Fraud Talk

From Symptoms to Solutions: AI’s Remedy for Healthcare Fraud - Theja Burir - Fraud Talk - Episode 137

The National Health Care Anti-Fraud Association (NHCAA) estimates conservatively that healthcare fraud costs the U.S. approximately $68 billion annually. Why is there so much fraud and abuse with insurance claims and why has this problem gone on so long? In this month's episode of Fraud Talk, Paul Kilby, Editor in Chief of Fraud Magazine, discusses the role of artificial intelligence (AI) in combatting healthcare fraud with Theja Birur, Chief Technology Officer and founder of 4L Data Intelligence. 

The Tale of the Phantom Nonprofit - Michael Booher - Fraud Talk - Episode 137

In this haunting episode of Fraud Talk, investigate the ghostly disappearance of Phases, Inc., a Tennessee nonprofit dedicated to helping women with substance abuse issues. Tune in with Michael Booher, CFE, CPA from the Tennessee Comptroller of the Treasury and Rihonna Scoggins, ACFE Community Manager, to discover how this ghost story unfolds and the truths lurking in Phases, Inc.'s shadows.

Scam’s Calling: Unraveling the Robocall Racket - Alex Quilici - Fraud Talk - Episode 136

"We've been trying to reach you about your car's extended warranty" is an all-too-common robocall scam aiming to bilk victims out of their money. Alex Quilici, CEO of YouMail, discusses the intricacies of robocalls, what differentiates beneficial robocalls from scams and the regulations that both aid and obstruct the fight against these schemes with Jennifer Lieberman, assistant editor of Fraud Magazine, in the latest episode of Fraud Talk.

Chopping Down Black Axe - Tom Cronkright - Fraud Talk - Episode 135

Tom Cronkright, the lead witness in the FBI's inditement of Black Axe, an international cybercrime syndicate based out of Nigeria, speaks with ACFE President John Gill, CFE, in this month's episode of Fraud Talk. As the co-founder of CertifID and CEO of a title agency, Tom has been at the forefront of helping the real estate industry address payments fraud and discusses his experience as a victim of fraud and the operations of the international fraud group he helped indict.

Deeds and Deceit: Real Estate Fraud Trends - David Fleck - Fraud Talk - Episode 134

In this month's episode of Fraud Talk, the Chief Training Officer for the ACFE, John Gill, CFE, meets with David Fleck, Esq., business and real estate attorney who represents victims of business, real estate and investment fraud in lawsuits to recover their money, property and dignity. They discuss trends in real estate fraud including investment fraud, title theft and deed fraud, mortgage fraud and wire transfer fraud.

The Missing Pieces of the U.K. Fraud Puzzle - Kathryn Westmore - Fraud Talk - Episode 133

In Episode 133 of Fraud Talk, Editor in Chief of Fraud Magazine Paul Kilby speaks with Kathryn Westmore, the Senior Research Fellow for the Center for Financial Crime and Security Studies at the Royal United Services Institute, a military and defense think tank in the U.K. Kathryn discusses the increase in fraud in the U.K., government initiatives and the balance between data sharing and data privacy.

 

 

Jackpot Justice: Unraveling the Lottery Heist - Rob Sand - Fraud Talk - Episode 132

In Episode 132 of Fraud Talk, ACFE Research Specialist Sam May meets with Rob Sand, the Iowa State Auditor. Rob speaks about the Hot Lotto fraud scandal he prosecuted, totaling more than $25 million, as well as helping the state of Iowa improve their systems and processes to better investigate and audit potential frauds.

The Evolution of IRS Criminal Investigations - Tyler Hatcher - Fraud Talk - Episode 131

In Episode 131 of Fraud Talk, Tyler Hatcher, Special Agent in Charge of the Los Angeles field office of the Internal Revenue Service's Criminal Investigation division, joins ACFE Communications Manager John Duffley. Tyler reflects on the IRS-CI division's growth during his 21 years, the process behind evaluating allegations and pursuing criminal cases, growing uses of cryptocurrencies, common tax fraud schemes, the impacts of the CARES Act and Inflation Reduction Act, and much more.

The Art and Ethics of Social Engineering - Jenny Radcliffe - Fraud Talk - Episode 130

In this episode, Jenny Radcliffe, aka "The People Hacker," discusses her expertise as an ethical social engineer, honing those skills at an early age on the streets of Liverpool, and unique challenges she has faced over the years. 

Joining ACFE Community Manager Rihonna Scoggins during Women's History Month, Jenny explains how being a woman in her field and gender biases she has observed played a significant role in understanding the "human element" behind social engineering.

Her new book "People Hacker: Confessions of a Burglar for Hire" is available now in the U.K.

Law Enforcement vs. Private Practice Investigations - Tony McClements - Fraud Talk - Episode 129

In Episode 129 of Fraud Talk, Tony McClements, the Head of Investigations at Martin Kenney & Co., discusses his career trajectory through three decades in law enforcement to the private practice cases he oversees today. Joining ACFE Communications Manager John Duffley, Tony outlines the challenges between both types of investigations, the benefits to building a team of young, up-and-coming investigators, and emerging technologies and data reports that can be utilized for complex cases.