Category: Fraud

Employee Fraud in the Digital Age

In today’s digital world, employee fraud and theft is up and can cost a company a lot of lost revenue. This is an area in which a Private Investigator can be be very valuable to a loss prevention department.

A recent article in the The Atlanta Journal-Constitution reported two employee fraud investigations.

“Home Depot just caught an employee who stole over 100K in electronic gift cards. “Said accused did, between January and November 2018, use his position as a Home Depot employee to send E-Gift cards to email accounts that he set up himself, or were provided to him from a third party, in the amount of $156,330 U.S. dollars,” the arrest warrant states.”

“A teenager was arrested after he was accused of stealing nearly $1 million from the Kroger store where he worked. According to police, 19-year-old Tre Brown created more than 40 returns for non-existent items in December and January, including lottery tickets that were never sold, spokesman Cpl. Collin Flynn said. Those returns, which ranged in price from $75 to more than $87,000, were then placed on several credit cards, investigators said.”

Benefits Pro, an employee benefit firm, recently published an article on the warning signs.

Employee Fraud Red Flags:

• An employee living beyond their means
• An unwillingness to share duties
• Being under pressure on the job
• Family problems or divorce
• Defensiveness
• Past legal problems
• Refusal to take vacations

According to Certified Fraud Examiners, a typical company can lose up to 5% annually to employee fraud. In fact, the Association of Certified Fraud Examiners conducted a study in 2018 titled, “Report to the Nations: 2018 Global Study on Occupational Fraud and Abuse.” The study included 2,690 known cases. Many do not get reported due to the stigma and bad public relations to the company itself.

The study goes on to reveal some other commonalities.

  1. The overall amount of loss by men is 75 percent larger than those caused by women.
  2. The most common way employee frauds are discovered is via tips.
  3. Internal control weakness is responsible for nearly half of frauds.
  4. Employees committing fraud who have been with their companies longer stole twice as much.
  5. Small businesses lost almost twice as much to fraud per scheme as larger ones.

Deep Web Research

If the investigator is looking for stolen merchandise, then the web is one of the best places to begin. Conducting a deep web search on a person of interest can provide a starting point. Details may emerge that will provide various emails, phone numbers and user names. Connecting the person with online social media groups, market places, Craigs List, and more may provide you an exact place where the stolen merchandise is being sold.

Auto Parts for Sale

We once worked on a scan for an Investigator whose subject was suspected of selling a very unique set of stolen auto parts. The employee had created an eBay account and made the mistake of using a familiar user name. After the user name was revealed in our Deep Web Scan, we turned our attention to the online websites that sell goods to consumers. We were able to piece this information to that of our client’s subject. A huge catalog of stolen auto parts were on display!

The internet has certainly helped employee fraud. With more avenues to sell stolen merchandise, it can be just the right kind of lure an employee needs to do the unthinkable.

Outdated POS systems, computer programs and data storage entry gaps can be additional areas of concern for many retailers. Being proactive is always your best approach to take away the temptation. Smaller businesses may not have the money for a loss prevention department. That is where a Private Investigator can be a valuable asset to your business, specifically one who deals in computer forensics.

A Picture is Worth A Thousand Words

“A picture is worth a thousand words” is an English language adage meaning that complex and sometimes multiple ideas can be conveyed by a single still image, which conveys its meaning or essence more effectively than a mere verbal description. (Wikipedia)

I couldn’t help but think about how pictures in social media are worth a thousand words, especially when it comes to investigations. We wrote a blog back in February, 2020, about how important photos are in Instagram for an investigation. However, since COVID-19 hit, with people working form home more than ever before, the opportunities to capture an important photo have increased significantly. Look for the details!

This week, Joe Biden announced his running mate and released a photo of himself on Zoom with Kamala Harris. Did you happen to catch it? It is a great example of the importance of paying attention to what is in the background of a photo.

Photo distributed by Biden Campaign

What Biden’s Photo Reveals

The media mocked him for several things that were picked up in the photo. It appears that he may have had a script or notes of some kind. There was a third person on the call by way of the cell phone. A cartoon was on his desk in the background and that drew attention as well. According to the Business Insider, The comic is a simple two-frame piece from Dik Browne’s “Hägar the Horrible,” a 1970s-era comic strip of a charming viking from the Middle Ages, according to comics subscription website Comics Kingdom. “Hägar the Horrible” has appeared in numerous advertisements and pop-culture references, in addition to nearly 2,000 newspapers.

In Biden’s comic, Hägar appears stranded in the sea as his ship burns in the background during fierce storm. The viking bellows out to the sky, “Why me?!,” to which the clouds responds with, “Why not?”

Biden said he kept the cartoon on his desk for decades and that it humbled him in times of need, according to PBS.

Geofencing Photos

Let’s take our photo investigation one step further. Imagine creating a virtual fence around an area of the world using software. Once set up, this software can then run for a predetermined amount of time. This can be used for monitoring of infrastructure, crisis management, or executive protection. Once it is captured, it remains available within the platform, even if the user takes it down.

Pictures like this really are worth a thousand words! They bring huge value to any investigation.

The COVID-19 Fraud Storm Continues…

When we think of fraud due to the COVID-19 pandemic, we think of individual people committing fraud. After all we are only too familiar with workman’s comp insurance scams & most recently, employee fraud. We have discussed in a previous blog post how one Fortune 500 company had a loss of over $100,000.00 after an employee falsely said they were tested positive for COVID-19.

The story now continues with business fraud. Small businesses across the country have been nearly put out of business due COVID-19. Many have been able to stay afloat from government PPP funding. However, some are sadly starting to take matters into their own hands.

What the Experts Predict

Data analytics provider Verisk has alerted folks that COVID has created opportunities to commit medical billing fraud and abuse. In April, the company said its data reported a 14% increase in claims linked to suspicious billing practices.

Verisk said its Insurance Service Office MedSentry team has identified several COVID-19 medical billing schemes. Among them:

  • Unlisted lab tests. There was no specific ICD-10 code for COVID-19 until April 1. Prior to then any COVID-19 tests were likely coded as “unlisted laboratory tests.” Claims for a patient who has received both an unlisted laboratory test and a COVID-19 test may be cause for scrutiny.
  • Hands-on therapy charges. Many providers eliminated in-office visits and began to offer telehealth sessions. Verisk said bills for hands-on therapies such as chiropractors, physical therapists, and massage therapists should be examined.
  • Unnecessary durable medical equipment. Insurers should be wary of misleading claims for gloves, face masks, thermometers, and similar items, especially for patients who have not been tested for COVID-19 or have tested negative, Verisk said.

Social Media Monitoring

Work is being done to create a software that allows the user to find unapparent connections between all people in a claim to uncover potential scams. While it has a way to go in development, if created, it would be an excellent resource to help investigators identify potential scams and link the culprits.

Google Search – Trending

Google searches can be very revealing and a good indicator of what people are thinking of doing. The question, “How to Burn a Car” has increased 125% since January of this year.

setting car on fire

Not surprising, Google is showing some strong trending in Employment Fraud. The graph below shows Google trends over the last 90 days.

We will continue to report our findings during the pandemic.

Employee Ethics & Fraud During COVID-19

Back in April we wrote about fraud predictions during the COVID 19 pandemic. Back then most of what was out there was PPE (Personal Protective Equipment) fraud. We saw a lot of fakes and it even began to show up in COVID testing. Much of this was controlled by the FDA who provided consumers with updated information on their website on a regular basis.

Once the government released stimulus checks, the scams began. Scammers were contacting people through email, telling them that their check, as part of the stimulus package responding to COVID-19, is already waiting for them and that all they need to do is to provide personal information. This included bank account numbers and Social Security Numbers, which are the key pieces of information needed to perpetrate identity theft.

 Bruce Dorris, J.D, CFE, CPA, President and CEO of the Association of Certified Fraud Examiners, explains that in the current conditions, we can expect to see a number of long-lasting implications. One important one being an explosion of fraud in the coming years — and organizations need to brace themselves.

Corporate Employee Misconduct

Some of our corporate associates have expressed concern with what lies ahead as they navigate the uncertain waters of the Pandemic. One company in particular needed to shut down an entire plant because an employee tested positive for COVID. The employee presented the company with a falsified COVID 19 medical claim. He went as far to provide an excuse letter from a medical facility appearing to corroborate the test results. In concern for its employees and customers, the company closed its facility for cleaning and paid its employees during the shutdown. This caused a loss in excess of $100,000 to the corporation and the unnecessary quarantine of several of the defendant’s coworkers. He is now released on $15,000.00 bail awaiting trial.

FBI Recommendations

The FBI has recommended that companies be particularly alert during the pandemic about possible fraudulent work excuse letters, as they are finding more people attempting to exploit the situation for personal or financial gain.  Submission of a medical claim proven to be false could lead to criminal penalties, including fines or imprisonment by U.S. federal and other authorities.

What This Will Mean for the Private Investigator

Investigation around employee misconduct is an area that could prove to be quite lucrative for investigators. ABC News in Phoenix, AZ did a story on how local investigators are getting calls from corporations to check up on employees who should be working from home. This is not an isolated incident.

I believe we will see more and more fraud cases such as this over the next year if not longer.