Fraud on the rise amid coronavirus

Fraud is continuing to increase this year, in part due to the COVID-19 pandemic, according to a new survey by the Association of Certified Fraud Examiners.

Fraud is continuing to increase this year, in part due to the COVID-19 pandemic, according to a new survey by the Association of Certified Fraud Examiners.

The report found that 79 percent of anti-fraud professionals have seen an increase in the overall level of fraud as of November, compared to 77 percent in August and 68 percent in May. Thirty-eight percent of the respondents said in November the increase has been significant, compared to 34 percent in August and 25 percent in May.

CORONAVIRUS IMPACT: ADDITIONAL COVERAGE

Molly Minnick, RN, BSN, is a Personal Health Advocate at Health Advocate specializing in supporting working caregivers with education, resources, and emotional support. She has previously worked with Penn Palliative Home Care, Eternally, and the Rosalyn Carter Institute for Caregivers, adding to her experience helping individuals navigate advanced care planning. Minnick earned her Bachelor of Science in Nursing from Villanova University and is currently pursuing certification as a Certified Dementia Practitioner and an Aging Life Care Manager. 

Keri Robertson, D.O., is a Medical Director at Health Advocate and has more than 15 years of healthcare management experience with a strong track record of enhancing patient experiences and outcomes. Dr. Robertson trained and worked in Chicago as an emergency physician and held progressive leadership roles, which gave her insight into how a person's health is affected by their ability to navigate and advocate for themselves. At Health Advocate, she leads a team of Personal Health Advocate Nurses who educate, engage and advocate to help members take steps toward better health and well-being. 

Chase Tarkenton is the SVP and General Manager of boost.ai, North America. He's focused on partnership growth, helping insurance firms leverage AI technology in personalized customer experiences.

Cyber fraud, payment fraud (such as schemes with debit and credit cards) and identity theft are the three top fraud schemes seeing increases, according to anti-fraud professionals.

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The largest increase in observed fraud was in financial statement fraud, with 7 percent more anti-fraud professionals reported seeing financial statement fraud in November, compared to August. That could be because as companies continue to see their profits drop, they feel more pressure to cook the books.

The survey also found 77 percent of anti-fraud professionals report that investigating and preventing fraud is more challenging now, while 71 percent said detecting fraud is more challenging as a result of the pandemic.

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ACFE members anticipate the fraud trend will continue, even as vaccines have begun rolling out this week in the U.S. Ninety percent of the survey respondents expect a further increase in the level of fraud over the next 12 months, with 44 percent predicting the change is likely to be significant.

Nearly half (48 percent) of the organizations polled expect to increase their investments in anti-fraud technology, and 38 percent intend to raise the use of fraud-related consultants or other external resources. Budgets for anti-fraud training and professional development are experiencing a similar increase (according to 37 percent of the organizations polled), but nearly one-quarter (24 percent) anticipate a decrease in this area. The budget component most likely to see decreases is travel for anti-fraud staff, which shouldn’t be surprising given the plunging levels of air travel in general over this past year, with 38 percent of the survey respondents expecting a reduction in funds for travel in the year ahead.