The Outlier Lab

Fraud Program Overview

Hub for building a transaction fraud program: the components, how they connect along the money path, where to start, and links to every Program note in the vault.

Core components

A transaction fraud program has six layers. They're all organized around the money path: where value enters, moves and leaves, and the decision points in between (see Payment Rails Map and Customer Lifecycle Map).

Diagram: Governance & accountability, Strategy & detection, Operations & response, Measurement & labels, Learning & adaptation, People & partnerships, Data & technology
LayerWhat it answersProgram notes
Organization and accountabilityWho owns fraud loss, friction and decisions?Fraud Operating Model · Three Lines of Defense · Cross-Functional Partnerships · Fraud Maturity Model · Building a Fraud Program from Zero
GovernanceHow are risks assessed, launches reviewed and rules and models controlled?Fraud Risk Assessment · New Product and Promo Launch Review · Fraud Strategy Lifecycle · Rule Governance and Change Management · Model Risk Management · Friction and Customer Experience Tradeoffs · Experimentation and Champion-Challenger
OperationsHow are alerts reviewed, cases investigated, decisions QA'd and attacks handled?Alert Review Operations · Fraud QA Program · Investigation Standards · Case Documentation Standards · Fraud Incident Response · Support Team Fraud Training · Threat Intelligence and Horizon Scanning
MeasurementAre we winning, and what does it cost?Fraud Metrics and KPIs · Loss Taxonomy and Attribution · Fraud Labeling and Feedback Loops
Data and technologyCan we see, decide and act in time?Fraud Data Architecture · Real-Time Decisioning Architecture · Vendor Selection and Evaluation
RegulatoryWhat are we obliged to do?US Regulatory Overview · BSA-AML and SAR Filing · Regulation E and Unauthorized Transfers · Nacha Rules and ACH Risk · Card Network Dispute Rules · Broker-Dealer Obligations (FINRA and SEC) · Privacy and Data Use in Fraud Prevention
PeopleWho do we hire and how do they grow?Fraud Team Hiring and Career Paths · Fraud Analyst Onboarding Curriculum

How the pieces connect

  • Risk assessment identifies where the money path is exposed. Launch review stops new exposure being created unreviewed.
  • The strategy lifecycle turns hypotheses (from losses, ops, QA and intel) into rules and models, governed by rule governance and model risk management and measured by experimentation.
  • Alert review, investigations and support carry out human decisions. QA checks them and feeds findings back into SOPs, rules, models and training.
  • Incident response handles attacks that outrun normal controls. Threat intelligence shortens the time before you notice them.
  • Metrics, labels and loss taxonomy make it measurable, and friction economics keep it honest about cost to good customers.
  • The operating model and three lines decide who does each of these, and who checks.

Frameworks behind this section

FrameworkUse it for
COSO/ACFE Fraud Risk Management Guide (2nd ed., 2023)Five principles: control environment, risk assessment, control activities, information and communication (including investigation and corrective action), monitoring. A good checklist for program completeness.
GAO Fraud Risk Framework (GAO-15-593SP, 2015)Commit / Assess / Design and implement / Evaluate and adapt; a dedicated antifraud entity; risk tolerance. Written for the public sector, but the structure transfers well.
IIA Three Lines Model (2020; refreshed July 2026)Roles and assurance: who owns, oversees and audits fraud risk
Interagency MRM guidance (SR 26-2 / OCC 2026-13, April 2026)Governing fraud models; replaced SR 11-7
FraudClassifier and ScamClassifier models (Federal Reserve-hosted industry work)Consistent classification of fraud and scams for labels and reporting

See Frameworks and Taxonomies for more.

How to build it

Where to start, by situation

Program completeness checklist

Artifacts and templates

Copyable artifacts across the Program section:

ArtifactWhere
Decision rights table, fraud charter outline, core RACIFraud Operating Model
Fraud policy outline, governance RACI, second-line KRIsThree Lines of Defense
Maturity rubric and self-assessment worksheetFraud Maturity Model
30/60/90 plan, first controls by money pathBuilding a Fraud Program from Zero
Partner working agreements, abuse-adjusted promo ROICross-Functional Partnerships
Risk register columns, rating scalesFraud Risk Assessment
Launch checklists, hypercare tripwires, launch RACINew Product and Promo Launch Review
Strategy proposal template, acceptance criteriaFraud Strategy Lifecycle
Rule inventory fields, change request, portfolio reviewRule Governance and Change Management
Model documentation outline, change classificationModel Risk Management
Friction impact statementFriction and Customer Experience Tradeoffs
Experiment brief and readoutExperimentation and Champion-Challenger
Intel item and horizon-scan templatesThreat Intelligence and Horizon Scanning
Queue definition, capacity mathAlert Review Operations
QA rubric, QA form, sampling math, kappaFraud QA Program
Investigation plan and checklistInvestigation Standards
Case note and SAR referral templatesCase Documentation Standards
Incident roles, first-hour checklist, post-mortemFraud Incident Response
Support curriculum and quick-reference cardSupport Team Fraud Training

Metrics

Program-level metrics, detailed in Fraud Metrics and KPIs:

  • Outcome: net fraud loss (bps of volume) by money path; total cost of fraud including friction
  • Efficiency: review rate, cost per decision, automation share
  • Quality: QA accuracy and critical error rate; label accuracy
  • Speed: time to detect, time to mitigate new attacks
  • Coverage: money paths with current risk assessments; launches reviewed; rules and models with owners
  • Customer: insult rate, complaint rate, scam-victim funds protected

Pitfalls

  • Building controls without a program. Point solutions decay without ownership, governance and measurement.
  • Building a program without controls. You end up with policy binders that don't change decisions.
  • Optimizing losses alone. The total cost includes good customers.
  • Program by incident. Every investment follows the last attack, and the largest exposure may never get funded.
  • Copying a bank's program into a rewards app, or the reverse. Match program weight to your rails, regulators and risk profile (see the industry notes: Brokerage and Investing, Cashback, Coupons and Rewards, Online Marketplaces, Neobanks and Consumer Fintech, Payments and P2P, Retail and Ecommerce).

Sources and further reading