Fraud Investigator: Protect Your Business From Scams

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The fraud prevention outlook is evolving every day worldwide. The main focus of fraud prevention is on advanced analytics, machine learning, and real-time monitoring. This is going to be in shape in the coming years.

Research by ACEF reported that 58% of anti-fraud professional organizations have unaffected anti-fraud staff and resources.

In the world of financial deception fraud investigators are unsung heroes of any economic landscape. 

Financial detectives are more than just the number of crunches these days. They are the guardians of fiscal integrity to reveal the complex webs of fraudulent activities.

The projected job growth rate for fraud investigators is 6% from 2018 to 2028, with approximately 1,000 new jobs expected over the next decade.

The growth rate for fraud investigators is projected 6% from 2018 to 2018. It is expected that 1,000 news jobs of fraud investigators over the next decade. Over 26,358 fraud investigators are currently employed in the United States.

Fraud investigators are the frontline of establishing a smooth environment in workplaces without fraud and unethical behaviors. 

They have a wide skillset of knowledge about fraud laws, collecting evidence, and interviewing a suspects for fraudsters.

Fraud investigators have expertise in

  • Insurance fraud investigation
  • procurement fraud
  • Asset recovery
  • Cyber fraud
  • Fraud in healthcare sectors
  • Retail fraud in other areas

What is The Role Of Fraud Investigators?

Fraud investigators play a crucial role in protecting businesses and organizations from financial crimes as well as unethical behaviors. 

They have a wide range of responsibilities and diverse skill sets. The significant key aspects of fraud investigators include

Role Of Fraud Investigators

Running Investigations

Fraud investigators are responsible for conducting fair, detailed, and unbiased timely investigations. 

These can include allegations of fraud, or abuse committed by clients against company fraud investigation. 

This process involves the collection of evidence, detailed research on the transactional process, interviewing the witnesses and victims, and then binding it into a detailed documented report.

Collection of Evidence and Analysis

The most important part of an investigator is to review and research evidence in documented form to analyze the pattern of information. 

After analyzing information the data synthesized is attached with professional report recommendations.

Financial fraud investigator also analyzes the financial functions to gather irregularities in the financial documentation. It includes billing trends, financial relationships, and regulatory compliance.

Interviewing and Interrogation process

The main purpose of hiring a fraud investigator is to interrogate the suspected individual and make statements after a detailed interview.

Excellent interviews and interrogation the process is the basic skills of an investigator.

Reporting the information

The role of investigators involves the preparation of written reports of the findings. 

Documenting all the activities including in-depth reports on findings to represent to the authorities as the key findings.

Legal Procedures

Fraud investigators often prepare evidence to represent it in the courts. This is how they testify to the investigation findings. 

They also coordinate with law enforcement resources for assistance.

Fraud and risk prevention

Beyond investigating the cases they work for fraud and risk prevention. They put their advice to organizations for the improvement of fraud detection. 

They also suggest how to perform risk assessment both for external and internal threats.

What is fraud investigation?

Fraud investigation is a systematic approach to examining and analyzing fraudulent activities.

The main reasons to conduct a fraud investigation include

  • If the fraud happened what’s the history behind
  • Identification of the schemes to recover losses
  • Evidence collection for further legal actions
  • Making  recommendations and taking preventive measures

Fraud schemes can damage any kind of organization with financial losses. 

Fraud investigations then help gather records, documentation, and detailed interviews to inform organizations about the preventive measures and policies to be implemented.

Suggested Read: Financial Risk Management: Meaning, Types, And Processes

What are the Types of Fraud Investigation?

Fraud can come in many forms. The most common types of fraud investigations include

Types of Fraud Investigation

Corporate Fraud Investigation

Corporate fraud investigations are conducted when there is

  • Financial statement manipulation
  • Suspicions of unethical behavior
  • Theft of organizational IP
  • Theft of physical assets of employees

It often arises from internal audits, anonymous tips, or whistleblower allegations in an organization. The role of corporate fraud investigators is essential in protecting organizational integrity.

Insurance Fraud Investigation

An insurance fraud investigation is conducted when

  • There are staged accidents
  • Manipulated billing by healthcare providers
  • False injury claims
  • Multiple large cash deposits within a short period

This can be identified through data patterns and financial inconsistencies.

Cyber Fraud Investigation

Cybercrime investigations are conducted when

  • There’s data theft through phishing schemes
  • Payments fraud through spammy e-mails
  • When there’s cyber attacks

 When a person clicks on a spammy link or mail, it takes them to the copied link instead of a legitimate link. You need to address your employees not to click on any suspicious links.

Cryptocurrency Fraud Investigations

Criminals are using cryptocurrency schemes to fraud people.

This investigation is conducted when

  •  cryptocurrency payments are difficult to reverse
  • blockchain infrastructure does not work

They lack legal protection like credit or payments because crypto regulations are still in development.

Which processes are involved in fraud investigation?

Conducting an end-to-end fraud investigation involves the following processes.

fraud investigation processes

Consultation

Before a fraud investigation, a fraud or financial crimes investigator will consult the client to know what they are expecting and what the situation is to make the process smooth and in line. 

This process involves the scope, timeline, and cost of the investigation process.

Examination

The inquiries by the investigation team will be led by a fraud examiner. The main focus will be on verifying the potential evidence or materials of the fraud. 

They can include the forensic specialist or any tracing-certified examiner.

Identification

Once the nature and type of fraud are exposed to some extent, the major pieces of the fraud puzzle are on point then the team can focus on the duties and responsibilities to identify the process and parties behind it.

Background Checks

The investigation of personal, financial, and professional backgrounds of the responsible parties will be checked. 

There can be documentation about the parties if they are involved in past fraudulent activities. Crinal history, civil litigation, and regulatory enforcement are the relevant areas for background checks.

Assets Investigation

For financial recovery, it is important to know the assets and any financial resources responsible parties hold. 

Assets include bank accounts, investments, business interests, and personal properties close family members have.

Legal Actions

If the responsible parties refuse to return the client’s funds, the fraud investigators can coordinate with legal counsel and law enforcement for further proceedings. 

How Does A Fraud Investigation System Work?

The fraud investigation process is a system work of interconnected steps to detect, analyze, and prevent fraudulent activities. 

This is how fraud investigation systems work.

System’s processFunctionality
Data CollectionThe collection of data from multiple sources (e.g., transactions, account activity, user interactions. This includes different channels for data gathering like web, mobile, and call centers.
Data PreprocessingAnalyze and normalize collected dataAdding data into a single dataset for analysis and further processing.
Detection of data on RulesApplying predefined rules to identify suspicious activities.Checking data points from different points of view like transaction values, time, and location.
Feature EngineeringTransforming raw data into meaningful features for analysisIndication of features that can cause fraud.
Training processingDeveloping and training machine learning models for historical data.Validation of models to ensure accuracy and effectiveness.
Real-time MonitoringThis process analyzes incoming data streams.Alerts the investigation teams when suspicious activities are detected.
Evidence CollectionThis step Secures and preserves physical and digital evidence.It Maintains legal purposes.
InvestigationIt Analyzes collected evidence using fraud investigation software. It also revolves around interviews with relevant individuals.
ReportingThis is the final step of documentation of all the activities.It deals with the legal actions and dealings.

How To Become A Fraud Investigator?

To become a fraud investigator includes several steps which include

  • High school education, diploma, or equivalent are required. It requires a degree in fields like criminal justice, accounting, business administration, or fraud management.
  • Experience in a relevant field is required. Work in related fields such as accounting, law enforcement, or finance for 1 to 3 years.
  • You need different certifications like a Certified Fraud Examiner (CFE) through the Association of Certified Fraud Examiners (ACFE) or a Certified Insurance Fraud Investigator (CIFI) through the International Association of Special Investigation Units (IASI) for fraud investigator jobs.
  • Develop skills in analytical, research, communication, and computer.
  • Continuous adoption of the latest fraud investigation techniques and technologies through ongoing training and education.
  • Update your resume and apply for fraud investigator positions in various sectors, the sectors can be financial institutions, insurance companies, government agencies, or private investigation firms.

Read More: Fraud Triangle: Key Insights, Framework And Preventions

Final Thoughts

Fraud investigators play a crucial role in protecting businesses from the ever-evolving world of scams. professional fraud investigators have a unique range of skill sets and techniques to protect and prevent companies from fraudulent activities. They also set fraud prevention solutions and techniques for companies to protect them from reputational and financial losses. Educate your employees about all the processes that can cause fraud and scams. Fight against fraud vigilance and proactive measures is your best defence.

FAQs

How To Become A Fraud Investigator?

To become a fraud investigator, one typically obtains a degree in a relevant field like criminal justice or accounting, gains experience, and considers certification such as CFE.

What Does A Fraud Investigator Do?

Fraud investigators have key responsibilities to fulfill  which include

  • Running Investigations
  • Collection of Evidence and Analysis
  • Interviewing and Interrogation process
  • Reporting the information
  • Legal Procedures
  • Fraud and risk prevention

What Is A Fraud Investigator?

A Fraud investigator is the frontline of establishing a smooth environment in workplaces without fraud and unethical behaviors. They provide fraud investigation solutions to prevent risk.

How Much Do Fraud Investigators Make?

Based on the search results, a fraud investigator’s salary in the United States on average ranges from $54,282 to $72,480, based on location, experience, industry, and position.

Do Fraud Investigators Work From Home?

Yes, many fraud investigator positions are now available as 100% remote or hybrid work options, it depends on your position and availability.

How Long Does A Fraud Investigation Take?

The duration of a fraud investigation can vary, typically ranging from a few days to months depending on the technicalities of the case.

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