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Controlling fraud in the public sector - PricewaterhouseCoopers

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Data analytics<br />

A powerful way to detect <strong>fraud</strong> is to use transaction<br />

monitor<strong>in</strong>g and data analytics to identify unusual<br />

transactions that occur through error, control weakness<br />

or <strong>fraud</strong>.<br />

Data analytics employs sophisticated software to<br />

<strong>in</strong>terrogate transaction data for known <strong>fraud</strong> traits<br />

or breaches of controls. Any data can be analysed,<br />

but this method is most typically applied to accounts<br />

payable, payroll, corporate credit cards, superannuation<br />

payments, <strong>in</strong>surance claims and cash receipts.<br />

It <strong>in</strong>volves look<strong>in</strong>g for unusual relationships between<br />

vendors and employees such as shared bank accounts<br />

or addresses, unusual payments such as before<br />

<strong>in</strong>voice date, out of hours, rounded amounts, frequent<br />

repeat amounts, consecutive <strong>in</strong>voice number<strong>in</strong>g,<br />

or no GST. More advanced techniques can monitor<br />

unusual transactions <strong>in</strong> real or near-real time.<br />

Data analytics –<br />

Expense claims<br />

Data analytics has been used to review<br />

unusual expense claims by employees, such<br />

as match<strong>in</strong>g situations of claims for a travel<br />

allowance <strong>in</strong> addition to claim<strong>in</strong>g travel cost;<br />

a claim through expenses and process<strong>in</strong>g <strong>the</strong><br />

<strong>in</strong>voice through accounts payable result<strong>in</strong>g<br />

<strong>in</strong> its employee receiv<strong>in</strong>g a credit for expense<br />

reimbursement and a credit from <strong>the</strong> vendor<br />

for <strong>the</strong> duplicate payment.<br />

Data analytics uncovers<br />

suspect rebates<br />

Government rebate programs have used data<br />

analytics to identify unusual transactions, such<br />

as shared name, address and contact details and<br />

cluster<strong>in</strong>g of claims by date, location and type<br />

of claim. When transaction details are <strong>in</strong> <strong>the</strong><br />

millions, data analytics is <strong>the</strong> only mean<strong>in</strong>gful<br />

way to fully analyse <strong>the</strong> vast amount of<br />

<strong>in</strong>formation and identify suspicious transactions.<br />

Data analytics allows unusual payments to<br />

be identified and recovered or stopped.<br />

Data analytics –<br />

Break po<strong>in</strong>t cluster<strong>in</strong>g<br />

Data analytics has been used to identify <strong>in</strong>voice<br />

payments and purchase orders that have been<br />

split to avoid delegations of authority limits.<br />

This <strong>in</strong>volves data analysis of payment patterns<br />

to vendors and approved authorities.<br />

Data analytics – Allowance<br />

and overtime claims<br />

Data analytics has been used to identify<br />

improper claims by employees for allowances<br />

and overtime. Allowances are analysed for<br />

<strong>the</strong> amount and number of claims with<strong>in</strong> a<br />

period and compared to o<strong>the</strong>r employees.<br />

Overtime is analysed by review<strong>in</strong>g hours<br />

claimed, matched to approval records and<br />

analysis of rates and frequency.<br />

16 PwC

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