Case study Governance Architecture

Fraud Response Governance Framework Implementation

Governance-led design and implementation of a structured fraud response framework spanning detection, investigation, escalation, and executive oversight.

Executive overview

Case study type: Governance architecture implementation

A regulated digital payments platform faced escalating fraud complexity, rising dispute exposure, and increasing scrutiny from partners and oversight bodies.

Although fraud, compliance, and support functions were active, the organisation lacked a formalised response architecture. Escalation thresholds were implicit, documentation standards inconsistent, and executive risk triggers undefined.

The mandate was not operational optimisation. It was governance hardening — implementing a defensible, board-ready fraud response architecture capable of withstanding partner, audit, and regulatory examination.

Context

  • Lean fraud team operating with manual alert triage
  • Email-based escalation across functions
  • No structured case management environment
  • Fragmented documentation across multiple systems
  • Inconsistent investigation reporting standards

Risk exposure was amplified by:

  • Scam-induced purchases (investment and romance typologies)
  • Integration partner misuse and distribution channel risk
  • Chargeback volatility across reason codes
  • Upstream marketing outside direct organisational control

Risk profile

  • Ambiguity in fraud-to-compliance escalation
  • Inconsistent SAR consideration thresholds
  • Limited audit defensibility
  • Increased exposure to acquirer scrutiny
  • Executive risk visibility constrained by informal escalation pathways

Governance architecture implementation

1. Governance & Role Definition

Implemented a formal fraud response governance structure defining:

  • Investigation ownership
  • Fraud-to-Compliance escalation pathways
  • Executive notification thresholds
  • Partner intervention criteria

A structured RACI aligned Fraud, Compliance/MLRO, Support, Legal, Sales, and Executive oversight.

2. Detection & Escalation Framework

Defined a controlled progression model:

Alert → Qualified Incident → Regulatory Consideration → Executive Escalation

Established:

  • Incident qualification criteria
  • Exposure-based escalation triggers
  • Reputational risk thresholds
  • Formal documentation standards

3. Structured Investigation Model

Standardised investigation artefacts including:

  • Incident overview and typology classification
  • Behavioural and session analysis
  • KYC and wallet review
  • Customer communication review
  • Findings and recommended actions

This materially improved defensibility and audit readiness.

4. Partner & Distribution Risk Controls

Introduced upstream governance controls:

  • Distribution channel misuse indicators
  • Monitoring cadence and review triggers
  • Formalised partner-level escalation and suspension criteria

Outcomes

  • Clear and documented fraud-to-compliance escalation model
  • Defined executive oversight thresholds
  • Improved consistency across investigations
  • Enhanced partner and acquirer confidence
  • Reduced ambiguity in SAR consideration decision-making
  • Strengthened regulatory defensibility

Governance impact

The organisation transitioned from an analyst-driven fraud handling model to a structured governance framework with defined thresholds, accountability, and executive visibility.

The model now supports:

  • Board-level reporting clarity
  • Partner-ready documentation standards
  • Scalable growth without proportional increase in governance risk exposure

Key takeaways

  • Lean teams require structural clarity more than additional headcount.
  • Fraud-to-SAR handover must be explicitly defined and documented.
  • Third-party distribution and partnership models amplify upstream risk and require structured governance controls.
  • Documentation discipline is a primary control in regulated environments.