Fraud detection

Description

The techniques used to identify fraudulous activities.

Alternative labels

fraudulent activity examination
fraudulent activity identification
fraud investigation
fraudulent activity investigation
fraud identification
fraud examination

Skill type

knowledge

Skill reusability level

cross-sector

Relationships with occupations

Essential knowledge

Fraud detection is an essential knowledge of the following occupations:

Insurance claims handler: Insurance claims handlers ensure that all insurance claims are handled accurately and that payment for valid claims is made to the policyholders. They use statistical data and reporting to calculate and adjust claims as needed, communicate with and guide policyholders and monitor the progress of a claim.
Accounting manager: Accounting managers assume responsibility for all accounting activities relating to financial reporting. They develop and maintain accounting principles and procedures to ensure timely and accurate financial statements issued, supervise accounting staff and manage the accounting activities within the appropriate time frame and budget.
Tax clerk: Tax clerks collect financial information in order to prepare accounting and tax documents. They also perform clerical duties.
Insurance claims manager: Insurance claims managers lead the team of insurance claims officers to ensure they handle insurance claims properly and efficiently. They deal with more complex customer complains and assist with fraudulent cases. Insurance claims managers work with insurance brokers, agents, loss adjusters and customers.
Financial fraud examiner: Financial fraud examiners undertake anti-fraud investigations including financial statement irregularities, securities fraud and market abuse detection. They manage fraud risk assessments and prepare forensic reports including the analysis and verification of evidence. Financial fraud examiners liaise with regulatory bodies.
Insurance fraud investigator: Insurance fraud investigators combat fraudulent activities by investigating the circumstances of certain suspicious claims, activities related to new customers, buying insurance products and premium calculations. Insurance fraud investigators refer potential fraud claims to insurance investigators who then undertake research and investigations to support or deny a claimant’s case.
Passport officer: Passport officers provide passports and other travel documents such as certificates of identity and refugee travel documents. They also keep record of all provided passports.
Tax inspector: Tax inspectors are responsible for the calculation of taxation and the ensurance of its timely payment by individuals and organisations. They provide information and guidance concerning taxation legislation and examine financial documents and accounts to ensure compliance with legislation. They also examine records to investigate fraud.
Bankruptcy trustee: Bankruptcy trustees administer a client’s bankruptcy case, investigate legal documentation for fraud possibilities and manage the money received from the sale of non-exempt property so as to distribute it to the owed creditors.
Weights and measures inspector: Weights and measures inspectors ensure adherance to regulations and agreements pertaining to the weights and measures of packaged goods. They investigate and document compliance issues and violations to promote best practice. Weights and measures inspectors confirm that packaged goods are in accordance to agreements such as quantity, content and packaging.
Accountant:
Accountants review and analyse financial statements, budgets, financial reports, and business plans in order to check for irregularities resulting from error or fraud, and provide their clients with financial advice in matters such as financial forecasting and risk analysis. They may audit financial data, resolve insolvency cases, prepare tax returns and provide other tax-related advice in reference to current legislation.

Optional knowledge

Fraud detection is optional for these occupations. This means knowing this knowledge may be an asset for career advancement if you are in one of these occupations.

Financial auditor: Financial auditors collect and examine financial data for clients, organisations and companies. They ensure the financial data is properly maintained and free of material misstatements due to error or fraud, that it adds up, and functions legally and effectively. They review lending and credit policies or numbers in databases and documents, evaluate, consult and assist the source of the transaction if necessary. They use their review of the client’s financial governance as assurance to give testimony to the shareholders, stakeholders and board of directors of the organisation or company that all is up to par.
Auditing clerk: Auditing clerks collect and examine financial data, such as inventory transactions, for organisations and companies and ensure they are accurate, properly maintained, and that they add up. They review the numbers in databases and documents, evaluate, and consult and assist the source of the transaction if necessary, which includes accountants, managers or other clerks.
Financial manager: Financial managers handle all the matters in reference to the finance and investments of a company. They manage financial operations of companies such as the assets, liabilities, equity and cash flow aiming to maintain the financial health of the company and operative viability. Financial managers evaluate the strategic plans of the company in financial terms, maintain transparent financial operations for taxation and auditing bodies, and create the financial statements of the company at the end of the fiscal year.
Tax compliance officer: Tax compliance officers collect fees, debt, and taxes on behalf of government institutions in cities, municipalities and other jurisdictions. They perform administrative duties and communicate with other officials and institutions to ensure operations are correct and compliant with policies.
Tax advisor: Tax advisors use their expertise in tax legislation to provide commercially-focused advisory and consultancy services to a wide range of clients from all economic sectors. They explain complicated tax-related legislation to their clients and assist them in ensuring the most efficient and beneficial payment of taxes by devising tax-efficient strategies. They also inform them of fiscal changes and developments and may specialise in tax strategies concerning mergers or multinational reconstruction for business clients, trust and estate taxes for individual clients etc.
Tax policy analyst: Tax policy analysts research and develop taxation policies and legislation in order to improve and develop tax policies. They advise official bodies on policy implementation and financial operations, as well as forecast financial influence of changes in tax policies.
Consumer rights advisor: Consumer rights advisors aid consumers with complaints and provide advice and information on rights as a consumer after purchase of products or services. They monitor organisations to ensure compliance to consumer rights standards, and aid consumers in handling disputes.
Loss adjuster: Loss adjusters treat and evaluate insurance claims by investigating the cases and determining liability and damage, in accordance with the policies of the insurance company. They interview the claimant and witnesses and write reports for the insurer where appropriate recommendations for the settlement are made. Loss adjusters’ tasks include making payments to the insured following his claim, consulting damage experts and providing information via telephone to the clients.

 


 

References

  1. Fraud detection – ESCO

 

Last updated on September 20, 2022