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Confidential. This presentation is provided for the recipient only and cannot be reproduced or shared without Fair Isaac Corporation's express consent. © 2011 Fair Isaac Corporation. 1 Insurance Fraud Manager User Group February 8-9, 2011 San Diego, CA Best Practices Security, Roles and Permissions Andrea Allmon Product Management-Sr Director Health Care and Insurance Kevin Harrison Product Management-Sr Director FICO Platform February 2010

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Page 1: Confidential. This presentation is provided for the recipient only and cannot be reproduced or shared without Fair Isaac Corporation's express consent

Confidential. This presentation is provided for the recipient only and cannot be reproduced or shared without Fair Isaac Corporation's express consent.

© 2011 Fair Isaac Corporation. 1

Insurance Fraud Manager User GroupFebruary 8-9, 2011San Diego, CA

Best PracticesSecurity, Roles and Permissions

Andrea AllmonProduct Management-Sr DirectorHealth Care and Insurance

Kevin HarrisonProduct Management-Sr DirectorFICO Platform

February 2010

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© 2011 Fair Isaac Corporation. Confidential.2 © 2010 Fair Isaac Corporation. Confidential.2

Agenda

» FICO Platform Architecture

» Security(LDAP)/SSO (shared portal)

» Users

» Permissions (IFM - screen level)

» Roles

» Groups

» Organizations

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FICO Platform Architecture

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FICO Platform Architecture

» Business Objectives» Faster Application Development » Faster Time-to-Value solutions for our clients» Faster turn-around for Upgrades to our clients

» Implementation» Standards-based, Service Oriented Architecture (SOA)» Integrates with Operating Systems and Middleware

» Operating System » JEE – Java Platform, Enterprise Edition» Application Server» Database Server» LDAP Server

» Configurable by Application

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FICO Platform Architecture

Hardware

» Configurations for FICO Applications

» FICO Platform and sharedStrategic

Differentiators

» Third Party Platform Stack

» Operating System

» Database Server » LDAP Server» Application Server

» Java Platform, Enterprise Edition (JEE)

FICO Platform

Debt

Manager

Fraud

Manager

Origination

Manager

Insurance

Fraud

DM

App

DM

App

FICO Application Business Services

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What is FICO Platform?What functionality does it provide?

» Common Data Model» Extensible Data Entities» Encryption» Data Access Layer

» Audit, Logging, and History

» License Management

» Data Acquisition» FICO Network + Transformation» Bureau + Data Interfaces

» Decision Management System» Characteristic Library» Model Deployment» Adaptive Control» Performance Reporting » Transaction Scoring

» Business Rules Management» Blaze Advisor (RMA)

» Business Intelligence» Browser-based reports integration

» Security Framework» Role Based Access Control» LDAP Integration + Federation» Single Sign-on

» UI Framework» UI Builder (SmartForms)» Context Sensitive Help» Call Scripting

» Internationalized (I18N)» Double-byte character set (DBCS)» Locale aware (Region + Language)

» Date, Time, Currency, Numeric separators

» Externalized Translation Configuration

» Case Management» History + Notes» Evidence Locker» Workflow

» Document Services» Document Templates» PDF, E-Mail, SMS

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Security (LDAP)/SSO

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FICO Platform use of LDAP

» What is LDAP and what purpose does it serve? » LDAP = Lightweight Directory Access Protocol

» FICO client needs» LDAP integration for Administration and Support

» Reuse Corporate configuration for Groups, Users, and Password policy

» Centralized and Delegated Administration

» FICO Platform products» Use standard LDAPv3 integration for Directory Services» Have Delegated administration features to write to LDAP

» Use of LDAP Server » Users (with Group membership)

» only attributes in standard LDAP schema» Extended attributes in FICO database

» Groups (with hierarchy)» only attributes in standard LDAP schema» Extended attributes in FICO database

» Password policy

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Single Sign On

» FICO application roadmap requirements from clients» Support for Single Sign On environments» Support for Federated Security integration

» Requires centralized authorization server» Typically an LDAP server or integrated with LDAP servers» Implemented by an authentication token» Federation requires trusted relationship

» Site-deployed » Workstation login establishes authentication token» No user/password required to access applications supporting SSO

» ASP/Hosting» One user/password in portal/extranet for multiple hosted applications» Federation allows trust to auto-provision clients

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Users

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Users

Creating Users Department is a free-form entry for “Primary Group.” In a future release, we will be making this a drop-down selector.

Setting up the UsersTenants are used when you are hosting more than one customer

Locales will be used in future releases for localizations (English, Dutch, German)

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Users

» User Creation» Users are Created in LDAP

» Username required» Validated to be unique

» First and Last name required for application display» E-Mail address required for sending temporary password

» A temporary password is generated» An e-mail is sent to users e-mail address» Users are also created in Business Objects

» User Setup for Additional details» Some additional LDAP details available for reference

» Emp #, phone, mobile, title

» Remaining details are user details in the database» Settings: Tenant, Locale, Time Zone» Associations: Groups, Roles, Queues

» User is made member of Groups in LDAP

» User locale and time zone settings are updated in Business Objects

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Roles

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Roles

» Roles should be configured by job function» Contain a set of permissions to access a resource» Typically assigned to a Group of users that do that job

» Ease roles administration for large number of users» Ensure backup resource with 2 or more users in each group

» IFM ships with the following default Roles:» Full Administrator» Manager» Investigator» Medical Management» Claims Reviewer» Claims Supervisor» Information Only» Triage/Case Administrator

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Roles Hierarchy example

System Administrator

Roles

User Administrator

Queue Administrator

Report Administrator

Document Template

Administrator

All Permissions for this set of roles.

Sub-set of permissions from the parent role.

Claim Reviewer

Fraud Supervisor

Fraud Analysts

Sr. Fraud Manager

External Reviewers

Nurse Reviewer

Claims VP

Claim Supervisor

Security Administrator

Fraud Manager

Chief Medical Officer

User Administrator

All security permissions for all users, user groups, and organizations

Each role below System Administrator, Claims VP, Fraud Manager, CMO and

Security Administrator contains a subset of the

permissions from the parent role.

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Permissions and Roles

» Permissions» Allows access to system-level features

» Roles – Job Function» Group of access permissions » Roles hierarchy

» lower-level roles contain subset of upper-level role’s permissions

» Users and Work Groups may have one or more Roles » Role administration can be delegated

» By Role with Role Permissions (Add, Manage, Change, Modify)» Users are limited to Scope of Authority (their lower-level Roles)

» Roles are not bound by organization or operational areas» Allows shared job functions across the organization and operation

» ie: Delegated Administration: User Administration, Group Administration » Unless defined that way in the hierarchy

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Role Based Access Control (RBAC)

» Separation of Duties » Role Type: Security Administrator

» Top-level access control to all security objects and audit logs» Defines primary roles and groups » Establishes System Administrators and Delegated Administrators

» Role Type: System Administrators» Manages System Configuration options» Monitors System Function and maintains operational environment

» Role Type: Delegated Administrators» Manages Business or Departmental Operations» Allows configuration changes to respond quickly to business needs

» Best Practice*» Define top-level roles as superset for job functions» Create lower-level child roles as permission subsets

» Allows sharing some permissions for staff in cross-functional roles» Typical that some users do two jobs

» or cover tasks of other staff as needed (out-of-office, vacation, sick)

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Permissions

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Permissions

» IFM Permissions are at the detailed functional level» Permissions are defined as Action and Resource pair» Permissions can be assigned to multiple roles» Authorization service checks user’s Roles for permissions» Permissions can control access to various User Interface elements

» Menus» Menu Items» Screens/Page» Screen Elements

» Navigation items (buttons, hyperlinks)» Controls (textbox, drop-down list, grid, etc)

» Work in Progress » Renaming permissions to provide better clarity » Next release includes permission category

» Ability to filter list of permissions by category» examples: Users, Groups, Roles, Queues, Menu, Grid, Domain Values

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Groups

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Groups

» Work Groups/Departments

» Work Groups» set of users that are grouped » represent operational groups or teams. » Work groups simplify administration of large number of users

» roles and queues associated to group apply to all members of the group

» Administration for lower level user groups can be delegated to users or user groups associated to upper level user groups.

» Next release changing to User Group nomenclature » Common name for container for number of users» Better represents the alignment with LDAP User Groups» New attribute in user details for Tenant-specific Primary Group

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Work Groups are defined by

» Tenant» Each tenant may have different users and operational needs

» User with appropriate permission in Roles» Create Work Groups (add)» Maintain Work Groups (edit)

» Business Managers or Supervisors » Define group and team structure for their business operations area

» Hierarchy (inheritance) to define Managers, Supervisors, Teams

» Scope of Authority limited to the groups they are in» Maintaining users and assignments in “my work groups”» Maintain configuration for lower-level work groups

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Organization

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Organization

» Coming Soon – Organization lets you have better control of Document Templates, etc.

» Optional – Default organization is used until configured

» Authorization to certain system resources can be based on an organizational hierarchy and RBAC. » Roles determine if user can access the screen and perform actions » Organization hierarchy determines what data the user can act upon

» What resource is listed as available to act on

» Organization hierarchy models division, departments, and teams

» Work groups are associated to one or more organizations» Users can also be associated individually to organizations

» Administration for lower level organizations can be delegated to users or user groups associated to upper level organizations.

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Organization

» Example» A role permission allows user to update document templates » The user is a member of one or more organizations» Certain document templates are associated to organizations» The document templates available to the user are limited to

document templates that belong to the user’s organization(s)

» Organization resources» document templates» business calendars» Scripts» other entities defined by FICO products

» For backward compatibility, these resources are part of the Default Organization available to All User and All Groups

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Delegated Administration

» Delegated Administration» Of Users, Work Groups, and Roles » managed by individual clients, divisions, departments

» Such as directors, managers, and supervisors

» hierarchal structure allows Scope of Authority limits to» Roles they have been associated to and the child roles of those roles» Work Groups they have been associated to, the child groups of those

groups» Users within those work groups. » Organizations they have been associated to and the child organizations of

those organizations

» Role permissions determine which maintenance has been delegated» Users are always limited to Scope of Authority» User cannot change hierarchy without permission to act on resource

» Create, Edit, or Delete» For specific hierarchy (Roles, Work Groups, or Organizations)

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Tenant with Delegated Administration

LDAPGroups

DM Suite

Tenant C

User GroupsHierarchy

RolesHierarchy

Organizations

Tenant C

Client 2Organizations

Client 1Organizations

Client A Organization

Client 2User Groups

Client 1User Groups

Client A User Groups

Client 2Roles

Client 1Roles

Client ARoles

Product Category A

Product Category B

Product Category C

Team 1

Team 2

Team 3

Client 2Admin

Client 2Analyst

Client 2Data Entry

Client 2 Managed Through Delegated Administration

By having standard RBAC (Role Based Access Control) to deny all access unless granted, and limit a user’s access to those Organizations, User Groups, and Roles they are a member of, delegated administration can allow Clients to manage their own hierarchies. Elevated permissions can exist and be granted to Tenant administrators to allow views or selections of Organizations, User Groups, or Roles they are not a member of.

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Open Discussion

» What have you found that works best?

» What don’t you like?

» What would you like to see differently?

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Insurance Fraud Manager User GroupFebruary 8-9, 2011San Diego, CA

THANK YOU