{"id":10530,"date":"2021-03-03T09:30:32","date_gmt":"2021-03-03T09:30:32","guid":{"rendered":"https:\/\/crigroup.com\/?p=10530"},"modified":"2024-01-26T11:20:03","modified_gmt":"2024-01-26T11:20:03","slug":"ui-fraud-during-covid19","status":"publish","type":"post","link":"https:\/\/crigroup.com\/ar\/ui-fraud-during-covid19\/","title":{"rendered":"Unemployment Insurance Fraud During COVID-19"},"content":{"rendered":"
The Financial Crimes Enforcement Network (FinCEN<\/a>), a bureau of the United States Department of the Treasury that collects and analyses information about financial transactions in order to combat domestic and international money laundering, terrorist financing, and other financial crimes launched an Advisory on Unemployment Insurance Fraud During the Coronavirus Disease 2019 (COVID-19) Pandemic<\/a>.<\/span><\/p>\n This advisory is aimed \u201cto alert financial institutions to unemployment insurance (UI) fraud observed during the COVID-19 pandemic. Many illicit actors are engaged in fraudulent schemes that exploit vulnerabilities created by the pandemic. This advisory contains descriptions of COVID19-related UI fraud, associated financial red flag indicators, and information on reporting suspicious activity\u201d.<\/span><\/p>\n We published recently that COVID-19 continues to affect businesses in a myriad of ways<\/a>. Organisations are having to adapt quickly to the fast-changing climate of the pandemic, and unfortunately, we\u2019ve recently noticed some business practices of cutting steps in a few internal processes, such as hiring, or lack of risk management controls. It\u2019s a vulnerable time for organisations \u2013 earlier we wrote that\u00a0a crisis can bring out the worst in some people<\/a>. Fraudsters who prey on people\u2019s fear and confusion tend to waste no time when a global pandemic strikes. COVID-19 is relatively new, yet fraud schemes are multiplied much like the virus itself as criminals look for vulnerabilities among a fearful population. This pandemic also creates risks for employee fraud \u2013 CRI Group\u2019s survey revealed that nearly 77 percent of HR professionals accept that there is a risk that employees can initiate fraudulent activity because of the work-from-home arrangement<\/a>.<\/span><\/p>\n But employee fraud might not be the only risk the organisations face today. Earlier this year, we published that some organisations commit fraud themselves and abuse the Coronavirus Job Retention Scheme by engaging in furlough fraud<\/a>. They do this by accepting taxpayer money designed to help them pay salaries for furloughed workers, who are essentially \u201cdeactivated\u201d due to loss of business and quarantine \u2013 yet they pressure them to work (or they accept furlough benefits without the employees\u2019 knowledge).<\/span><\/p>\n As we can see, a fraudulent activity might happen in a myriad of ways. Let\u2019s dive in what are the red flag indicators of unemployment insurance (UI) fraud as unemployment claims across the globe have surged due to the COVID-19 pandemic.[\/vc_column_text][vc_hoverbox image=”8095″ primary_title=”> The Unseen Enemy: Explore Insurance Fraud in-depth with our eBook!” hover_title=”GET YOUR FREE COPY”]DOWNLOAD NOW<\/a>[\/vc_hoverbox]<\/span><\/p>\n In the advisory, FinCEN lists the financial red flag indicators to alert financial institutions to fraud schemes targeting UI programs, and to assist them in detecting, preventing, and reporting suspicious transactions related to such fraud. The illicit activity might include employer-employee fraud-related activities, such as creating a fake company with fictitious employees and providing fabricated details such as wages, or conspiracy between the two parties when an employee receives UI payments while the employer continues to pay reduced and\/or officially undisclosed salaries. The fraud scheme might also be happening under the \u2018misrepresentation of income fraud\u2019 when the applicant fails to provide the correct income\/wage details, or even submits an application with stolen or fake identity information.<\/span><\/p>\n A similar case happened when the COVID-19 was in a full swing last year: one for-sale ad was published in the black-market specialising in selling stolen accounts and data \u2013 it was for access of the stolen UI claim in California that had been approved and offered benefits worth $17,550<\/a>. This is just one example of the fraudulent activities \u2013 \u201cin California, fraud was so pervasive that officials have suspended processing jobless claims for two weeks to put new controls in place and reduce a bulging backlog\u201d. It also resulted in The U.S. Labor Department making fraud detection a priority and allocating $100 million to combat the issue. To support this fight against illicit activities, FinCEN identifies the following red-flag indicators<\/a>:<\/span><\/p>\n Read the full advisory here<\/a>.<\/span><\/p>\n Insurance fraud is something that no company can afford. It is a serious crime that can result in serious consequences for fraudsters who may find their future job prospects impacted, find it harder to obtain insurance and other vital financial services, obtain a criminal conviction and even face the prospect of imprisonment<\/a>. CRI Group\u2019s insurance fraud investigations<\/a> cover the full range of insurance fraud cases, from healthcare fraud to disability and even fake death claims. Our experts are trained to look for the tell-tale signs of fraud: they can view claims, medical and hospital records, conduct interviews, examine statements and documents, as well as perform on-site inspections.[\/vc_column_text][\/vc_column][\/vc_row]<\/span><\/p>\n At CRI Group\u2122, we suggest you consider looking at your overall risk management process, involving not only potential insurance fraud risks during the COVID-19 pandemic, but a broader range of employee, bribery and corruption, compliance risks your organisation might face.<\/span><\/p>\n The\u00a0\u201cRisk Management & ABMS Playbook\u201d<\/em>\u00a0provides tools, checklists, case studies, FAQs and other resources to help you lead your organisation into better preparedness and compliance. Our experts share their own plays to help you reduce risk, thereby preventing and detecting more fraud. The\u00a0first section<\/strong> addresses risk management directly: proper third-party due diligence and critical background screening take centre stage for this game plan. Section two<\/strong>\u00a0tackles bribery and corruption, with tried-and-true measures you can implement to stay better protected and in compliance with strict laws and regulations.[\/vc_column_text][vc_btn title=”GET YOUR FREE COPY NOW” link=”url:https%3A%2F%2Fcrigroup.com%2Fcase-study%2Frisk-management-abms-playbook%2F|target:_blank”][\/vc_column][\/vc_row]<\/span><\/p>\n If you find yourself in an ethical dilemma or suspect inappropriate or illegal conduct, and you feel uncomfortable reporting through normal channels of communication, or wish to raise the issue anonymously, use our Compliance Hotline<\/a>. This hotline is available to all everyone in a business relationship with CRI Group and ABAC Group. It is an anonymous reporting mechanism that facilitates reporting of possible illegal, unethical, or improper conduct when the normal channels of communication have proven ineffective, or are impractical under the circumstances.[\/vc_column_text][vc_btn title=”REPORT NOW” link=”url:https%3A%2F%2Fcrigroup.com%2Fcompliance-ethics-hotlines%2F|target:_blank”][\/vc_column][\/vc_row][accordion_father][accordion_son title=”Who is CRI Group?” clr=”#1e73be”]Based in London, CRI Group works with companies across the Americas, Europe, Africa, Middle East and Asia-Pacific as a one-stop international\u00a0Risk Management<\/a>,\u00a0Employee Background Screening<\/a>,\u00a0What are the Red Flags of Unemployment Insurance Fraud? <\/strong><\/span><\/h2>\n
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Enhanced Risk Management<\/strong><\/span><\/h2>\n
Speak up – Report illegal and Unethical Behaviour <\/strong><\/span><\/h3>\n