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Fraud Investigation: Dynamics of
Corporate Fraud
4
Introduction
• First and foremost fraud is a people problem.
It is not an accounting dilemma.
• The primary perspective here is internal fraud.
5
Defining Occupational
Fraud and Abuse
 The use of one’s occupation for personal
enrichment through the deliberate misuse
or misapplication of the employing
organisation’s resources or assets
 At all levels of an organisation
6
Fraud Definition
• Fraud: criminal deception; the use of false
representation
OED
7
Elements of Fraud
 A material false statement
 Knowledge that the statement was false
when it was uttered
 Reliance on the false statement by the
victim
 Damages resulting from the victim’s
reliance on the false statement
8
Opportunity
Pressure Rationalisation
Fraud
Triangle
•The Fraud Triangle
helps explain the human
process for committing
fraud
9
Fraud Triangle – Pressure
• Pressure can be real or imagined
– Compulsive behaviours
• Gambling, alcohol, illegal drug use
– Financial debts
• Credit cards, health care
– Family problems
• Divorce, extramarital affairs, problems with children
– Pressure on employees can be reduced via
Employee Assistance Plans, counselling and work
assignments. EAPs are management’s tool to help
control fraud.
10
Fraud Triangle - Rationalisation
• Employees, vendor, others justify fraud:
– “They owe me” or “I earned it”
– “I need it more than they do”
– “It’s only fair”
– “God will forgive me”
• Rationalisation is a form of denial. The person is not
accepting reality.
• Rationalisation is the hardest area for management
to influence or control.
11
Fraud Triangle - Opportunity
• Opportunity is the perception by someone
believing they can commit a fraud without
getting caught.
• Management controls and influences
“opportunity” more than any other factor in
the Fraud Triangle.
• Management tools are employment checks,
internal controls, internal and external audits
and a host of other techniques.
12
Major areas of exposure
• corruption, which includes conflicts of interest,
bribery (including kickbacks), illegal gifts, and
economic extortion;
• misappropriation of assets, which includes skimming,
theft, and asset misuse; and
• financial statement fraud, which can include financial
(either asset or revenue over- or understatements)
and non-financial components
13
Prevention VS Detection
• Prevention is better than treatment
• In order to prevent fraud there is a need to
make an organisation immune against fraud
14
Reducing the risk of fraud
• The means to reduce risk
– Prevention
• Reduce the opportunity for
• Deterrence (punishment)
• Detection
• Detection of fraud is much more costly
15
Responsibility of Fraud Prevention
• Management has the responsibility and means to
implement measures to reduce the risk of fraud
– Good corporate governance reduces the risk
16
Elements of prevention
• Create and Maintain a culture of honesty and
high ethics
• Evaluate the risk and implement policies,
procedures, and controls to mitigate the risk
and reduce the opportunity
• Develop appropriate oversight processes
17
Setting the tone at the top
• Lead by example (words and actions)
• Management has to
– Behave Ethically
– Communicate it’s intolerance for dishonest and
unethical behaviour
• Employees must be treated equally with
disregard to position
18
Setting the tone at the top
• Set achievable financial goals (not to create
undue pressure)
• Create a code of ethics and implement it
The code of ethics should be clear,
understandable and developed in a positive
participatory manner
19
Positive work place environment
• wrongdoing occurs less frequently when employees
have positive feelings about an entity than when
they feel abused, threatened, or ignored
• Without a positive workplace environment, there are
more opportunities for poor employee morale, which
can affect an employee’s attitude about committing
fraud against an entity
20
Factors that detract from a positive work
environment
• Top management that does not seem to care
about or reward appropriate behaviour
• Negative feedback and lack of recognition for
job performance
• Perceived inequities in the organisation
• Autocratic rather than participative
management
21
Factors that detract from a positive work
environment cont.
• Low organisational loyalty or feelings of ownership
• Unreasonable budget expectations or other financial targets
• Fear of delivering “bad news” to supervisors and/or
management
• Less-than-competitive compensation
• Poor training and promotion opportunities
• Lack of clear organisational responsibilities
• Poor communication practices or methods within the
organisation
22
Discipline
• The way an entity reacts to incidents of
alleged or suspected fraud will send a strong
deterrent message throughout the entity,
helping to reduce the number of future
occurrences.
• The consequences of committing fraud must
be clearly communicated throughout the
entity.
23
Response to an alleged incident of fraud
• A thorough investigation of the incident should be
conducted.
• Appropriate and consistent actions should be taken
against violators.
• Relevant controls should be assessed and improved.
• Communication and training should occur to
reinforce the entity’s values, code of conduct, and
expectations.
24
EVALUATING ANTIFRAUD PROCESSES AND
CONTROLS
• Fraud cannot occur without a perceived
opportunity to commit and conceal the act.
• Organisations should be proactive in reducing fraud
opportunities by
(1) Identifying and measuring fraud risks,
(2) Taking steps to mitigate identified risks, and
(3) Implementing and monitoring appropriate preventive
and detective internal controls and other deterrent
measures.
25
Fraud Detection
• The two most frequent methods of detecting
fraud are:
– Internal audits. Internal auditing for fraud is being
encouraged as a “best practice”
• About 24% of the time
– Tips from employees or associates
• Establish a “Whistle Blower” hotline for employees,
vendors and others to call in suspected fraud.
– About 40% of time
26
Fraud Detection
• Rules of thumb for frauds:
– Frauds start small and continue to grow in time
…they don’t stop themselves
– Longer the fraud in time, the greater the loss
• Two other ways to detect fraud:
– By chance or accident – about 21% of time
– Proactively searching for fraud by checking and
investigating “red flags” – symptoms of fraud
27
Symptoms of Fraud
• Symptoms of fraud
– Accounting anomalies
– Internal Control weaknesses
– Analytical anomalies
– Extravagant lifestyles
– Unusual behaviours
– Tips and complaints
28
References
• Dreibeblis, D (2006) Dynamics of Fraud Ethical
and Legal Issues, Clifton Gunderson.
• Quiffa, H.C. (2007) Fraud Prevention

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Fraud Investigation

  • 1.
  • 2. Fraud Investigation: Dynamics of Corporate Fraud
  • 3.
  • 4. 4 Introduction • First and foremost fraud is a people problem. It is not an accounting dilemma. • The primary perspective here is internal fraud.
  • 5. 5 Defining Occupational Fraud and Abuse  The use of one’s occupation for personal enrichment through the deliberate misuse or misapplication of the employing organisation’s resources or assets  At all levels of an organisation
  • 6. 6 Fraud Definition • Fraud: criminal deception; the use of false representation OED
  • 7. 7 Elements of Fraud  A material false statement  Knowledge that the statement was false when it was uttered  Reliance on the false statement by the victim  Damages resulting from the victim’s reliance on the false statement
  • 8. 8 Opportunity Pressure Rationalisation Fraud Triangle •The Fraud Triangle helps explain the human process for committing fraud
  • 9. 9 Fraud Triangle – Pressure • Pressure can be real or imagined – Compulsive behaviours • Gambling, alcohol, illegal drug use – Financial debts • Credit cards, health care – Family problems • Divorce, extramarital affairs, problems with children – Pressure on employees can be reduced via Employee Assistance Plans, counselling and work assignments. EAPs are management’s tool to help control fraud.
  • 10. 10 Fraud Triangle - Rationalisation • Employees, vendor, others justify fraud: – “They owe me” or “I earned it” – “I need it more than they do” – “It’s only fair” – “God will forgive me” • Rationalisation is a form of denial. The person is not accepting reality. • Rationalisation is the hardest area for management to influence or control.
  • 11. 11 Fraud Triangle - Opportunity • Opportunity is the perception by someone believing they can commit a fraud without getting caught. • Management controls and influences “opportunity” more than any other factor in the Fraud Triangle. • Management tools are employment checks, internal controls, internal and external audits and a host of other techniques.
  • 12. 12 Major areas of exposure • corruption, which includes conflicts of interest, bribery (including kickbacks), illegal gifts, and economic extortion; • misappropriation of assets, which includes skimming, theft, and asset misuse; and • financial statement fraud, which can include financial (either asset or revenue over- or understatements) and non-financial components
  • 13. 13 Prevention VS Detection • Prevention is better than treatment • In order to prevent fraud there is a need to make an organisation immune against fraud
  • 14. 14 Reducing the risk of fraud • The means to reduce risk – Prevention • Reduce the opportunity for • Deterrence (punishment) • Detection • Detection of fraud is much more costly
  • 15. 15 Responsibility of Fraud Prevention • Management has the responsibility and means to implement measures to reduce the risk of fraud – Good corporate governance reduces the risk
  • 16. 16 Elements of prevention • Create and Maintain a culture of honesty and high ethics • Evaluate the risk and implement policies, procedures, and controls to mitigate the risk and reduce the opportunity • Develop appropriate oversight processes
  • 17. 17 Setting the tone at the top • Lead by example (words and actions) • Management has to – Behave Ethically – Communicate it’s intolerance for dishonest and unethical behaviour • Employees must be treated equally with disregard to position
  • 18. 18 Setting the tone at the top • Set achievable financial goals (not to create undue pressure) • Create a code of ethics and implement it The code of ethics should be clear, understandable and developed in a positive participatory manner
  • 19. 19 Positive work place environment • wrongdoing occurs less frequently when employees have positive feelings about an entity than when they feel abused, threatened, or ignored • Without a positive workplace environment, there are more opportunities for poor employee morale, which can affect an employee’s attitude about committing fraud against an entity
  • 20. 20 Factors that detract from a positive work environment • Top management that does not seem to care about or reward appropriate behaviour • Negative feedback and lack of recognition for job performance • Perceived inequities in the organisation • Autocratic rather than participative management
  • 21. 21 Factors that detract from a positive work environment cont. • Low organisational loyalty or feelings of ownership • Unreasonable budget expectations or other financial targets • Fear of delivering “bad news” to supervisors and/or management • Less-than-competitive compensation • Poor training and promotion opportunities • Lack of clear organisational responsibilities • Poor communication practices or methods within the organisation
  • 22. 22 Discipline • The way an entity reacts to incidents of alleged or suspected fraud will send a strong deterrent message throughout the entity, helping to reduce the number of future occurrences. • The consequences of committing fraud must be clearly communicated throughout the entity.
  • 23. 23 Response to an alleged incident of fraud • A thorough investigation of the incident should be conducted. • Appropriate and consistent actions should be taken against violators. • Relevant controls should be assessed and improved. • Communication and training should occur to reinforce the entity’s values, code of conduct, and expectations.
  • 24. 24 EVALUATING ANTIFRAUD PROCESSES AND CONTROLS • Fraud cannot occur without a perceived opportunity to commit and conceal the act. • Organisations should be proactive in reducing fraud opportunities by (1) Identifying and measuring fraud risks, (2) Taking steps to mitigate identified risks, and (3) Implementing and monitoring appropriate preventive and detective internal controls and other deterrent measures.
  • 25. 25 Fraud Detection • The two most frequent methods of detecting fraud are: – Internal audits. Internal auditing for fraud is being encouraged as a “best practice” • About 24% of the time – Tips from employees or associates • Establish a “Whistle Blower” hotline for employees, vendors and others to call in suspected fraud. – About 40% of time
  • 26. 26 Fraud Detection • Rules of thumb for frauds: – Frauds start small and continue to grow in time …they don’t stop themselves – Longer the fraud in time, the greater the loss • Two other ways to detect fraud: – By chance or accident – about 21% of time – Proactively searching for fraud by checking and investigating “red flags” – symptoms of fraud
  • 27. 27 Symptoms of Fraud • Symptoms of fraud – Accounting anomalies – Internal Control weaknesses – Analytical anomalies – Extravagant lifestyles – Unusual behaviours – Tips and complaints
  • 28. 28 References • Dreibeblis, D (2006) Dynamics of Fraud Ethical and Legal Issues, Clifton Gunderson. • Quiffa, H.C. (2007) Fraud Prevention