Professional Documents
Culture Documents
Comptroller of the
Commonwealth
Goal of Fraud Awareness and Prevention Training
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Agenda
Fraud Awareness
Types of Fraud
Consequences of Fraud
Activity
Fraud Red Flags
Risks, Red Flags, and Control Examples
Prevention
Detection
What’s Next?
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“There is no kind of dishonesty into which otherwise good
people more easily and more frequently fall than that of
defrauding the government.”
-Ben Franklin
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What is Fraud?
Source: The Institute of Internal Auditors International Standards for the Professional Practice
of Internal Auditing. www.theiia.org
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The General Laws of Massachusetts
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Embezzlement cases on the rise
http://www.eagletribune.com/
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The Fraud Triangle
Opportunity: Rationalization:
•Internal Controls •“I don’t get paid what I am worth!”
None in place
Un-enforced •“Everyone else is doing it”
Un-monitored
Ineffective •“If they don’t know I’m doing it,
they deserve to lose the money”
•Too much trust
•“I intended to pay it back”
•Poor “Tone at the Top”
•“Nobody will miss the money”
•No segregation of duties
We have limited
control over:
Pressure
Rationalization
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Who commits fraud?
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Money? + People? = Fraud
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10-80-10 Rule
10% of the population will NEVER commit fraud. This is the type of
person that will go out of their way to return items to the correct party
80% of the population might commit fraud given the right combination
of opportunity, pressure, and rationalization
+Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational
Fraud & Abuse. www.acfe.com
*Source: Profile of a Fraudster Survey 2007, KPMG
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What are the concerns for management?
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http://fraudtalk.blogspot.com/
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“It can’t happen here”
JULY 12, 2010
These charges are in addition to those brought against the lieutenant in 2008 for
stealing more than US $100,000 in state money to buy firearms and other law
enforcement equipment for personal use
The new charges stem from the lieutenant’s relationship with a firearms vendor
— selected with the lieutenant’s help — who won a contract to provide the DOC
with firearms, ammunition, and accessories
The lieutenant allegedly bought sporting goods and other items using a personal
line of vendor credit without a DOC purchase order with the understanding that
the cost would be deducted from the DOC’s line of credit
Prosecutors also allege that the lieutenant stole and sold ammunition in
exchange for credit at major retailers as well as checks made payable to him
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“It can’t happen here”
A Multi-million dollar, international fraud and money laundering scheme targeted
vendors of state governments from West Virginia, Kansas and Ohio, as well as
the Commonwealth of Massachusetts, which resulted in the diversion of $3.379
million in state payments routed to fraudulent bank accounts.
The fraudsters were able to hijack legitimate vendor payments using information
acquired through the Internet and otherwise to complete direct deposit
authorization forms for Deloitte Consulting LLP, Unisys Corporation, and
Electronic Data Systems, Inc.:
Mailed authorization forms and voided starter checks from fraudulent accounts
The unsuspecting states sent the payments to the fraudulent bank accounts
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Types of Fraud
Types of Fraud-
“The Big Three”
Asset Misappropriation
Theft of cash, inventory, services, and other assets
Corruption
Conflict of Interest, Bribery
Fraudulent Statements and Reporting
Financial and Non-financial
Distribution of Fraud
Across the “Big Three”
Percent of cases exceeds 100 percent due to cases spanning several categories.
Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational Fraud & Abuse. www.acfe.com
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KPMG Fraud Survey 2009 Results
Q. Which of the following categories of fraud and misconduct pose the most
significant risk to your organization? (Results by industry)
Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational Fraud & Abuse. www.acfe.com
Types of Fraud –
Asset Misappropriation
Asset misappropriations include the misuse or theft of
assets
Money
Inventory
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Types of Fraud –
Asset Misappropriation
Internal
Cash Theft
Accounts Receivable (phony customers or credits)
Inventory Fraud (theft)
Accounts Payable Frauds (phony suppliers)
Payroll Frauds (ghost employees, stealing “time”)
Inflated Expense Reports by Employees
External
Theft
False Claims, Delivery of Goods or Services for ineligible Receiver
Vendor Fraud
Payroll Frauds
Inflated Expense Reports by Employees of Vendor
Sub Recipients
Mis-charging
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Types of Fraud –
Corruption
Abuse of Power
Management Override
Collusion
Blackmail
Conflict of Interest
Bribery
Illegal Gratuity
Extortion
Kickback
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Types of Fraud –
Fraudulent Statements
Misapplication of accounting rules
Mischaracterization as "one-time" expenses
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Types of Fraud –
Social Engineering
Social engineering is the act of manipulating people into
performing actions or divulging confidential information
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Scareware
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Don’t be a victim of Social Engineering
Be suspicious of unsolicited phone calls or emails from individuals
asking about employees or other internal information
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Don’t be a victim
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Consequences of Fraud
Consequences of Fraud-
Financial Cost
Losses estimated to be 5 percent of revenue*
Loss of assets
*Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational
Fraud & Abuse. www.acfe.com
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FY 2009 Revenue
$ 1.9 Billion
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Headlines you won’t see…
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Consequences of Fraud -
Damage to Public Image / Reputation
Traditional News Media
Newspapers
TV
Radio
Electronic Word of Mouth
Twitter
Facebook
Blogs
Message Boards
Globe & Herald
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Scenario
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Official accused of selling town property on eBay
November 2009
Town purchasing director sold surplus equipment on eBay and had
winning bidders write the checks out in his name
Actions were first brought to light on Nov. 10, when a resident asked
Assistant Town Manager why the purchasing director was asking
people to make checks out to him and not the town
Town Manager apologized for the "cloud" the scandal has cast over
the town
Continued…
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Official accused of selling town property on eBay
November 2009 (Continued)
The town did have procedures in place to track fixed assets, and had
begun to improve on those when the embezzlement occurred
The town is also looking at various ways to recover the stolen money:
currently targeting frozen retirement funds, seeking restitution through
the courts, and filing an insurance claim
Continued…
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Official accused of selling town property on eBay
November 2009 (Continued)
Purchasing director had worked for town since January of 2008 - He
had an unblemished 20-year military record, he worked for several
years in state government, and he came with excellent references
"We did a thorough job in checking out his background. There was
nothing to indicate in his behavior or work product that he was
capable of the illegal activity he engaged in."
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Consequences of Fraud -
Internal Consequences
Damages Organizational Integrity / Credibility
Damages Morale
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Consequences of Fraud -
Consequences to You if Caught
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Activity
Fraud Red Flags
Do you have….?
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Do you have….?
Lack of segregation of duties
Same person:
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Do you have….?
Resource Constraints
Not enough staff to perform the current work
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Do you have….?
Times of change
Change in leadership
Reorganization
Layoffs
Upgrades / Promotions
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Do you have….?
External Pressure on Employees
Recognize and acknowledge the pressure when possible.
Medical Bills
Divorce
Child Support
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Do you have….?
Changes in Employees Behavior
Unwilling to take vacation / time off
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Risks, Red Flags, and Controls
Risks, Red Flags and Controls
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Risks, Red Flags and Controls
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Risks, Red Flags and Controls
Social Engineering Unexpected inquires from unverified callers Verification identity with
organization
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Prevention
Most Important Contributing Factor to Fraud
Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational Fraud & Abuse. www.acfe.com
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Internal Controls
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Tone at the Top
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Ethics Statement / Code of Conduct
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Training & Communication
Training:
Training as standard part of new employee orientation
Communication:
Why don't employees tell what they know - Because no one asks?
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Policy and Procedure
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Segregation of Duties
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Do Not Share your UAID MMARS Security Policy
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Hard Copy / Paper Files
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Information Technology
Physical Access
How secure is your server room?
Do you have a Laptop, equipment inventory system
Does your copy machines store a digital image of every
document scanned or copied?
Is weekend work allowed or need to be pre-approved?
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Employee Screening
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Detection
Initial Detection of Fraud
Source: Association of Certified Fraud Examiners 2010 Report to the Nation on Occupational Fraud & Abuse. www.acfe.com
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Whistleblower Mechanisms
Commonwealth Hotline Numbers:
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Whistleblower Protections
Chapter 149, Section 185 of the General Laws protects public employees who
wish to make disclosures to expose violations of law or risk to public health,
safety or environment in a “whistleblower” mode.
Who is Protected?
Employees of the Commonwealth
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Deterrence
Pressure
A fraudster’s willingness to (motive)
commit fraud is inversely
proportional to their perceived
risk of being discovered. Concoct scheme
(opportunity)
Perception of
Abandon thought detection
Yes No Commit fraud
of fraud (will I be
caught?)
Maybe
Those who perceive they will
be caught engaging in fraud
are less likely to commit it.
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Reconciliation
Let them know someone is watching and checking!
Bank statements
Review all documentation and reconciliations for unusual entries or
deviations from programmatic purposes
Check for corrections and amounts that appear too high or low
Flag and review all management overrides
Spot check for round numbers or multiple payments in same cycle
for same amount/same recipient (absent a lease or recurring
payment)
DocDirect Reports
Payroll Reports
Receivables
Monthly Equipment / Supply Inventory
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Data Analysis
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Program Designed to Minimize Fraud, Waste, and Abuse
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What’s Next?
Provide taxpayers assurance that tax dollars are spent
for their intended purposes:
In times like these we are defending our program missions and budgets
The public demands greater transparency
Agencies and their personnel that ignore fraud face negative publicity
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Provide taxpayers assurance that tax dollars are spent
for their intended purposes:
Tighten internal controls
Document all policies and procedures
Segregate duties
Implement an anti-fraud strategy
Set the right tone – your behavior influences others
Adhere to policies and procedures
Report violations
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Fraud Risk Assessment Template
Chart it out: Managing the Business Risk of Fraud: A Practical Guide
Fraud Risk Likelihood Control Activity
Scheme / Scenario Significance Control Type
Potential People Involved Inherent Risk
Example A:
Example B:
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Available CTR Resources
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Checklist for Departments to
Combat Fraud, Waste and Abuse
Who Should Perform Item Checked Tools/Resources
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Checklist for Departments to
Combat Fraud, Waste and Abuse
Who Should Perform Item Checked Tools/Resources
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Checklist for Departments to
Combat Fraud, Waste and Abuse
Who Should Perform Item Checked Tools/Resources
Procurement Ensure goods and services are bought Take regular inventories of goods.
only when needed. This should be An example of an asset
inventory
reviewed by someone who does not
perform the inventory or purchase the spreadsheet for information
goods. technology is published by the
University of Colorado for its departments.
This can be customized for any good or
commodity.
Procurement Ensure goods purchased are received The Federal Aviation Administration (US
by someone who does not order them. DOT) has a good example of
receiving reports with
signoffs that can easily be replicated.
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Checklist for Departments to
Combat Fraud, Waste and Abuse
Who Should Perform Item Checked Tools/Resources
OSD’s Procurement Information Center
Procurement Establish process to check all
Federal Sites:
bidders/vendors/contractors for Excluded Parties List System – Contains parties that are
debarment or exclusion from federal excluded from receiving Federal contracts,
List of Excluded Individuals/Entities - Listed parties are
awards, suspended licenses, etc., as excluded from participation in the Medicare, Medicaid and
directed by the Operational Services all Federal health care programs.
State Sites:
Division’s Procurement Information
DCAM Debarred Contractor’s List - This list consists only
Center. of individuals and firms debarred by the Division of Capital
Asset Management.
The Office of the Attorney General maintains a separate list
Also require vendors/contractors to of additional individuals and firms debarred by that office
that is available in the Central Register or by contacting the
submit copy of valid license with bids AGO directly at (617) 727-2200 x. 3277.
DIA Stop Work Orders – Listed businesses are prevented
from bidding or participating in any state or municipal
funded contracts for a period of three (3) years.
DPL License Check - Check contractors here for valid
professional licenses and/or disciplinary actions.
DCAM Certified Prime Contractors/Sub-bidders This
lists firms that are allowed to bid on state construction
projects.
Mass Med Board - Check the Massachusetts Board of
Registration
in Medicine site for Online Physician Verifications.
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Questions?
Comptroller Help Desk
617-973-2468
Comptroller.info@state.ma.us
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