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CVA Risk Assessment & Fraud Detection Flashcards

6 cards from real CVA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 CVA Risk Assessment & Fraud Detection flashcards as text

  1. Which tool is most useful for a CVA agent conducting a preliminary risk screen on a new claimant?

    Answer: Structured checklist cross-referencing identity, income, and address history

    A structured checklist that cross-references identity, income, and address history provides a systematic preliminary risk screen.

  2. A CVA agent notices a pattern of similar fraud in five unrelated cases. This is BEST described as:

    Answer: Systemic or organized fraud

    Repeated similar fraud patterns across unrelated cases indicate systemic or organized fraud requiring escalation beyond individual case handling.

  3. What does 'phantom claimant' fraud involve in CVA verification?

    Answer: Submitting claims for a person who does not exist or is deceased

    Phantom claimant fraud involves fabricating a non-existent or deceased individual to fraudulently receive benefits or services.

  4. Which of the following best describes the CVA agent's role in fraud prevention versus fraud detection?

    Answer: Prevention involves controls that stop fraud before it occurs; detection identifies fraud after submission

    Fraud prevention involves proactive controls to stop fraud before it enters the system, while detection identifies fraud already present in submitted cases.

  5. A claimant provides supporting documents from a company that cannot be verified as legitimately registered. What risk category does this represent?

    Answer: Shell entity or fictitious employer risk

    Unverifiable business registrations raise shell entity or fictitious employer risk, requiring investigation before the claim can proceed.

  6. How should a CVA agent prioritize a backlog of verification cases when risk scores are unavailable?

    Answer: Prioritize cases with the oldest submission dates and highest claimed benefit amounts

    Without risk scores, prioritizing by submission date and claimed amount balances timeliness obligations with focusing effort where exposure is greatest.