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2.4. Counter-Fraud Maturity Model

No: 000044021528 Date(g): 11/10/2022 | Date(h): 16/3/1444 Status: In-Force

Effective from Oct 11 2022 - Oct 10 2022
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The Counter-Fraud maturity level will be measured with the help of a predefined maturity model. The Counter-Fraud Maturity Model distinguishes 6 maturity levels (0, 1, 2, 3, 4 and 5), which are summarised in the table below. In order to achieve levels 3, 4 or 5, Member Organisations should first meet all criteria of the preceding maturity levels.
 
Maturity LevelDefinition and CriteriaExplanation
0
Non-existent
  • No documentation.
  • There is no awareness or attention for certain Counter-Fraud controls.
  • Counter-Fraud controls are not in place. There may be no awareness of the particular risk area or no current plans to implement such Counter-
    Fraud controls.
1
Ad-hoc
  • Counter-Fraud controls are not or partially defined.
  • Counter-Fraud controls are performed in an inconsistent way.
  • Counter-Fraud controls are not fully defined.
  • Counter-Fraud control design and execution varies by department or owner.
  • Counter-Fraud control design may only partially mitigate the identified risk and execution may be inconsistent.
2
Repeatable but
informal
  • The execution of the Counter-Fraud controls is based on an informal and unwritten, though standardised, practice.
  • Repeatable Counter-Fraud controls are in place. However, the control objectives and design are not formally defined or approved.
  • There is limited consideration for a structured review or testing of a control.
3
Structured and
formalised
  • Counter-Fraud controls are defined, approved, and implemented in a structured and formalised way.
  • Fraud detection system capability is implemented and embedded.
  • The implementation of Counter-Fraud controls can be demonstrated.
  • Reporting is in place to monitor Counter-Fraud control performance.
  • Counter-Fraud policies, standards and procedures are established
  • Counter-Fraud controls are implemented and embedded.
  • Fraud detection system capability is in place to prevent and proactively detect fraud across all products and channels.
  • Compliance with Counter-Fraud documentation (i.e., policies, standards, and procedures) is monitored, preferably using a governance, risk, and compliance tool (GRC).
  • Key Performance Indicators are defined and reported to monitor the implementation of controls.
4
Managed and
measurable
  • The effectiveness of Counter-Fraud controls is periodically assessed and improved when necessary.
  • This periodic measurement, evaluations and opportunities for improvement are documented.
  • Effectiveness of implemented Counter- Fraud controls is measured and periodically evaluated.
  • Key Risk Indicators and trend reporting are used to monitor position against risk appetite and give an early warning of potential emerging issues.
  • Results of measurement and evaluation are used to identify opportunities for improvement of the Counter-Fraud controls.
5
Adaptive
  • Counter-Fraud controls are subject to a continuous improvement plan.
  • The enterprise-wide Counter-Fraud Programme focuses on continuous compliance, effectiveness, and improvement of the Counter-Fraud controls.
  • Counter-Fraud controls are integrated with enterprise risk management framework and practices.
 
Table 1 - Counter-Fraud Maturity Model
 
The objective of the Framework is to create an effective approach for addressing and managing Counter-Fraud risks within the financial sector. To achieve an appropriate CounterFraud maturity level, the Member Organisations should at least operate at maturity level 3 or higher as explained below.