Genuine claims held
82% of resolved SIU referrals were genuine, and they waited an average of 23 working days against a 10-day target.
Compare your analysis with the red-team review. Each flag is a line of enquiry, not a conclusion.
82% of resolved SIU referrals were genuine, and they waited an average of 23 working days against a 10-day target.
Referral rates rise from 3% to 11% with deprivation, while the fraud hit-rate falls.
The inconsistency score may penalise accents and second-language speakers.
Cover increases before a storm, or shift work, look like fraud signals.
Customers get no reason or timescale, which weakens trust and their ability to respond.
Declining above 0.95 without human review would remove the main safeguard.
The 30% figure has no baseline or control group.
Outcomes by area, age or vulnerability are not monitored.
Older and vulnerable customers face long waits with no support.
Feature weights and validation are only summarised by the supplier.
Which of these did your earlier analysis already cover?
Which did you miss? What does each change about your assessment?
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