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Building Fraud Detection Validation Logic Self-Service Guide

Complete Guide to Decision Trees, Workflows, and Implementation

Updated this week

Why Structured Validation Logic Design Matters

Building effective validation logic requires more than just configuring thresholds. The most successful implementations combine visual design tools with structured decision-making frameworks to create clear, maintainable, and auditable workflows.

This guide provides practical methodologies, tools, and frameworks for designing validation logic that balances fraud protection with operational efficiency while ensuring stakeholder alignment and compliance requirements.

Key Benefits of Structured Approach

  • Stakeholder Alignment: Visual tools enable non-technical teams to understand and validate logic

  • Audit Compliance: Clear decision paths provide transparent audit trails

  • Maintenance Efficiency: Well-structured logic is easier to update and optimize

  • Risk Management: Systematic approach reduces gaps and edge case failures


Decision Trees: The Foundation

Why Decision Trees Work Best for Validation Logic

Visual Clarity: Every possible fraud scenario and outcome is clearly mapped

Stakeholder Communication: Non-technical team members can easily understand and validate logic

Implementation Translation: Direct conversion to code or Business Rules

Audit Documentation: Complete decision path documentation for compliance

Gap Identification: Visual representation reveals missing scenarios and edge cases

Basic Decision Tree Structure

Root: Document Submitted
├── Document Classification Check
│ ├── AI Generated?
│ │ ├── YES → Tag: "reject"
│ │ └── NO → Continue
│ ├── Not a Document?
│ │ ├── YES → Tag: "reject"
│ │ └── NO → Continue
│ └── Screenshot/LCD?
│ ├── YES → Tag: "screen_capture"
│ └── NO → Continue to Content Analysis
├── Content Analysis
│ ├── Handwriting Detected?
│ │ ├── YES: Which fields?
│ │ │ ├── Total/Subtotal → Tag: "financial_modification"
│ │ │ ├── Date Only → Tag: "date_alteration"
│ │ │ ├── Line Items → Tag: "product_modification"
│ │ │ └── Multiple Fields → Tag: "extensive_handwriting"
│ │ └── NO → Continue
│ ├── Digital Tampering?
│ │ ├── YES: Which fields?
│ │ │ ├── Total → Tag: "digital_fraud"
│ │ │ └── Date Only → Tag: "date_alteration"
│ │ │ ├── Line Items → Tag: "product_modification"
│ │ └── NO → Continue
│ └── Similarity Analysis
│ ├── Score >0.95 → Tag: "duplicate"
│ ├── Score 0.8-0.95 → Tag: "similar_submission"
│ └── NO → Continue
└── Final Classification
├── High Risk Tags → Action: "reject"
├── Medium Risk Tags → Action: "manual_review"
└── Low Risk Tags → Action: "approve"


Visual Design Tools and Platforms

While Veryfi Workflows Design tools are being developed, we recommend using any open-source option like Draw.io, Lucidchart, MS Visio, Miro/Mural.

Each Rule you create in Veryfi can be exported in JSON it means that you can visualize and build decision-making trees in many tools, including LLMs, to prove the design and outcome.


Structured Approaches for Complex Logic

Risk Scoring Matrix Method (another approach)

Create a systematic point-based evaluation:

Fraud Signal Scoring:
┌─────────────────────────────┬─────────┬──────────────────────┐
│ Fraud Signal │ Points │ Confidence Level │
├─────────────────────────────┼─────────┼──────────────────────┤
│ AI Generated Document │ 60 │ High │
│ Handwritten Total/Subtotal │ 50 │ High │
│ Digital Tampering (High) │ 45 │ High │
│ Similarity Score >0.95 │ 40 │ Medium │
│ Digital Tampering (Medium) │ 30 │ Medium │
│ Handwritten Line Items │ 25 │ Medium │
│ LCD Photo │ 20 │ Low │
│ Similarity Score 0.8-0.95 │ 15 │ Low │
│ Handwritten Date Only │ 10 │ Low │
└─────────────────────────────┴─────────┴──────────────────────┘

Risk Level Thresholds:
- 0-15 points: Green (Auto-approve)
- 16-40 points: Yellow (Manual review)
- 41-60 points: Orange (Supervisor review)
- 61+ points: Red (Reject/Escalate)

Advantages:

  • Quantifiable risk assessment

  • Easy to adjust individual signal weights

  • Clear escalation thresholds

  • Audit-friendly scoring rationale

Implementation in Business Rules:

score = 0;
if (ai_generated_detected) score += 60;
if (handwritten_fields.includes("total")) score += 50;
if (digital_tampering_confidence === "high") score += 45;
if (similarity_score > 0.95) score += 40;

if (score >= 61) tag = "reject";
else if (score >= 41) tag = "supervisor_review";
else if (score >= 16) tag = "manual_review";
else tag = "approve";

Multi-Dimensional Analysis Framework

Consider fraud signals across multiple dimensions:

Dimension 1: Technical Fraud Indicators

  • Document authenticity (AI, tampering, etc.)

  • Visual anomalies and artifacts

  • Metadata inconsistencies

Dimension 2: Behavioral Patterns

  • Submission timing and frequency

  • Device and location patterns

  • Historical fraud indicators

Dimension 3: Business Context

  • Campaign rules and restrictions

  • Merchant/vendor patterns

  • Amount and category thresholds


Great Topics to discuss internally with your team when building Fraud Framework:

For each fraud signal Veryfi Returns: 
• Define detection conditions
• Map all possible outcomes
• Consider signal combinations
• Document exception handling
• What happens when multiple signals trigger?
• How to handle conflicting indicators?
• Define fallback rules for undefined scenarios

Best Practice: Implementation Frameworks

Iterative Development Approach

MVP: Minimum Viable Protection

Objective: Deploy basic fraud protection immediately while building advanced logic

Priority 1 Rules (Deploy Immediately): 
• AI-generated documents → Reject
• Digital tampering → Reject
• Perfect similarity matches (>0.98) → Reject
• Clear non-documents → Reject
• Everything else → Manual review queue

Benefits:

  • Immediate fraud protection

  • Simple implementation

  • Low false positive risk

  • Baseline performance measurement

Success Metrics:

  • Fraud detection rate >70% of known fraud types

  • False positive rate <5-10%

  • Manual review queue manageable (<30% of submissions)

Phase 2: Intelligent Routing

Objective: Add context-aware logic to reduce manual review burden

Enhanced Rules: 
• handwritten total + amount <$300 → Approve
• Approved vendors + any handwriting → Review
• Any fraud signals → Strict review

Implementation Approach:

  • A/B test new rules on subset of traffic

  • Compare performance against Phase 1 baseline

  • Gradually increase traffic percentage

  • Monitor operational impact on review teams

Success Metrics:

  • Manual review rate reduced by 40-60%

  • Maintained fraud detection effectiveness

  • Improved processing times

  • Stakeholder satisfaction with accuracy

Phase 3: Advanced Optimization

Objective: Implement sophisticated logic and continuous improvement.

Continuous Improvement Process:

  • Weekly performance review meetings

  • Monthly logic optimization sessions

  • Quarterly comprehensive strategy review

  • Annual workshop for major logic overhaul


Testing Framework for Fraud Rules

Test Design Structure:

Control vs. Treatment Setup

Control Group (50% of volume): 
• Current/baseline fraud logic
• Existing manual review processes
• Standard operational procedures
Treatment Group (50% of volume):
• New fraud detection logic
• Enhanced automation rules
• Modified review workflows

Key Performance Indicators

Fraud Detection Metrics: 
• True Positive Rate (fraud correctly identified)
• False Positive Rate (legitimate submissions flagged)
• False Negative Rate (fraud missed)
Overall accuracy percentage Operational Metrics:
• Manual review volume
• Processing time per submission
• Team productivity measures
User experience impact Business Metrics:
• Fraud-related losses prevented
• Operational cost per submission
• Customer satisfaction scores
• Compliance adherence rates

Statistical Significance Requirements

  • Minimum sample size: 1,000 submissions per group

  • Test duration: 2-4 weeks for statistical validity

  • Confidence level: 95% for production decisions

  • Effect size: Minimum 10% improvement to justify change


Common Pitfalls and Best Practices

Over-Engineering from the Start

Problem: Attempting to handle every possible edge case in the initial design

Symptoms:

  • Decision trees with >20 decision points

  • Rules that require extensive documentation to understand

  • Logic that accounts for <1% probability scenarios

Solution:

  • Start with 80/20 rule: Handle 80% of cases with simple logic

  • Use iterative approach: Add complexity only when data justifies it

  • Focus on high-impact fraud patterns first

Best Practice Example:

Phase 1: Handle obvious fraud (AI-generated, clear tampering) 
Phase 2: Add context rules (vendor categories, amounts)
Phase 3: Implement sophisticated pattern recognition
NOT: Try to handle everything perfectly from day one

Insufficient Stakeholder Involvement

Problem: Technical teams designing fraud logic without business input

Symptoms:

  • Rules that make technical sense but miss business context

  • High false positive rates due to misunderstanding legitimate patterns

  • Stakeholder rejection during review phase

Solution:

  • Include fraud analysts, operations, and compliance from day one

  • Get business sign-off at each design phase

Analysis Paralysis

Problem: Endless debate over perfect threshold values and edge cases

Symptoms:

  • Weeks spent debating 0.8 vs 0.85 similarity thresholds

  • Requirements that change every meeting

  • No progress toward implementation

Solution:

  • Set "good enough" initial thresholds based on best available data

  • Plan for rapid iteration and adjustment

  • Time-box decision-making sessions

  • Use A/B testing to resolve threshold debates with data

Implementation Phase Pitfalls

Big Bang Deployment

Problem: Deploying all new fraud logic simultaneously

Symptoms:

  • Sudden spike in false positives overwhelming operations

  • Inability to identify which rules are causing problems

  • Emergency rollbacks affecting fraud protection

Solution:

  • Gradual deployment: One rule category at a time

  • Feature flags: Enable/disable rules without code deployment

Lack of Monitoring Infrastructure

Problem: Deploying rules without adequate performance tracking

Symptoms:

  • No visibility into rule performance

  • Inability to identify underperforming rules

  • Manual effort required to assess fraud detection effectiveness

Solution:

  • Build monitoring into rule design from the start

  • Automated alerting for performance degradation

  • Real-time dashboards for operational teams

In Q3 2025 Veryfi will launch custom reports functionality that will enable custom dashboards in web portal

Operational Phase Pitfalls

Set-and-Forget Mentality

Problem: Deploying fraud logic without ongoing optimization

Symptoms:

  • Performance degradation over time as fraud patterns evolve

  • Accumulation of edge cases not handled by original logic

  • Stakeholder dissatisfaction with fraud detection effectiveness

Solution:

  • Scheduled monthly rules reviews

  • Quarterly logic optimization sessions

  • Feedback loops from manual review to rule improvement

Threshold Drift

Problem: Gradual degradation of fraud detection thresholds

Symptoms:

  • Slow increase in false positive rates

  • Unnoticed changes in fraud detection sensitivity

  • Rules that become less effective over time

Solution:

  • Automated threshold monitoring and alerting

  • Regular recalibration against fresh fraud samples

  • Version control for all threshold changes


Best Practices Summary

Design Best Practices

  1. Start Simple: Basic protection first, sophistication later

  2. Include Stakeholders: Business context is crucial for effective fraud detection

  3. Visual First: Use decision trees and flowcharts before writing code/adding rules

  4. Document Decisions: Why each rule exists and what it's meant to catch

  5. Plan for Change: Design rules that can be easily modified

Implementation Best Practices

  1. Gradual Rollout: Deploy incrementally to identify issues early

  2. Monitor Everything: Build performance tracking into every rule

  3. Test Thoroughly: Use historical data, A/B testing, and shadow mode

  4. Train Teams: Ensure operational teams understand and can execute new logic

  5. Version Control: Track all changes for audit and rollback purposes


Veryfi-Specific Resources:

Professional Support:

  • Account manager consultation for complex implementations

  • Technical support for Business Rules development on SLA Gold and Platinum Plans

The journey from fraud detection concept to operational success requires structured thinking, collaborative design, and iterative improvement. Use this guide as your roadmap, adapt the methodologies to your specific context, and remember that the best fraud detection system is one that evolves with your business needs and the fraud landscape.

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