Fraud Investigations and Legal Issues

Planning and Conducting Fraud Examinations

Fraud Examinations

The Process or Methodology of resolving allegations of fraud from the inception to disposition and assisting in prevention and fraud detections

Fraud Examination Activities

include planning, gathering evidence, interviewing, Monitoring transactions, evaluating anit-fraud policies and analyzing data to detect fraud effectively.

Fraud Examination Methodology

1) Assume litigation will follow

2)Act on predication

3)Approach investigations from 2 perspectives

4)Work from the big picture to specifics

Fraud Theory Approach

1) Analyze the available data

2) Create a hypothesis

3) Test a hypothesis

4) Refine and amend the hypothesis

Fraud Response Plan

Details the actions the organization will take when suspicions of fraud arise

Benefits of a fraud response plan

• Organizes rep