10 pointers for fighting fraud (2024)

Dr. Joseph T. Wells, CFE, CPA, founder and Chairman of the ACFE, offered suggestions for fraud examiners during the 25th Annual ACFE Global Fraud Conference, his last.

BE NICE AND SMILE OFTEN

10 pointers for fighting fraud (1)

Fighting fraud is an adversarial process. You are trying to prove that someone has done something wrong. No one is going to fight you harder than a person who may lose his or her liberty. If you don't have the stomach for it, find another job. This is not a profession for wimps.

But that doesn't mean you can't be nice. As a matter of fact, the best fraud examiners and investigators I've met are also the nicest. They smile a lot, even when staring down crooks. It completely disarms them.

DO YOUR HOMEWORK FIRST

If you have an allegation of fraud, don't go talk to the suspect before you've done your homework. Learn how to use the Internet and to locate public records. I'm often surprised when fraud examiners — who should know better — talk to the suspect first, when that's normally the last person you talk to. Or, as they say here in Texas, just hold your horses for a bit.

DEVELOP A FRAUD THEORY

I once worked with an FBI agent named Roy. He seemed like a hard-working guy. When he retired, I inherited all of his cases. But as I looked through one of his files after another, it became clear that he didn't even know what he was investigating. There was no method to his work — no rhyme or reason. So, in order to successfully investigate a fraud case, it's vital to have a theory of what occurred.

Every type of case, from bribery to embezzlement, has unique signs. You must learn what those are. Then it is your job to prove or disprove your own theory by examining these unique signs. In the end, it doesn't matter if you prove it or disprove it because in both situations, the truth will come out.

DON'T OVERCOMPLICATE A CASE

One of the surest signs of a rookie is to see vast criminal conspiracies behind every rock — to make a case complicated when it's not. That isn't to say that people don't conspire. But the majority of fraud cases are committed by one person, acting alone, trying to conceal the crime from everyone, including family members. If you investigate enough frauds, you will learn that the offender almost always finds the easiest way to commit the crime, and that is the method, which is consistently used.

IF YOU DON'T KNOW WHAT TO DO NEXT, STOP

Many inexperienced fraud examiners can be too aggressive and attempt to solve a fraud case too quickly. That's when they can make mistakes that are often fatal to the case and that also put the fraud examiner in legal jeopardy. If you get to the point where you don't know what to do next, stop. Take a breather. Discuss it with your colleagues or with legal counsel. Then start afresh.

DON'T OVERSTEP YOUR AUTHORITY

Remember, anyone can tell you anything voluntarily. They can give you any record that they want to. But you can't coerce people. You can't get records secretly that you aren't entitled to. You can't threaten.

There's a legal concept about evidence called "fruit of the poisonous tree." It means that if you do something illegal in furtherance of what you think is a good cause, every piece of evidence obtained that way is tainted and can't be used.

It isn't necessary to overstep your authority when conducting fraud examinations. If it is, simply let the case go. Look at the shameful experience of the United States when waterboarding was authorized as a technique in terrorist interrogations. Nearly all this information turned out to be unreliable. That isn't a surprise at all when you understand that human beings will say just about anything in response to threats. Those kinds of techniques are illegal; it's called torture, no matter what spin politicians put on it. And even though it is doubtful that you'll ever need to torture anyone in a fraud case, remember the principle: Don't overstep your authority. Nothing good can come from it.

10 pointers for fighting fraud (2)

ALWAYS LOOK FOR MORE LEADS

When I was a rookie FBI agent, an old salt asked me if I thought my job was to investigate cases. I thought it was a trick question. He said, "Your job is to develop leads — people to talk to, documents to examine, places to look. If you develop enough leads and cover them, the case will solve itself. If that doesn't work, the case is unsolvable." Truer words were never spoken.

BE VERY CAREFUL ABOUT EXPRESSING OPINIONS

In the world of accounting, opinions are the order of the day. Not so in the field of fraud examination. As a matter of fact, your goal should be to avoid giving opinions at all; they are a legal minefield. If you believe that someone committed an illegal act or acts, this should be apparent from the facts gained in your fraud examination. If not, perhaps you may need to shore up your work.

The CFE Code of Professional Ethics absolutely prohibits you giving opinions on the guilt or innocence of any person or party. That is for good reason. Guilt or innocence can only be determined in a court of law by the judge or jury and not by you. So, if you do give an opinion, avoid those two words at all costs.

BOOKS AND RECORDS DON'T COMMIT FRAUD; PEOPLE DO

It's very easy, especially if you have an accounting background, to get carried away with numbers. I've had more than a few people try to convince me fraud had occurred because the numbers don't make sense. For sure, this is one indicator of possible fraud. But it also could mean mistake or error. The difference is intent. You can rarely prove intent with numbers alone. Once you discover improper accounting, you must shore that up. Don't just take a bunch of numbers to a lawyer or a prosecutor. The numbers can't get up on the stand and testify. They can't tell a story of dishonesty or greed. You need witnesses for that. Remember always that books and records don't commit fraud; people do.

UNDERSTAND WHAT THE FRAMERS OF THE CONSTITUTION INTENDED

Fraud examiners often get frustrated when they can't solve every case. That is the nature of the game. But keep in mind what the framers of the constitution intended. Benjamin Franklin famously said, "It is better that 100 guilty persons should escape than one innocent person should suffer." We've all read stories of innocent people being released after decades in prison. Or even worse, finding out they didn't do it after they have been executed. Although it doesn't have as much impact when you read about someone else, what if it happened to you or your loved ones?

As faulty as our system is, it also has built-in safeguards to protect the accused. Those safeguards begin with you, the fraud examiner. Don't be out to "get" someone. If you are, it will be easier for you to fall victim to the temptation of overstepping your bounds. Do your job and do it well, but don't be a zealot. We've all seen macho detectives on television that do the wrong thing in the interest of so-called justice.

Nobody who knows me well, including many people I've helped put behind bars, thinks I'm soft on crime. But there is a right way and a wrong way. In short, if you can't play by the rules, you don't deserve to win.

It isn't easy to distill 44 years of experience in a few short minutes. But I hope you take to heart what I've said. It will serve you well.

Dr. Joseph T. Wells, CFE, CPA, is founder and Chairman of the ACFE.

Dr. Wells traveled from poor childhood to founder of largest global anti-fraud organization

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Joseph Thomas Wells began his life in the small, hardscrabble town of Duncan, Oklahoma, where his father and many of his relatives worked in the oil patches. His parents were divorced when he was 9, and his mother raised him. He was the first in his family to finish high school, and within two weeks of graduation he was on active duty in the Navy.

After his discharge, he worked a few years and he began to attend college part-time on the GI Bill. Dr. Wells graduated with an accounting degree with honors from the University of Oklahoma, earned his CPA credential and landed a job at Coopers & Lybrand. After two years, a colleague suggested he apply to the FBI. He did, and soon he received a telegram from J. Edgar Hoover offering him a job as a special agent.

Over the next 10 years, Dr. Wells investigated thousands of fraud cases, ranging from nickel-and-dime con artists to former U.S.Attorney GeneralJohn Mitchell for his role in the Watergate case. In 1982, he left the government to begin Wells & Associates, a firm of criminologists specializing in fraud detection and deterrence.

Sincefounding the ACFE in 1988, Dr. Wells has lectured to tens of thousands of business professionals, written 22 books, and authored scores of articles and research projects. His writing has won numerous awards, including the top articles of the year for bothInternal Auditor Magazineand theJournal of Accountancy.

Dr. Wells served as a professor of fraud examination in the Graduate Business School at the University of Texas at Austin. The American Accounting Association recognized his pioneering work in education by naming him Accounting Education Innovator of the Year in 2002. He's also chairman of the board of directors of the non-profit Institute for Fraud Prevention, an anti-fraud think tank.

Dr. Wells has served on various senior committees of the American Institute of CPAs and is a member of the AICPA's Business and Industry Hall of Fame. He was named toAccounting Todaymagazine's annual list of the "Top 100 Most Influential People" in accounting nine times. He holds a Doctor of Commercial Science from York College of the City University of New York.

He and his wife, Judy Wells, live in Belleville, Texas. Dr. Wells still spends at least three days per week in the office at ACFE Global Headquarters in Austin, Texas.


10 pointers for fighting fraud (2024)

FAQs

What are the four R's to fight fraud? ›

4 Rs—Four ways to protect your loved ones, yourself, and the Medicare and Medicaid Programs from fraud: (1) Record appointments and services, (2) Review services provided, (3) Report suspected fraud, and (4) Remember to protect personal information, like your Medicare, Medicaid, Social Security, credit card, and bank ...

How do you defend yourself against fraud? ›

Here are some ways to protect yourself:
  1. Keep your Social Security number safe. ...
  2. Shred financial statements and other documents. ...
  3. Be on guard on the internet. ...
  4. Use strong passwords. ...
  5. Store your personal information in a secure location. ...
  6. Monitor your bank statements and credit reports.

What is take 5 to fight fraud? ›

Take Five is a national campaign that offers straight-forward and impartial advice to help everyone protect themselves from preventable financial fraud. This includes email deception and phone-based scams as well as online fraud - particularly where criminals impersonate trusted organisations.

What is the best Defence against fraud? ›

What are common defences against fraud charges in NSW? Common defences may include lack of intent, mistake, lack of evidence, or challenging the prosecution's case. Answer: Common defences may include lack of intent, lack of knowledge, or challenging the evidence presented by the prosecution.

What are the six elements of fraud fighting model? ›

The correct order of the six elements of the fraud fighting model is: Tone at the Top; Education and Training; Integrity Risk and Controls; Reporting and Monitoring; Proactive Detection; Investigation and Follow-up.

What is a strategy to combat fraud? ›

Investigation of any occurrences in which fraud occurs. Review and monitor policies and occasions in which fraud has transpired regularly to ensure that fraud levels stay below the goal amount. Learn from previous occurrences and update training procedures.

How do you win against fraud? ›

  1. BE NICE AND SMILE OFTEN. Fighting fraud is an adversarial process. ...
  2. DO YOUR HOMEWORK FIRST. ...
  3. DEVELOP A FRAUD THEORY. ...
  4. DON'T OVERCOMPLICATE A CASE. ...
  5. IF YOU DON'T KNOW WHAT TO DO NEXT, STOP. ...
  6. DON'T OVERSTEP YOUR AUTHORITY. ...
  7. ALWAYS LOOK FOR MORE LEADS. ...
  8. BE VERY CAREFUL ABOUT EXPRESSING OPINIONS.

What is the first line of defense against fraud? ›

The First Line of Defense may be described as risk management in an organization's daily operations. It starts with managers identifying and being ultimately accountable for everyday risks, then extends to front-line employees and teams following internal controls in order to minimize these risks.

What are three remedies for fraud? ›

A Practice Note reviewing potential remedies in civil actions for fraud, including damages, contract rescission and other equitable relief. Interlocutory remedies for preserving the defendant's assets pending the outcome of the litigation, such as Mareva orders, injunctions and preservation orders, are also discussed.

What is the 10 80 10 rule in fraud? ›

This estimate is called the “10-80-10 Rule.” It states that just 10% of people would never commit fraud for any reason, another 10% of people are actively looking for opportunities to commit fraud, and the remaining 80% fall somewhere in between.

What is the most cost effective way to fight fraud? ›

Educate employees and customers

Educating employees and customers is one of the most important strategies for combating fraud. Businesses should provide training on how to identify and report suspicious activity, as well as educate customers on how to protect their personal information.

What are the four R's that allow you to fight fraud? ›

from fraud:
  • Record. • Record the dates of your doctor appointments on a calendar. ...
  • Review. • Compare the dates and services on your calendar with the statements you get from Medicare or your Medicare plan to make sure you got each service listed and that all the details are correct. ...
  • Report. • ...
  • Remember. •

What are the 4 pillars of anti fraud? ›

Learn the practical steps you can take to disrupt fraud and strengthen your business across these four pillars of fraud prevention: (1) Hardware, (2) Software, (3) Procedure, and (4) People.

How do we fight fraud? ›

5 simple ways to fight fraud before it happens
  1. Keep username and password to yourself. ...
  2. Know to who you are giving personal information. ...
  3. Be wary of get-rich-quick schemes. ...
  4. Log out of networks. ...
  5. Share your knowledge about fraud prevention.

What are the 4 R's of protection? ›

The 4 Rs of Safeguarding Children

The 4Rs of Safeguarding Children is professional practice for how you can recognise, record, report and refer in the situation of child abuse.

What are the four steps of the fraud theory approach? ›

The fraud examination process according to the fraud theory approach , has four sequential steps: analyzing the available data, developing a fraud theory, revising it as necessary and confirming it.

What are the four goals of a fraud risk assessment? ›

A fraud risk assessment should address four key areas: asset misappropriation, financial and non-financial reporting, regulatory compliance areas, and illegal acts.

What are the methods for reducing fraud? ›

Through regular transaction monitoring, businesses can identify discrepancies or unusual patterns that may indicate fraud irregularities or weaknesses in the system that criminals could exploit. Then, they can immediately investigate and take corrective measures to prevent further losses.

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