Challenge:
CRA’s Forensic Services team demonstrated strong expertise in forensic analysis, data analytics, and platform investigations when engaged to assess irregular member activity following the separation of two providers from a single entity. The matter involved suspected mass member account creation and provider switching, directly impacting revenue distribution between the two providers.
CRA approach:
CRA professionals responded promptly to the client’s concerns, delivering clear, structured updates throughout the investigation. Findings were communicated with precision and clarity, allowing the client to fully understand the technical analysis and its implications, and enabling informed, timely decision-making.
The engagement was supported by a team with the depth and range of experience required to analyze large-scale platform data and interpret behavioral patterns. Support was provided seamlessly from technical specialists through a CRA vice president, facilitating continuity and consistency.
The team demonstrated a strong understanding of the commercial sensitivities of the matter, recognizing that the identified activity had a direct and measurable impact on revenue allocation between the two providers. The investigation was therefore focused on producing defensible, objective findings that could support strategic business decisions and potential legal action. The team also collected and reviewed available platform logs, conducting detailed statistical analysis to identify patterns and trends in account creation and provider switching activity across the entire platform. The team identified a clear correlation involving only the two recently separated providers, reflecting a high level of attention to detail and analytical rigor.
Client impact:
By efficiently leveraging existing platform data and targeted analytical methods, CRA professionals delivered a comprehensive investigation without unnecessary disruption or expense. The resulting statistics and analysis equipped the client with the evidence required to assess legal pursuit options, avoiding speculative or protracted investigative costs.
