Chapter Member Photo: Kari Overson

Unmasking COVID-19 Relief Fraud: A Case Study and Lessons for CFEs

July 11, 2024 12:00 AM | Anonymous member (Administrator)

In a recent high-profile case, a Georgia attorney and former Atlanta police officer was sentenced for orchestrating a $1.5 million COVID-19 relief fraud scheme. This case highlights the critical role of Certified Fraud Examiners (CFEs) in identifying and preventing similar fraudulent activities, particularly those exploiting emergency relief programs.

Case Overview
The Department of Justice (DOJ) detailed how the individual exploited the Paycheck Protection Program (PPP) and the Economic Injury Disaster Loan (EIDL) program, which were established to provide financial assistance to businesses affected by the COVID-19 pandemic. By submitting false loan applications, the perpetrator secured significant funds meant for struggling businesses. The fraudulent applications included inflated payroll figures and falsified tax documents.

Key Points of the Fraud Scheme

  1. False Statements and Documents: The individual submitted applications with inflated payroll amounts and falsified tax documents.
  2. Abuse of Position: Leveraging his status as an attorney and former law enforcement officer to gain credibility.
  3. Diversion of Funds: Using the fraudulently obtained funds for personal expenses rather than business-related purposes.

CFE Skills for Identifying COVID-19 Relief Fraud
CFEs possess a unique set of skills and expertise that are essential in uncovering and preventing fraud. Here's how these skills can be applied to identify similar fraud schemes:

  1. Financial Statement Analysis: CFEs are trained to scrutinize financial statements for inconsistencies. In this case, examining payroll records and comparing them with tax documents could reveal discrepancies. For instance, inflated payroll figures that do not match actual business operations or employee numbers.
  2. Document Examination: The ability to detect falsified documents is crucial. CFEs can use forensic techniques to verify the authenticity of tax documents and other supporting materials submitted with loan applications. This includes checking for alterations, inconsistencies in formatting, and verifying information with external databases.
  3. Background Checks: Conducting thorough background checks on applicants can unearth red flags. In this case, a more detailed investigation into the individual's business operations and financial history might have revealed irregularities inconsistent with the loan application claims.
  4. Data Analytics: Leveraging data analytics to identify patterns and anomalies can be a powerful tool. For example, analyzing the distribution of loan amounts across similar businesses can highlight outliers that warrant further investigation.
  5. Interviewing Techniques: Effective interviewing skills enable CFEs to gather information and detect deceit. By interviewing employees and cross-referencing their statements with submitted documents, CFEs can identify contradictions and uncover fraudulent activities.
  6. Collaboration with Law Enforcement: CFEs often work closely with law enforcement agencies to share insights and findings. 

Lessons Learned and Best Practices

  1. Robust Verification Processes: Implementing stringent verification processes for loan applications can deter fraud. This includes cross-referencing submitted documents with external databases and conducting random audits.
  2. Continuous Monitoring: Regular monitoring of loan recipients' financial activities can help detect misuse of funds early. Automated systems that flag unusual transactions can be particularly effective.
  3. Education and Training: Continuous education and training for CFEs on emerging fraud trends and techniques are vital. Understanding the specific vulnerabilities of emergency relief programs can enhance their ability to detect and prevent fraud.

Conclusion
The Georgia COVID-19 relief fraud case underscores the importance of vigilance and the specialized skills CFEs bring to the table. By employing a combination of financial analysis, document examination, data analytics, and effective interviewing techniques, CFEs play a crucial role in safeguarding public funds and ensuring that aid reaches those who genuinely need it. This case serves as a reminder of the ongoing need for robust anti-fraud measures and the invaluable contribution of CFEs in the fight against fraud.

Copyright © 2024 Pacific Northwest Chapter, ACFE - All Rights Reserved.

"ACFE Pacific Northwest Chapter" is a 501(c)3 non-profit organization. Bellevue, WA

Contact Us Online   or email at info@pnwacfe.org

Powered by Wild Apricot Membership Software