Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

Similar documents
Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

Listen Closely: Is that a Whistle Blowing Or a Slot Machine Ringing?

TAB G Compliance and Ethics Program

Supplier Ethics and Compliance Webinar

TEACHERS RETIREMENT BOARD. AUDITS AND RISK MANAGEMENT COMMITTEE Item Number: 9 SUBJECT: Scope and Structure of the Enterprise Compliance Program

INVESTIGATIONS WORKSHOP: Part 1 BEGINNING THE INVESTIGATION & INTERVIEWING THE REPORTER SESSION AGENDA. Workshop Part 1 (9:00 10:00)

SETTING POLICIES and GUIDELINES for CONDUCTING INTERNAL INVESTIGATIONS

Contract and Procurement Fraud. Detection and Prevention

7 Elements Roundtable

Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

Allergan plc COMPREHENSIVE COMPLIANCE PROGRAM

Terms of Reference for the Inspector General 1

SAMPLE BOARD PERFORMANCE EVALUATION: Prepared by DELOITTE & TOUCHE, 2013

CSL BEHRING COMPLIANCE PLAN

Fraud Risk Management Review March 18, 2010

Report on Compliance and Ethics

What is Compliance? Compliance Preventative Medicine for Your Practice. Commit to consistency. Commit to correctness. Commit to communication

Delta Dental of Michigan, Ohio, and Indiana. Compliance Plan

2015 Ethics & Compliance Hotline Benchmark Report

INTERTEK GROUP PLC INTERTEK S MODERN SLAVERY STATEMENT 2017

Staying Alive: Creating an effective compliance and ethics program to prevent and detect employee misconduct.

Interpreting the Energy Risks from EY s 2016 Global Fraud Survey

The Path to Compliance and Ethics Program Maturity

Answering the Call. Increased Ethics, Governance & Compliance through the implementation of a Whistleblower Hotline.

Compliance Policies and Procedures

International Compliance

Medicare Parts C and D General Compliance Training

Successful HR Strategies for Building an Ethical Workplace Culture

City of Edmonton Ethics Framework Evaluation

(ATFL) Whistle-blowing Policy (Vigil Mechanism)

Building a Fraud-Resistant Organization January 8, 2015

2017 The Global ABB Integrity Program.

RETURN ON INVESTMENT (ROI): DOCUMENTING AND SUPPORTING THE VALUE-ADD FOR A COMPLIANCE PROGRAM

FINAL ASSESSMENT M.C. DEAN, INC.

Corporate Ethics Program Process

Whistleblowing Policy

Guide to Internal Controls

Office of Internal Auditing

convercent Sample Board Report* Ethics & Compliance Program Update

FIRST TIER, DOWNSTREAM AND RELATED ENTITY (FDR) COMPLIANCE GUIDE

Policies and Procedures - Billing Compliance Office

3.6.2 Internal Audit Charter Adopted by the Board: November 12, 2013

FAU COMPLIANCE AND ETHICS PROGRAM

European CEI. Compliance 101

CASE BY CASE: CENTRALIZING & STANDARDIZING INCIDENT INTAKE, INVESTIGATION AND MANAGEMENT

npliance IN 2008, MICROSOFT CORP. WAS FINED 899 MILLION Auditing for

Office of Business Conduct and Ethics Program Review. Name and Title

Benchmarking 101: Shaping your E&C Program for Maximum Value

In-service Education Packet Corporate Compliance

CNB Ethics Frequently Asked Questions

FCPA COMPLIANCE PROGRAMS

COMPLIANCE AT LARGER INSTITUTIONS. November 11 13, Robert F. Roach Chief Compliance Officer New York University

2016 Medicare-Medicaid Plan Compliance Plan

The Company seeks to comply with both the letter and spirit of the laws and regulations in all jurisdictions in which it operates.

Follow Up Audit on OCC Swap Meet Investigation

SAMPLE BOARD REPORT* convercent. Ethics & Compliance Program Update

CHAPTER 6 GOVERNMENT ACCOUNTABILITY

Fraud Risk Management

The most commonly applied model for designing and auditing internal

Brought to you by the publishers of COMPLIANCE WEEK

Compliance and Ethics Program Plan

people policies Whistleblowing Procedure

Driving Compliance and Ethics Program Effectiveness A Data-Driven Look at What Drives a Successful Compliance and Ethics Program

to inform employees of their obligation to report serious wrongdoing within Monsanto India;

Office of Internal Auditing

Office of Internal Auditing

Our vision. A company where the best people want to work.

ESTERLINE ANTI-CORRUPTION PROGRAM CHARTER

ISO & ISO TRAINING DAY 4 : Certifying ISO 37001

McKesson at-a-glance America s oldest and largest healthcare services company

Sustainable Compliance - Using Investigations to Drive Remedial Measures

Northern Ireland Electricity Networks Limited POLICY ON MODERN SLAVERY

Proactive Evaluation of Sexual Harassment Prevention Policies

Developing an Integrated Anti-Fraud, Compliance, and Ethics Program

2018 Ethics & Compliance Hotline and Incident Management Benchmark Report

A. Establish compliance standards and system-wide policies and procedures;

Today s presentation

DIVERSITY POLICY. Minorities means, where applicable, Black Americans, Native Americans, Hispanic Americans, and Asian Americans.

FRAUD AND PROFESSIONAL ETHICS IN HIGHER EDUCATION

DeVry Education Group Ethics and Compliance Services Policy C-1. Speak Up: Asking Questions & Raising Concerns

The Rye Ambulatory Surgery Center, LLC Compliance Plan

RISK MANAGEMENT REPORT

CLEAR GOAL. Satisfy Regulatory Demands. Mitigates Current Risk Effectively. Provides Meaningful Information About Program Effectiveness

Surveying the Health Care Industry: Compliance Surveys 101. Prepared By: Strategic Management Services, LLC September 2018

TNT POLICY SECURITY CLASSIFICATION: PUBLIC

Whistleblower Policy

I. Mission. II. Scope of the Work

AUDITING ETHICS PROGRAMS TO ADDRESS CULTURE AND CONDUCT

Sustaining an Effective Ethics and Compliance Program through Program and Risk Assessments

Why Reporting Hotlines Are Considered a Best Practice

Strategies For Better Positioning Your Company To Do Business With The Federal Government

Compliance Program Effectiveness

Cuyahoga County Division of Children and Family Services (CCDCFS) Policy Statement

Speak up, Speak out Policy (formerly Whistleblowing) (Public Interest Disclosure)

Your Guide to the Compliance Process

Developmental Delay Rehabilitation Services Inc.

10/6/2018. Frank Gorrell, MSA, CPA, CGMA. Payroll fraud happens! No organization is immune! We ll checks the stats We ll review controls

Over the last ten years, Congress has appropriated hundreds

Transcription:

Developing an Integrated Anti-Fraud, Compliance, and Ethics Program Implementing a Whistleblower Helpline 2018 Association of Certified Fraud Examiners, Inc.

Discussion Questions 1. Does your organization have a formal reporting mechanism (i.e., a helpline)? If so, how do you incorporate it into in your compliance and ethics program? Who receives and responds to reports? 2. Does your organization have a formal whistleblower policy or program? How has that been communicated to employees? 3. Does your organization have a separate policy to protect whistleblowers from retaliation? 2018 Association of Certified Fraud Examiners, Inc. 2 of 27

An important gauge of the compliance and ethics program s success is how free employees feel to raise questions and concerns. Introduction 2018 Association of Certified Fraud Examiners, Inc. 3 of 27

Detection Method Why Implement a Helpline? Initial Detection of Occupational Frauds Tip Internal Audit Management Review By Accident Account Reconciliation Other Document Examination External Audit Notified by Law Enforcement Surveillance/Monitoring IT Controls Confession 5.6% 5.5% 5.5% 3.8% 3.8% 2.4% 1.9% 1.3% 1.3% 13.4% 16.5% 39.1% 0% 10% 20% 30% 40% 50% Percent of Cases 2018 Association of Certified Fraud Examiners, Inc. 4 of 27

Why Implement a Helpline? To proactively detect and address misconduct To identify areas that might need improvement To reinforce an ethical corporate culture To comply with laws and regulations To encourage internal reporting of concerns To mitigate fines and penalties 2018 Association of Certified Fraud Examiners, Inc. 5 of 27

Establishing the Reporting Mechanisms Objective is to remove all possible barriers to reporting Provide a variety of channels that: Are free to use Are easily accessible Are available 24 hours a day, 365 days a year Facilitate two-way communication with the reporting party 2018 Association of Certified Fraud Examiners, Inc. 6 of 27

Establishing the Reporting Mechanisms Telephone Email Online form Mail (e.g., PO Box) In-person reporting Suggestions and concerns box 2018 Association of Certified Fraud Examiners, Inc. 7 of 27

Establishing the Reporting Mechanisms Internally managed or third-party helpline? Costs (e.g., training, operations, technology) Coverage (i.e., 24/7/365 or part-time) Accessibility Competency of individuals who staff the helpline Perception of trustworthiness and independence Desire and capability for anonymous reporting Effect on organizational processes 2018 Association of Certified Fraud Examiners, Inc. 8 of 27

Considerations in Implementing the Helpline Support from senior management: Embraces and understands whistleblowers Designates a senior-level helpline champion (CECO) Available to internal and external parties Anonymity and confidentiality Publicizing the helpline 2018 Association of Certified Fraud Examiners, Inc. 9 of 27

Addressing International Differences Legal and regulatory issues Language barriers Cultural differences Accessibility of reporting mechanisms 2018 Association of Certified Fraud Examiners, Inc. 10 of 27

Creating a Culture of Whistleblower Support Whistleblowers face numerous real and perceived risks. Management must foster an environment where employees feel comfortable reporting concerns. 2018 Association of Certified Fraud Examiners, Inc. 11 of 27

Creating a Culture of Whistleblower Support Effect of government whistleblower programs (e.g., Dodd-Frank) Anti-retaliation policy Rewards for whistleblowers Recognizing known whistleblowers 2018 Association of Certified Fraud Examiners, Inc. 12 of 27

Collecting Information from Whistleblowers Intake staff should receive training in how to ask questions without interrogating. Process should include ability for each report to be easily located and tracked. 2018 Association of Certified Fraud Examiners, Inc. 13 of 27

Collecting Information from Whistleblowers Unique identifying number Report date Source and contact information (if provided) Whether anonymity is desired or waived Details of the allegation Any other information provided Recommended action based on initial assessment of the report 2018 Association of Certified Fraud Examiners, Inc. 14 of 27

Collecting Information from Whistleblowers Use of case management software Security considerations for records access 2018 Association of Certified Fraud Examiners, Inc. 15 of 27

Communicating with Whistleblowers Establish a protocol for keeping whistleblowers informed. Maintain confidentiality even after the report has been closed. Provide whistleblowers a case number to use in future communications. Provide anonymous callers a specific time or phone number to use for follow-up reports. 2018 Association of Certified Fraud Examiners, Inc. 16 of 27

Responding to Tips Response protocol often determines the overall success of the whistleblower program. CECO has oversight of the helpline but typically delegates first line intake to other staff: Coordinate intake with legal, HR, and internal audit. Incoming reports should go to at least two parties: Designate a party and hotline champion. Must balance confidentiality concerns. 2018 Association of Certified Fraud Examiners, Inc. 17 of 27

Screening Tips Assess the merit of the facts and source: Document and set aside meritless reports. Assess the type of issue involved: Determine investigation procedures and party. Escalate high-risk reports to an oversight body: Establish a protocol for determining risk level of reports. Address reporting abuses. 2018 Association of Certified Fraud Examiners, Inc. 18 of 27

Assessing Whistleblower Program Effectiveness The program must include a formal assessment of its effectiveness. A low volume of reports is not the goal. Methods: Employee surveys Metrics and benchmarking 2018 Association of Certified Fraud Examiners, Inc. 19 of 27

Assessing Whistleblower Program Effectiveness Complaints per period Average number of complaints per employee Complaints by reporting mechanism or method Complaints by location or division Complaints by claim type 2018 Association of Certified Fraud Examiners, Inc. 20 of 27

Assessing Whistleblower Program Effectiveness Percent of anonymous complaints Repeat versus first-time reporters Reports of retaliation 2018 Association of Certified Fraud Examiners, Inc. 21 of 27

Assessing Whistleblower Program Effectiveness Average cost per complaint Percent of complaints substantiated Percent of complaints investigated Length of time to investigate and close reports Changes in complaints received after new awareness efforts Changes in the number and type of complaints after compliance and ethics refresher training 2018 Association of Certified Fraud Examiners, Inc. 22 of 27