Evaluate a commercial claim for fraud

---
title: Evaluate a commercial claim for fraud
description: A special investigations agent can review a claim to determine whether a claim is fraudulent.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/financial-services-operations/insurance-claims/evaluate-claim-for-fraud.html
release: brazil
product: Insurance Claims
classification: insurance-claims
topic_type: task
last_updated: "2026-09-10"
reading_time_minutes: 1
breadcrumb: [Use, Commercial Lines Claims, Exploring insurance claims applications, Insurance applications, Financial Services Operations \(FSO\)]
---

# Evaluate a commercial claim for fraud

A special investigations agent can review a claim to determine whether a claim is fraudulent.

## Before you begin

Role required: sn\_ins\_siu.agent

Use the case playbook that provides the activities and tasks required to update and close the tasks of the claim case.

## About this task

When business rule logic identifies a claim case as a 'close proximity' claim- a claim case very close to the policy start date- then a task triggers to the SIU department for evaluation of fraud. An adjuster can also refer a claim for fraud evaluation during the adjuster's claim evaluation.

## Procedure

1.  Navigate to **All** > **Financial Services Operations** > **Workspace**.

2.  Select the lists icon \(\[Omitted image "inline-data-vis-96px-list.png"\] Alt text: lists icon\).

3.  Open the task from the special investigation tasks list.

<table id="choicetable_bn1_2hs_25b"><tbody><tr><td id="d62914e94">

**From the Special Investigation tasks list**

</td><td>

1.  In the **Lists** tab, under **Special Investigation tasks**, open the task list.
    -   For your assigned tasks, select **Assigned to me**.
    -   For all special investigation tasks, select **All**.
2.  In the list, select the task that you want to work on.


</td></tr></tbody>
</table>    To work on a task that is not assigned to you yet, assign it to yourself by clicking **Assign to me**.

4.  Finish the work that is required to complete the task in your claims system.

5.  In the **Work notes** field, enter any comments that are related to your findings.

6.  Close the task from the special investigation task form.

    |Special investigation task|Action|
    |--------------------------|------|
    |**To submit a fraud evaluation**|Select **Approve** to conclude the claim as not fraudulent or **Reject** to validate the claim as fraud.|


## Result

-   If the task is approved, the task moves to Closed Complete.
-   If the task is rejected, the task moves to Closed Rejected.