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Using Transactional Analysis for Effective Fraud Detection Date: 15 th January 2009 Nishith Seth Seth Services .P. Ltd. www.sspl.net.in

Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

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Page 1: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Using Transactional Analysis for Effective Fraud DetectionEffective Fraud Detection

• Date: 15th January 2009

• Nishith Seth• Seth Services .P. Ltd.

• www.sspl.net.in

Page 2: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Fraud Issues & Impact

• Cost

– Indirect costs: image, morale

– Direct costs: 6% revenue loss each year = $660 billion in U.S. (ACFE)

• Compliance/Standards

– Sarbanes-OxleyWestern Europe 3434

VICTIMS OF ECONOMIC CRIME

– SAS 99

Global toll

Western Europe

Central & Eastern Europe

South & Central America

Asia & Pacific

Africa

North America

3434

3737

3838

4141

3939

5151

% respondents

PricewaterhouseCoopers Economic Crime Survey 2003

Page 3: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Detection of Fraud

Page 4: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Detection through Controls

• Best approach for detection: internal controls(E&Y Global Survey 2003)

– Often overridden or not properly understood

– Gaps in controls occur in interfaces between applicationsor systems

• Inadequate internal controls rated second highest

factor contributing to fraudfactor contributing to fraud (KPMG Fraud Survey 2003)

– Management override rated third

– Factors relating to internal controls accounted for 70% of responses

• Opportunity to strengthen controls and procedures

Page 5: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Fraud Detection & Internal Controls

“These (improper) payments occur for many reasons

including insufficient oversight or monitoring, inadequate

eligibility controls, and automated system deficiencies.

However, one point is clear – the basic or root cause of

improper payments can typically be traced to a lack of or

breakdown in internal controls.”breakdown in internal controls.”

GAO report on “Coordinated Approach Needed to Address the Government’s Improper Payments Problems” [August 2002]

Page 6: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

The Case for Data Analytics

• Data analytics recommended by AICPA, ACFE, IIAas an effective means to detect fraud

• Aids in risk analysis

• Quickly identifies indicators of fraud

Page 7: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Benefits of Data Analytics

• Close control loopholes before fraud escalates

• Quantifies the impact of fraud

• Cost-effective

• Acts as a deterrent

• Can be automated for continuous auditing

• Provides focus based on risk and probability of fraud• Provides focus based on risk and probability of fraud

• Direct pointers to critical evidence

• Support for regulatory compliance

– Logs for review and evidence

Page 8: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Techniques for Fraud Detection

Many review approaches no longer sufficient

• Sampling

Control Breach

AcceptableRange

Population Sample

Suspicious Transactions

Page 9: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Techniques for Fraud Detection

Many review approaches no longer sufficient

Sampling

Standard reports�Questionable accuracy�Comprehensive tests? �Across systems and processes?�Across systems and processes?�Drill down capability for further analysis?

Page 10: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Techniques for Fraud Detection

Many review approaches no longer sufficient

• Samples…details missing

• Standard reports

• ERP application controls

– Inconsistent effectiveness

– Test rules rather than transactions– Test rules rather than transactions

– Seldom compare data from disparate systems, nor look for control breaches

Need independent, comprehensive, complete testing

Page 11: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Use of Spreadsheets

• Risk considerations– Complexity and size

– Purpose and use

– Number of users

– Frequency and extent of changes

– Potential for error• Recent audits of 54 spreadsheets found that 91% had errors*• Recent audits of 54 spreadsheets found that 91% had errors*

• 30-90% of spreadsheets suffer from at least one major error*

• Limitations– Data from diverse system

– Volumes, file sizes

“The Use of Spreadsheets: Considerations for Section 404 ofthe Sarbanes-Oxley Act,” PwC, July 2004

Page 12: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Challenges

• Volumes and accuracy of data

• Growing complexity and diversity of systems

30

40

50

60

%

Continual changes in business processesCreative fraudsters

0

10

20

30

DIVERSITY COMPLEX IT DATA INTEGRITY DATA VOLUMES

ACL/IIA Webinar: Driving Internal Audit Value andPerformance, June 2005

Page 13: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Specialized Data Analysis Software

• Review 100 percent of transactions

• No limit on file size

• Compare data from different applications & systems

• Perform tests that are designed for audit and control purposes

• Conduct tests proactively • Conduct tests proactively

• Ability to automate high-risk areas to catch fraud before it escalates

• Maintain comprehensive logs of all activities performed

Page 14: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Data Analytics Approaches

Increased frequencyTargets risk across entire

Continuous

AuditingRepeated

Audit TestsPre-defined tests

Timely

Ad Hoc

AnalysisProject based

Point-in-time Targets risk across entire organization

Highly efficientScalable, sustainable

Timely

Automated

Repeatable

Efficient

Point-in-time

Investigative, exploratory

First step toward automation

Page 15: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Continuous Auditing

Repeated Review

Continuous Auditing

Ab

ility

to

Tak

e A

ctio

n

Strong

Periodic Review (Audit), or

System Reports

Review

Ab

ility

to

Tak

e A

ctio

n

Less More

Weak

Frequency of Analysis

Page 16: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Continuous Auditing Benefits

• Key to ensuring internal controls are in place and operating effectively

• Exposes control weaknesses to prevent fraud

• Reveals anomalies close to time they occur to detect fraud early

• Existence is a deterrent • Existence is a deterrent

Page 17: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Integrated Assurance

TE

CH

NO

LO

GY

Ad Hoc AnalysisAd Hoc Analysis Continuous AuditingContinuous Auditing

Data Access & AnalyticsData Access & Analytics

OS/390SERVER

AIXSERVER

LINUXSERVER

OS/400SERVER

WINDOWSSERVER

ACLDesktop Edition

Direct Linkfor SAP R/3

Purchase-to-Payment CycleTravel & Entertainment ExpensesPurchasing Cards Payroll Order-to-Cash CycleGeneral Ledger

Continuous Controls MonitoringContinuous Controls Monitoring

Continuous MonitoringContinuous Monitoring

Training Support ImplementationTraining Support Implementation

TE

CH

NO

LO

GY

SERVEREDITION

SERVEREDITION

SERVEREDITION

SERVEREDITION

SERVEREDITION

Page 18: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Application Areas for Data Analytics

• Accounts payable

– Phantom vendors

• Purchasing

– Purchase splitting

– Kickbacks

• Purchase cards• Purchase cards

– Inappropriate, unauthorized purchases

• Travel & Entertainment Expenses

– Duplicate claims, inappropriate activity

• Payroll

– Ghost Employees

Page 19: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Data Analysis Techniques

• Drill-down analysis

– Review large population and determine true areas of risk

– Isolate “red flags” and drill down

• Exception analysis

– Begin with entire population and filter for transactions matching specific criteria

• File matching

– Compare separate data files and look for disparities or matches (e.g., phantom vendors)

Page 20: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Examples of Fraud Tests: Payables

• Questionable invoices

– Invoices without a valid P.O.

– Sequential invoices

• Over-billing

– Quantity shipped less than quantity ordered

– Item shipped of lower value than item ordered

• Duplicate invoices• Duplicate invoices

– Multiple invoices for same item description

– Invoices for same amount on the same date

– Multiple invoices for same P.O. and date

UK Supplier of Construction Materials Simple test uncovered £1.5 million worth of duplicate

invoices billed over three years.

Page 21: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Examples of Fraud Tests: Purchases

• Questionable purchases

– P.O./invoices with amount paid > amount received

– Purchases of consumer items

• Split purchases

– Similar transactions for same vendor within specific timeframe

• Inflated prices

– Compare prices to standard price lists or to historical prices– Compare prices to standard price lists or to historical prices

• Phantom vendors

– Vendor/employee comparison

– Vendor has mail drop as sole address

Retail Company Employee submitted invoices for non-existent service

from phantom vendor (his wife).

Page 22: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Examples of Fraud Tests: P-Cards

• Split purchases to avoid purchasing card limits– Purchases processed as two or more separate transactions

– Identified by isolating purchases from specific vendors within short periods of time

• Favored vendors for kickbacks– Trend analysis to compare current transaction volumes to previous

time periodtime period

• Suspicious purchases– Transactions that occur on weekends, holidays, or vacations

US Government Agency Monitored 12 million transactions, identified

$38 million in suspect transactions

Page 23: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Examples of Fraud Tests: T&E

• Duplicate claims

– Submitting claims twice

• Tracking “no receipt” claims

– Isolate expenses without receipts and identify underlyingtrends through profiling techniques

• Threshold reviews

– Track personnel exceeding thresholds– Track personnel exceeding thresholds

• Inappropriate activity

– Compare expenses to travel records to ensure expensesclaimed for valid trips

Financial Services Firm Identified a single expense fraud worth $30,000 and in excess of

200 instances of expense abuse in one month.

Page 24: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Process & Analytic Examples

Vendor Maintenance

Vendor Maintenance RequisitionsRequisitions PurchasingPurchasing ReceivingReceiving PayablesPayables PaymentsPayments

Sub Processes

Purchase-to-Payment

PurchasingCards

Payroll T&E Expenses

General Ledger

Enterprise Business Processes

Order-to-Cash

Vendor Maintenance

Vendor Maintenance RequisitionsRequisitions PurchasingPurchasing ReceivingReceiving PayablesPayables PaymentsPayments

Sub Processes

PaymentsPayments

Purchase-to-Payment

PurchasingCards

Payroll T&E Expenses

General Ledger

Enterprise Business Processes

Order-to-CashPurchase-to-Payment

Pre-defined Analytics

Analytic Analytic Analytic Analytic Analytic Analytic Analytic Analytic

Analytic Analytic Analytic Analytic Analytic Analytic Analytic Analytic

CompletenessCompleteness ValidityValidityAccuracyAccuracyAuthorizationAuthorizationSegregation of

DutiesSegregation of

DutiesRegulatoryRegulatory

Efficiency & EffectivenessEfficiency & Effectiveness

Control Objectives

CompletenessCompleteness ValidityValidityAccuracyAccuracyAuthorizationAuthorizationSegregation of

DutiesSegregation of

DutiesRegulatoryRegulatory

Efficiency & EffectivenessEfficiency & Effectiveness

Control Objectives

AuthorizationAuthorization

Pre-defined Analytics

Analytic Analytic Analytic Analytic Analytic Analytic Analytic Analytic

Analytic Analytic Analytic Analytic Analytic Analytic Analytic Analytic

Approval LimitsApproval Limits

Split PaymentsSplit Payments

Page 25: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Key Consideration

1. Build a profile of potential frauds to be tested

2. Analyze data for possible indicators of fraud

3. Automate the detection process through continuous

auditing/monitoring of high-risk business functions to auditing/monitoring of high-risk business functions to

improve controls

4. Investigate and drill down into emerging patterns

5. Expand scope and repeat as necessary

Page 26: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

Summary

• Regulatory and corporate governance initiatives demand

a focus on fraud detection/prevention and assurance

that internal controls are effective

• Technology has proven to be effective tool in fighting

fraud and monitoring effectiveness of internal controls –fraud and monitoring effectiveness of internal controls –

but is under-used

• Continuous auditing and monitoring has grown rapidly;

offers effective way to overcome challenges of fraud

detection and the new regulatory environment

Page 27: Using Transactional Analysis for Effective Fraud Detection · – Management override rated third – Factors relating to internal controls accounted for 70% of responses • Opportunity

www.sspl.net.in