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Okay, You Think You’ve Found a Fraud. Now What? John Tonsick, CFE, CPA Founder and Principal Fraud Solutions
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Okay, You Think You’ve Found a Fraud. Now What?

Mar 12, 2022

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Page 1: Okay, You Think You’ve Found a Fraud. Now What?

Okay, You Think You’ve Found a Fraud.

Now What?

John Tonsick, CFE, CPAFounder and Principal

Fraud Solutions

Page 2: Okay, You Think You’ve Found a Fraud. Now What?

“The Conjurer” – Hieronymus Bosch – Late 15th Century

Page 3: Okay, You Think You’ve Found a Fraud. Now What?

Payroll Fraud Examination

$2.25 million disappears!

Page 4: Okay, You Think You’ve Found a Fraud. Now What?

Billing Scheme Examination

$1.5 million buys absolutely nothing!

Page 5: Okay, You Think You’ve Found a Fraud. Now What?

The Fraud Examiner’s Challenge

Managing relationships• Victims• Suspects• Perpetrator • Co-workers• Witnesses• Attorneys• Law enforcement, DA/U.S. Attorney

Page 6: Okay, You Think You’ve Found a Fraud. Now What?

Victim

Critical relationshipMake or break a fraud examination• How soon do you get involved?• What was the initial response?

Page 7: Okay, You Think You’ve Found a Fraud. Now What?

Ignorance

Victims rarely understand:

Internal controlsHow fraud happensWhy fraud happensInvestigative techniques

Unaware, unprepared!

Page 8: Okay, You Think You’ve Found a Fraud. Now What?

•Shock•Denial•Anger •Bargaining•Depression•Testing•Acceptance

• On Death and Dying, 1969, Elizabeth Kubler Ross

Emotions

Page 9: Okay, You Think You’ve Found a Fraud. Now What?

Common Victim Mistakes

Confront the perpetratorDo nothingMake deals with the perpetratorFire the perpetratorMishandle/overlook critical evidenceCall the police

Page 10: Okay, You Think You’ve Found a Fraud. Now What?

First Questions

What do they know?How do they know it?Who knows about it?What action have they taken?Do they have insurance?

Page 11: Okay, You Think You’ve Found a Fraud. Now What?

First Steps

Manage expectations• Explain the process• Establish goals• Discuss the options• Make recommendations• Develop a plan

Page 12: Okay, You Think You’ve Found a Fraud. Now What?

Working With Attorneys

• Advantages• Attorney client privilege• Legal guidance

• Disadvantages• Assume greater knowledge than they possess

Page 13: Okay, You Think You’ve Found a Fraud. Now What?

Working With Attorneys

The right attorney can be a huge plus!

• CFEs• DAs, U.S. Attorneys• Law Enforcement• Litigators

The wrong attorney can be a huge detriment!

Page 14: Okay, You Think You’ve Found a Fraud. Now What?

Working With Attorneys

Outside counsel• Appropriate skills and experience• Greater independence

In-house• Sometimes lack appropriate skills

and experience• May not keep attorney-client

privilege

Page 15: Okay, You Think You’ve Found a Fraud. Now What?

Role of the Fraud Examiner

Minimize emotion

ExperienceKnowledgeIndependenceObjectivity

Page 16: Okay, You Think You’ve Found a Fraud. Now What?

Investigation Goals

Determine the existence of fraud/illegal actsDetermine the extent of fraud/illegal actsIdentify the perpetratorsDetermine the methods usedRemove the perpetrators from your operationRecover assetsTake corrective actionSeek criminal prosecution

Page 17: Okay, You Think You’ve Found a Fraud. Now What?

Secure Evidence

Secure and preserve evidence:

• Suspect’s office, computer, cell phone, etc.• Building access• System access• Bank accounts• Email• Voice mail• Snail mail• Keys, ID, symbols of authority

Page 18: Okay, You Think You’ve Found a Fraud. Now What?

Avoid Spoliation

Avoid spoliation:

• Original documents• Chain of custody• Photographs• Computer

•If it’s on; leave it on•If it’s off; leave it off•Forensic copies require specialized software and procedures

•Secure storage

Page 19: Okay, You Think You’ve Found a Fraud. Now What?

Who Will Investigate?

•Certified Fraud Examiners•Internal/External Auditors•Security/Private Investigators•Human Resources Personnel•Management •Outside Consultant•Legal Counsel

Page 20: Okay, You Think You’ve Found a Fraud. Now What?

Establish Ground Rules

• Leadership• Types of communication• Need to know• Do not discuss outside team• Need to know basis• Keep the team as small as possible

Page 21: Okay, You Think You’ve Found a Fraud. Now What?

Critical Basic Tools

• The Fraud Triangle• Knowledge of financial transactions

and fraud schemes• Knowledge of internal controls• Sound investigative techniques

Page 22: Okay, You Think You’ve Found a Fraud. Now What?

The Fraud Triangle“Alive and Well”

OpportunityImmediate Need

Rationalization

Page 23: Okay, You Think You’ve Found a Fraud. Now What?

Knowledge of Financial Transactions and Fraud Schemes

• Accounting is the language of business

• Fraud schemes – our stock in trade

Page 24: Okay, You Think You’ve Found a Fraud. Now What?

Knowledge of Internal Controls

• Internal controls are a powerful weapon against fraud

• Ability to recognize control deficiencies can lead you quickly to what the fraudster did and how they did it

Page 25: Okay, You Think You’ve Found a Fraud. Now What?

1985 COSO Diagram

Page 26: Okay, You Think You’ve Found a Fraud. Now What?

1992 COSO Diagram

Page 27: Okay, You Think You’ve Found a Fraud. Now What?

2004 COSO Enterprise Risk Management Diagram

Page 28: Okay, You Think You’ve Found a Fraud. Now What?

2011 Proposed UpdateCOSO Enterprise Risk Management

Diagram

Page 29: Okay, You Think You’ve Found a Fraud. Now What?

Evolution

Page 30: Okay, You Think You’ve Found a Fraud. Now What?

Sound Investigative Techniques

• The Fraud Theory Approach –Each fraud examination begins with the proposition that all cases will end in litigation

• You won’t have time to learn from your mistakes

Page 31: Okay, You Think You’ve Found a Fraud. Now What?

Sound Investigative Techniques

• ACFE Fraud Examiners Manual

• Analyzing documents• Interview theory and application• Covert examination• Sources of information• Accessing information online• Data analysis and reporting tools• Computer forensics• Tracing illicit transactions• Reporting standards• Checklists, forms, contract and opinion

letters

Page 32: Okay, You Think You’ve Found a Fraud. Now What?

A Suggested Approach

1. Internal investigation2. Civil litigation3. Criminal prosecution

Page 33: Okay, You Think You’ve Found a Fraud. Now What?

Existing Relationships

Never interrupt your enemy when he is making a mistake. Napoleon Bonaparte (1769–1821)

Advantages:• Maintain the element of surprise• Cooperation • Access to information• Relatively inexpensive

Page 34: Okay, You Think You’ve Found a Fraud. Now What?

Civil Litigation

Advantages:• Subpoena documents• Take depositions under oath• Lower burden of proof• You retain some control• Judgment beneficial in criminal

action

Disadvantages:• Expensive• Other side has options

Page 35: Okay, You Think You’ve Found a Fraud. Now What?

Civil Litigation

A Business Decision• Cost/benefit analysis• Does the other side have

assets?• How much are you willing to

spend to make a point?

Don’t start what you aren’t willing to finish!

Page 36: Okay, You Think You’ve Found a Fraud. Now What?

Criminal Prosecution

Advantages:• Satisfaction• Sends a strong message

Disadvantages:• Lose control• Information becomes public• Constrained resources• Reluctance to prosecute• Higher burden of proof• Perpetrator has options

Page 37: Okay, You Think You’ve Found a Fraud. Now What?

QUESTIONS?

John Tonsick CFE, [email protected]

213-716-0667

Page 38: Okay, You Think You’ve Found a Fraud. Now What?

OK, You Think You’ve Found a Fraud. Now What?

February 23, 2010Thank you

John Tonsick, CFE, CPAFraud Solutions

18000 Studebaker, Suite 700Cerritos, CA 90703

[email protected]

213-716-0667

Page 39: Okay, You Think You’ve Found a Fraud. Now What?

The contents of this presentation may not be transmitted, re-published, modified, reproduced, distributed, copied, or sold without the prior consent of the author.

“Association of Certified Fraud Examiners,” “Certified Fraud Examiner,” “CFE,” “ACFE,” and the ACFE Logo are trademarks owned by the Association of Certified Fraud Examiners, Inc.