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Table I: Typical Internal Fraud Indicators

Date(g): 18/12/2005 | Date(h): 18/11/1426

Table I: Typical Internal Fraud Indicators

Business practices and conditions
Governance
and
Organizational
Structure
◄ Single individual or group of individuals acting together drive operations and/ or financial decisions
◄ Company’s strategy changes suddenly
◄ Organizational structure is complex
◄ Executive directors are numerous
◄ Directors, managers, members of staff, external businesses and contractors have conflict of interest
◄ Commission structures are unusual
Operational
Management
◄ Training programs are weak
◄ Transaction time, place, and parties are unusual
◄ Activities are inconsistent with the insurer’s stated policy
◄ Management turnover is high
◄ Staff turnover is high in financial and/ or accounting departments
◄ Obsoleteness or lack of procedural manuals
◄ Documentation for transactions, processes or expenses is limited
◄ Tasks and transactions are complex and require special skills
Accounting
and Finance
◄ Assets are restructured without justification
◄ Accounting procedures are weak
◄ Financial results and ratios are uncorrelated
◄ Share value changes without explanation
◄ Costs rise unjustifiably or are high compared to competitors
◄ Financial issues emerge
Internal
Control
◄ Internal control structure is weak
Internal Audit◄ Information from prior audits is insufficient
◄ Internal audits are weak or non-existing
Information
Technology
◄ Data and asset security system is weak
Complaints◄ Number of complaints received from external parties is high
Conduct
Governance
and
Management
Matters
◄ Board of directors emphasizes unduly on meeting earning projections
◄ Board of directors and management take undue risks
◄ Board, managers, or members of staff have insufficient levels of income to meet personal debts or financial losses
◄ Board, managers, or members of staff appear to be living beyond their means
 ◄ Board, managers, or members of staff change lifestyles suddenly
◄ Board, managers, or members of staff display marked personality changes or intense family pressure
◄ Board, managers, or members of staff have a feeling of unfair treatment
◄ Board, managers, or members of staff display extreme greed for personal gain
◄ Board members and managers incur significant increase of expenses
◄ Board of directors and/ or management provide unsatisfactory answers to the supervisor’s or auditor’s questions
◄ Directors and/ or management have a poor reputation in the business community
◄ Board of directors and/ or management display overly aggressive attitude toward financial reporting
◄ Board of directors and/ or management place undue pressure on the auditors
◄ Board of directors and/ or management do not comply with laws and regulations
◄ Board of directors and/ or management display dominant management style, discouraging critical or challenging views from others such as members of staff
Working
Environment
◄ Morale is low within the insurer or within certain departments of the insurer
◄ Relationships at work are inappropriate or acting of individuals is unusual
◄ Earning ability is lower than that of other comparable insurers
◄ Company faces adverse legal conditions
◄ Managers or members of staff work late, are reluctant to take vacations and display signs of stress
Operational
Management
◄ Staff recruiting processes contain problems
◄ Management fails to follow proper policies and procedures in making accounting estimates
◄ Processing of payments is done at odd times (e.g., late in the day, after business hours, etc.)
◄ Insiders reduce holdings of insurer’s stock