Identifying fraud has always been an important goal for
organizations across the globe. The current economic turmoil, however, is
pushing fraud detection higher on everyone's priority list. Unfortunately, few
companies are taking advantage of technology solutions that can actively target
key risk areas - instead of relying on sporadic hotline calls or anonymous
tips.
According to the 2008 Report to the Nation from the
Association of Certified Fraud Examiners, over 50 percent of fraud was
detected through tips or by accident. Of the fraudulent activities detected by
tips, a full 31 percent came through hotline calls. While any method that
successfully uncovers fraud is valuable, it's astonishing that more companies
don't use technology to proactively pursue fraud.
As a fraud manager for a global food and beverage company, I'm focused on
understanding the risks within my organization and the industry at large. I
need to know what our standard data looks like and how to find areas where red
flags might emerge. There's a common misconception that large organizations
have all the necessary resources to develop and maintain airtight controls. In
my experience, however, the sheer volume of data can become overwhelming. There
are so many transactions that large companies can quickly lose control over
their information - a virtual invitation for people to take advantage of
loopholes and dark corners in the data. I've also had managers say, "There are
just too many transactions. We can't look for just the anomalies in the
millions of records."
Thanks to the power of audit analytics, there's nothing to stop an organization
from proactively targeting and even preventing fraud. Technology makes it
possible to quickly analyze complete data populations. Instead of pulling
random samples or relying on those all-too-rare hotline calls, you can actively
target specific data patterns, activities and exceptions that uncover fraud.
Here are three case studies that demonstrate how proactive data mining can
expose fraudulent activities.
Time and attendance analysis
When I was working in the health care industry, we developed a technology-based
project to monitor staff time and attendance data. Health care professionals
(such as physicians, nurses and specialists) are paid in different ways,
depending on the nature of their positions, the work, and the facility. All the
pay rates have unique electronic codes, so my team began by pulling the code
for staff members working on-call. We looked at typical on-call data and
learned what would comprise accurate coding. We then set up constraints and
exception conditions, such as a maximum number of consecutive hours spent
on-call. We used audit analytics to pull the files and quickly ran the data
through our script.
Immediately, we found staff members who had supposedly worked on-call 24 hours a
day, seven days a week (an impossibility) or were paid for on-call time while
they were away on vacation. It was an extremely fast, straightforward data
analysis project that quickly highlighted potential time and attendance fraud.
Expense reports
In another former position, I worked for an organization with approximately
300,000 employees worldwide. As the Fraud Manager for the Accounts Payable
department, I was running a test on employee expense reports when I noticed
something unusual in the data. At this organization, the expense reporting tool
was designed to communicate with the credit card vendor's system in order to
download travel and expense credit charges directly into the employee's expense
report. When an employee loaded the expense report with charges from the credit
card, a data indicator confirmed that this action had been completed. There
were also data identifiers that indicated whether a line item expense should be
paid to the credit card vendor or reimbursed to the employee.
Looking through the data, it became clear that one particular employee was
manually entering credit card charges into the expense reports and having the
expense paid to the credit card vendor. After a broader review, a trend emerged
and we discovered that this employee had already cheated the organization out
of approximately US$50,000. The employee traveled frequently and simply added
fictitious hotel and catering charges to the expense reports so a balance would
appear on the credit card. The employee then used the credit balance to
purchase personal items. Once again, our basic data testing revealed unusual
trends and led us to a significant corporate control issue.
Inappropriate fueling charges
My current employer has a large fleet of delivery vehicles, so naturally, fuel
is a major operational expense. In some areas of the United States and Canada,
company delivery vehicles are fueled before they hit the road, but in many
places, the drivers receive purchase cards to buy fuel. There are currently
3,000 of these cards issued to drivers with an estimated monthly spending total
of US$3.1 million. We have standard operating procedures for card usage, but in
reality, each driver carries the fuel card around the clock and knows the
authorization codes for use at the pump. Unfortunately, it's not difficult for
a driver to get a personal transaction past an overworked manger assigned to
review the purchases.
My team felt there was a significant risk associated with these cards and
developed a technology-based analysis to test our hypothesis. We conducted two
tests. The first checked to see if any of the drivers were fueling on their
days off, and the second looked for drivers who were fueling outside of their
work hours. We quickly gathered the electronic data files, examined the
"normal" data, and performed the analysis.
The project immediately found employees using the fuel cards for personal
purchases and sent a clear message that employee transactions were being
closely monitored. Between June and July 2008, our company saw a US$1.4 million
drop in fuel costs, despite record prices at the pumps during those two months.
It was a huge success, and these tests are now performed monthly. An
unanticipated success was the breaking down of silos within our company. Though
initiated by the search for fraud, the fuel card project became a collective,
multi-department effort that got various departments working together towards
the same goal.
These three projects not only uncovered corporate fraud; they also revealed
process weaknesses and widespread data errors that required tighter monitoring.
Proactive fraud detection prevents revenue loss, supports stronger internal
controls, and provides efficient, measurable results. Risk areas can be
targeted without personal bias and companies can regain power over their data -
regardless of their size, location or industry.
So if you've always relied on hotline calls, accidents and random tips, how can
you start a proactive fraud detection program? My team always begins by
brainstorming. We ask ourselves, "What types of fraud are we looking for?" It's
critical to be focused. Decide whether you're targeting fictitious vendors,
abuse, kickbacks or another activity entirely.
Next, identify what accurate, standard data looks like when it's stored in your
databases. How can you identify something that's out of place? What are the
exceptions? What are the acceptable conditions and limits? Draw the boundaries
in your data and focus in on a straightforward test. It's a great way to get
quick hits and find areas that need deeper review.
Finally, it's critical to have the right tools. Today's audit analytics are
extremely fast, powerful and flexible. They make it simple to pull files
without IT intervention or time delays and give you the ability to quickly
analyze complete data populations. You simply need to know what information is
stored electronically within your organization. The power then lies in
accessing multiple databases and bringing the information together for
analysis.
The global economic downturn has made fraud detection more important than ever
before. It's a critical way to prevent revenue leakage, promote a secure
corporate environment, and retain full control over your internal data. Human
nature teaches us that people are less likely to breach controls when they know
management is actively looking and monitoring the transactions. And while every
industry has its own unique risks (such as the fuel cards for our fleet of
delivery drivers), there are many common areas that everyone can target, such
as Accounts Payable, receivables, purchase cards, financial support, and human
resources.
In today's economy, don't wait for a tip-off. Harness the power of technology
and packaged analytic tests to identify fraud now. If you can identify a risk,
it's a substantial corporate control, and you've captured the data
electronically, then go for it. You're probably going to find fraud.
Penny Borjas, CFE, CIA, B.A., is a Certified Fraud Examiner and
Internal Auditor with a diverse background in health care, manufacturing,
government, and financial / banking industries. Her work as an internal auditor
has covered operational, financial, fraud, compliance and IT engagements.
Penny has spent more than 10 years reviewing financial and operational
electronic data to reveal anomalies that could indicate fraudulent activity.
She is equally well versed in identifying opportunities to improve business
processes and boost efficiency.
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