General Fraud

This subsection outlines the processes when General Fraud referrals are received from SIU

Reminder: General Frauds must be completed within 30 days from the date referral was received from SIU.

Step Who Action
1 SIU
  • Determines General Fraud and refers to IEVS.
  • Hand delivers referral to the Clerical basket for EE assignment.
2 Assignment Desk
  • Date stamps referral documents.
  • Enters referral in SCCIEVS with assigned EE.
  • Assigns case to EE based on language via round robin assignment.
3 EE
  • Receives assignment in SCCIEVS and case folder from clerical.
  • Determines if additional verifications are needed.
  • If verification is:
    • Incomplete, then EE:
      • Emails the investigator the list of missing verifications, due date and copies the SIU and IEVS Supervisor.
      • Updates case status to Pending Verification in SCCIEVS.
      • REMINDER: If required verification is not received within 30 days, the working folder must be submitted to the EE lead/Supervisor for or follow-up with SIU supervisor.
    • Complete, then EE:
4 IEVS Supervisor
  • Reviews completed case.
  • If case is correct, submits case for IDM and updates status to complete in SCCIEVS.
  • If case is incorrect, returns case to EE for corrections and updates case status to Return to EE in SCCIEVS.
  • If case is:
    • Correct, then Supervisor:
      • Submits case for IDM.
      • Updates Case Status to Complete in SCCIEVS.
    • Incorrect, then Supervisor:
      • Returns case to EE for corrections.
      • Updates Case Status to Returned to EE in SCCIEVS.
5 Clerical
  • Receives case documents from Supervisor.
  • Prepares documents for scanning.
  • Scans documents into IDM.
  • Returns documents to Supervisor.
6 IEVS Supervisor
  • Forwards original documents to SIU.

Related Topics

Benefit Calculation Process