Fraud Analytic Techniques: Simple Techniques to Uncover Complex Schemes
(Room Seaport C)
19 Nov 15
11:30 AM
-
12:30 PM
Tracks:
AHFI Path, Fraud Schemes and Investigative Skills
The presenter will first introduce a suspect behavior classification model that breaks fraud risk into four easy to understand groups, frequency, density, intensity and velocity. Understanding high risk behaviors in this context, allows for easy transition of detection methodologies. Once the model is understood, regardless of the specific schemes that occur (which codes, etc) having models in place to uncover any of these 4 behaviors, will detect the abnormal behaviors, and bring them to the attention of the reviewer for additional investigation. The presenter will then discuss specific techniques using simple tools such as Excel and/or free downloads which can be used to uncover these behaviors. Detailed materials will be prepared and provided to allow for simple application of these techniques when the participants return to their desks in the office. Throughout this presentation real-life examples will be used to highlight how these techniques can be implemented successfully.