When a data script, KRI trigger, or whistleblower report highlights a potential control break, the fraud risk unit must execute a formal triage process to evaluate the validity, severity, and potential impact of the alert before deploying full investigative resources.
[Capture Central Alert Trigger] ──► [Assess Data Specificity] ──► [Triage Scope & Exposure]
│
┌─────────────────────────────────────────────────┴──────────────────────┐
▼ ▼
[Execute Preliminary Low-Key Data Scans] [Formally Launch Full Investigation]
The triage workflow evaluates the alert against four key criteria:
- Data Specificity: Assessing whether the alert profile contains actionable data points—such as transaction references, named dates, specific system names, and employee identities—or consists of vague complaints.
- Financial and Regulatory Exposure: Estimating the potential loss impact or statutory penalty exposure to determine the appropriate escalation path.
- Involvement of Senior Management: If the alert implicates senior executive leadership, the triage protocol bypasses standard executive channels and routes the file directly to the Chairman of the Audit Committee.
- Corroborating System Indicators: Checking data platforms (such as access logs or exception trends) to determine if system data supports the claims before contacting the impacted business unit.