Fraud is continuing to increase this year, in part due to the COVID-19 pandemic, according to a new survey by the Association of Certified Fraud Examiners.
The report found that 79 percent of anti-fraud professionals have seen an increase in the overall level of fraud as of November, compared to 77 percent in August and 68 percent in May. Thirty-eight percent of the respondents said in November the increase has been significant, compared to 34 percent in August and 25 percent in May.
The research reveals improving the claims process and enhancing customer experience are top digital transformation priorities, making them the primary levers driving adoption and implementation of digital tech
Marc Rothchild is senior vice president, head of claims at Xceedance, a leading global provider of strategic operations, support, technology, and data services for insurance organizations. He leads the claims business at Xceedance, bringing 20 years of operations and technology leadership experience across the insurance, software and supply chain distribution industries. Prior to Xceedance, he spent 13 years leading various U.S. and global teams across claims, operations, analytics, and technology at AIG —most recently for its digital commercial insurance carrier, Blackboard Insurance.
Peter Flynn is senior vice president, personal lines America at Xceedance, a leading global provider of strategic operations, support, technology and data services for insurance organizations. He oversees all client engagements and the Xceedance product offering within the sector. Prior to joining Xceedance, he was senior vice president of broker development at PURE Insurance, a high-net-worth personal lines specialist insurer. His career also includes a significant tenure of 15 years at Chubb, where he was involved in underwriting and sales and held various leadership roles.
Cyber fraud, payment fraud (such as schemes with debit and credit cards) and identity theft are the three top fraud schemes seeing increases, according to anti-fraud professionals.

The largest increase in observed fraud was in financial statement fraud, with 7 percent more anti-fraud professionals reported seeing financial statement fraud in November, compared to August. That could be because as companies continue to see their profits drop, they feel more pressure to cook the books.
The survey also found 77 percent of anti-fraud professionals report that investigating and preventing fraud is more challenging now, while 71 percent said detecting fraud is more challenging as a result of the pandemic.
ACFE members anticipate the fraud trend will continue, even as vaccines have begun rolling out this week in the U.S. Ninety percent of the survey respondents expect a further increase in the level of fraud over the next 12 months, with 44 percent predicting the change is likely to be significant.
Nearly half (48 percent) of the organizations polled expect to increase their investments in anti-fraud technology, and 38 percent intend to raise the use of fraud-related consultants or other external resources. Budgets for anti-fraud training and professional development are experiencing a similar increase (according to 37 percent of the organizations polled), but nearly one-quarter (24 percent) anticipate a decrease in this area. The budget component most likely to see decreases is travel for anti-fraud staff, which shouldn’t be surprising given the plunging levels of air travel in general over this past year, with 38 percent of the survey respondents expecting a reduction in funds for travel in the year ahead.

