to combat all types of local government fraud, both external and internal,has created a need for efficient case management systems - and also for systems that providepowerful data warehousing facilities. In today’s fraud prevention arena, these facilities must be

coupled with innovative, pro-active fraud prevention and detection capabilities.

Local authority investigation teams need the support of a best of breed system solution that

provides instant accessibility to all types of data, and allows multi-functional usage withindepartments. Data access must be extended to all data available within the authority.

Systems that do not make use of existing information held on mainframe and legacy systemscannot begin to address the needs of a stringent anti-fraud strategy.

The solution

The Authority Fraud Detection system provides a high performance, technically advanced fraudavoidance and detection system. It has been developed in conjunction with local authority

fraud investigation officers to ensure that your investigative requirements are comprehensivelyaddressed.

This state of the art system enables organisations to deliver information directly and quickly toan investigation officer’s desktop. It draws information from its own internal database as wellas from the many non-integrated operational and legacy systems used by authorities.

The sophisticated data warehousing facilities provide the end user with access to vast quanti-ties of information, with rapid on-line data matching capabilities. Advanced case management

tools and assistance in improved and better informed decision-making come as standard.Authority Fraud Detection allows data to be used for mail out purposes such as take up cam-paigns, pro-active fraud drives, and advisory notices.

Authority Fraud Detection combines investigation skills with pro-active fraud prevention anddetection techniques. Authorities can carry out multi-investigation types from one system, thus

making it a true corporate fraud investigation solution.

Page 3: fraud detection - Digital Transform

Benefits

• Minimises loss of public funds

• Substantially reduces administration costs

• Improves investigation productivity

• Provides effective visiting schedules

• Increases detection rates

• Encompasses DWP and government anti-fraud strategies

• Provides the potential for authorities and other agencies to share information

Civica has applied its wide experience within local authorities to design and

develop Authority Fraud Detection, making it one of the most technologically

advanced fraud avoidance systems available.

Pro-active fraud avoidance

This is accomplished by offering the following:

• True pro-active fraud deterrence through cross-department, authority and

organisational data searching.

• On-line data matching and multi-record viewing.

• Data warehousing capabilities that allow authorities to use the system

database for creating mail-shots, take up campaigns, and other customer-

orientated best value exercises.

System access can be controlled by inter-departmental, authority, or organisa-

tional agreements using protected and certifiable passwords. This enables an

authority or organisation to manage its own internal database, but grant secure

access to other authorised organisations.

Civica’s solutions cover the complete

revenues, benefits and finance operation:

• Integrated Fraud Management

• Core Financials

• Purchasing

• Debtors

• Cash Receipting

• e-Payments

• Council Tax

• National Non-Domestic Rates

• Housing and Council Tax Benefits

COUNCIL TAX

DATA WAREHOUSE

HOUSING BENEFIT

PERSONNEL / PAYROLL

ELECTORAL ROLL HOUSING

HACKNEY CARRIAGE LICENCES

ON-LINE DATA

MATCHING

CASE MANAGEMENT

ADVANCED SEARCHING

AUTO LETTER

PRODUCTION

FULL WORK MANAGEMENT

BROWSE CASE DETAILS

Authority Fraud Detection

Authority VFVERIFICATION INFORMATION

CHECKING SYSTEM

DWP AND OTHER LOCAL AUTHORITIES

Page 4: fraud detection - Digital Transform

Product features

Authority Fraud Detection offers wide-ranging case investigation management

functionalities, some of which are listed below.

• Wide-ranging search facilities

• Full work management capability

• View data from non-integrated applications

• Effective case management

• Intelligence gathering

• Visit scheduling and documentation

• Diary facilities

• Automated letter generation

• Image-enabled

• Audit trail history

• On-line data matching

• Individual electronic ‘in-trays’

• Cross database interrogation

• Innovative fraud detection techniques

• Administration penalty management

• Mail merge / benefit take up facilities

• Property database

• Risk analysis

• Comprehensive reporting facilities

• On-line integration with Authority VF

• SAFE enabled

• User definable fields

Page 5: fraud detection - Digital Transform

Authority Fraud Detection can bring all types of data from an authority’s non-integrated operational and legacy applications into

one integrated data warehouse, in the process delivering significant technological advantages over other fraud avoidance

systems. Unrestricted use of the data, data volumes or the data source enable users to access and use their authority’s data in

many varied ways to:

• Provide a more customer-focused approach

• Increase revenue to the authority

• Set up comprehensive fraud avoidance strategies and techniques and reduce loss of public funds

Comprehensive searching

Authority Fraud Detection provides investigation officers with the ability to work on‘hunches’, enabling them to use their experience and knowledge against the vast array ofinformation that is being provided to them.

Officers can scan across all systems, allowing them to browse the data for irregulari-

ties based on experience, standard queries or special projects. By setting up auto-

matic scans using standard references such as name, address, national insurance

number, post code, amount of rent, tenancy type and property type, the system can

reveal anomalies that may go unnoticed in a manual environment.

Advanced searches

Further refinements can be made to search criteria using the advanced searching

facility. Citizen grouping, rent amount, benefit amount, tenure type, and numerous

details held relating to the property or person can all be added to the searches.

On-line data matching

Users are also provided with an on-line data matching facility. This matches data held

for Housing Benefit claimants against other sources of data loaded onto the Data

Warehouse from external databases (e.g. Council Tax, Electoral Roll, Personnel,

Student Awards and Lettings). The search will find common links between the two

sets of data.

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Case processing

Case referrals can be generated from outside the system or by searching within Authority Fraud Detection itself. These can also

be set up using the system’s browser facility and then sent electronically to an investigation officer’s in-tray.

Once a case has been set up,

Authority Fraud Detection holds it in

its database of cases under

investigation. The progress of each

case is then recorded through visits,

case notes, investigation status, diary,

letter and report generation, weekly

incorrect benefit savings, sanctions

overpayments, fine attachments and

prosecutions, which all incorporate

SAFE (Safeguard Against Fraud and

Error). These advanced capabilities

enable investigation managers and

officers to maximise their use of time

more productively and effectively

whilst remaining in control of their workload.

Case investigation

Every case set up on the system is automatically allocated a case number. Notes can be added at any time and form part of the

embedded audit log. All text is searchable through the ‘Text’ search criteria. Authority Fraud Detection will pro-actively find links

and similarities between cases through these case notes. Investigation officers will find this a major asset when searching on

such items as telephone numbers, car registration numbers, employer details, and general pieces of intelligence that have been

gathered.

Browser facility

The Search and Browser facilities ensure that viewing case details, letters, notes, visit summaries and the electronic referral of

cases is a simple process. One-Stop Shops, Audit, Housing, Revenues and Benefits can provide instant information to their

customers. Feedback on investigation progress becomes more efficient to help generate fraud awareness throughout the whole

of the authority.

User definable fields

Authority Fraud Detection allows a user to set up and maintain any new field that they may wish to use. For example, if DWP require a

new stat, this can be added through this functionality, is then reportable and the information can be used in the creation processes of

letter generation.

Page 7: fraud detection - Digital Transform

Risk Analysis

Each case can

be Risk

Assessed and

once completed

the assessment

is held within

the case. The

actual Risk

Assessment

criteria and

weightings can

be user defined

through the

System

Adminstration

facility.

Reporting

Authority Fraud Detection provides managers with SAFE reporting facilities. Reports

can be run daily, weekly or monthly, the reports can be extracted for an individual

user or for the whole investigation team. Statistical reports can be saved and re-run

by simply amending the required reporting period.

• Sanctions • Investigation statuses

• Pending cases • Allocated cases

• Case types • Referrals

• Weekly incorrect benefits savings • Fraud types

• Visits • Prosecutions

• WIB groups • Overpayments

• Fraud risks • Sources

The inbuilt metrics facility provides counts, percentages, or both, so that you can

report on complex statistical data, based on all elements of the Authority Fraud

Detection system.

Technical specification

Authority Fraud Detection is a truly open client-server system, which runs on the

latest Microsoft technology.

• SQL Server 2000

• Windows Server2000/2003

• Windows XP/2000/2003

• Close PC and network integration

Page 8: fraud detection - Digital Transform

The Civica Group is one of the UK’s most experienced providers of consultancy, softwaresystems and managed services to the public sector. Supplying many customers in the UK,Australia and the USA, including over 700 local authorities, the company has a 20-yearhistory of delivering effective software solutions to local government, police, criminaljustice, healthcare and education organisations. Its UK customers include 89% of localauthorities.

Civica works closely with clients and partners to develop robust, flexible solutions, helpingthem reach out with more accessible, responsive services. The company has developedan integrated enterprise model for local government, providing a scalable architecture forthe future with an enhanced ability to integrate front-office and mobile systems with coreapplications and back-end databases. In addition to integrated fraud managementsolutions, Civica also supplies software applications for financial management, purchasing,cash receipting, income management and e-payments, revenues & benefits, parking &traffic management, public protection and legal services, together with practical e-servicesand flexible CRM.

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www.civica.co.uk

© 2007 Civica plc. All rights reserved.

Product names referenced in this document maybe trademarks or registered trademarks of theirrespective companies and are herebyacknowledged.Issue 5 September 2007

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