Fraud cases are complex and time-consuming investigations. The investigation process requires a team with the right expertise and a clear understanding of legal compliance and ethical considerations. From securing evidence to conducting interviews, each step is critical for a successful outcome.
The first step is to evaluate the validity and seriousness of the fraud report. This includes a review of the submitted evidence and preliminary interviews. It also involves determining whether the case will require a detailed investigation, which may include audits and forensic analysis.
If the initial evaluation supports the allegations of a fraudulent scheme, an investigative team is gathered. This team should be comprised of internal auditors and fraud investigators, as well as legal counsel and external experts as needed. It is important to maintain confidentiality throughout the investigation.
To be considered a fraud, there must be an intention to deceive and a misrepresentation that resulted in the taking of property. The deception must also have been in order to obtain a financial benefit. This means that a person who committed a lie about their age, for example, would be liable for fraud even if they donated the money to charity.
In criminal cases, the burden of proof is higher and a jury must unanimously agree that there was fraud. In civil cases, the standard is a “preponderance of the evidence.” The amount of restitution awarded to the victim depends on how much was lost. UCSF is committed to holding individuals accountable for fraudulent activities, regardless of the type of case.