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INTELL INSIGHTS · ARTICLE 03

From Fraud Red Flags to Defensible Evidence

A disciplined method for moving from anomaly to substantiated findings

INTELL RISK & ADVISORY GROUP · Ray Romero, CPA, CIA, CFE, MBA · Founder & Managing Director

A red flag is a question, not a conclusion

Unusual payments, duplicate addresses, unexplained overrides, and transactions outside normal operating hours can signal control weaknesses or potential misconduct. They can also have legitimate explanations. The investigator’s responsibility is to convert a preliminary signal into a testable question, not to treat an alert as proof. Premature accusations can damage reputations, compromise cooperation, and weaken a later legal or regulatory process.

The quality of an investigation is determined less by how many anomalies are found than by whether relevant evidence is preserved, independently corroborated, and evaluated against alternative explanations. A persuasive narrative unsupported by reliable records remains a weak finding.

Preserve first, analyze second

Once an allegation or high-risk indicator warrants inquiry, define the scope, identify custodians and systems, and coordinate preservation with legal counsel and qualified technical personnel as appropriate. Consider email, messaging platforms, accounting systems, access logs, contracts, banking records, and paper files. Record who collected each item, when, how, and from what source; maintain originals and work from controlled copies when feasible.

Preservation should be proportionate and legally authorized. An investigator should not assume unrestricted access to private devices or communications. The collection plan must address confidentiality, privilege, retention requirements, and the risk of altering metadata or overwriting records.

INTELL ORIGINAL FRAMEWORK · From Fraud Red Flags to Defensible Evidence — Practical Operating Model
01 · Receive the leadDocument allegation and triage urgency
02 · Preserve evidenceProtect source records and metadata
03 · Reconstruct activityTrace transactions, approvals and beneficiaries
04 · CorroborateTest against independent sources and interviews
05 · Challenge the theoryExamine alternatives and contrary evidence
06 · Report and remediateState supported findings and control actions
An INTELL working framework for disciplined implementation; stages require documented ownership and professional judgment.

Follow the transaction and the authorization

Financial reconstruction begins by tracing a transaction from initiation to approval, posting, disbursement, and ultimate beneficiary. Compare purchase orders, receiving records, vendor-master changes, invoices, general-ledger entries, bank details, and exception logs. Reconcile amounts and dates across systems rather than accepting a single report as definitive.

For a suspected fictitious vendor, the existence of a shared mailing address or bank account is only a lead. Investigators should test the legitimacy of services, confirm counterparties independently, examine employee access and approval activity, and establish whether payments reached an unauthorized beneficiary. Evidence that does not support the initial theory must also be retained and assessed.

Corroboration and interviews

Documentary and transactional evidence should inform interviews, but interviews are not a substitute for corroboration. Begin with individuals who can explain processes and records, then address discrepancies with persons who have direct knowledge. Preserve exact material statements and distinguish what a witness observed from what the witness believes.

Corroboration becomes stronger when independently maintained sources converge: an approval log, a bank record, and a contemporaneous communication may each address a different element of the event. Yet apparent convergence can be misleading if all sources ultimately derive from the same inaccurate input. Investigators must understand provenance.

Red flagEvidence to seekCritical caution
Duplicate vendor bank accountMaster-file history, bank verification, ownership recordsShared accounts may have legitimate explanations
After-hours approvalSystem logs, authority matrix, work contextTiming alone does not establish intent
Invoice without receiving evidencePO, receiving, contract, delivery confirmationService arrangements may differ from goods
Unusual journal entryEntry support, approvals, subsequent reversalsAdjustments may be legitimate
Conflicting interview accountsContemporaneous messages and recordsInconsistency is not proof of dishonesty

Findings that can withstand challenge

An effective report sets out the allegation, procedures performed, evidence relied upon, findings, limitations, and recommended control actions. It identifies the financial exposure using clearly stated assumptions and distinguishes known loss from estimated potential loss. The report should describe unresolved gaps without obscuring them behind confident language.

Where management may be implicated, independence and escalation arrangements require particular care. The organization should have a defined route to appropriate oversight—potentially the Audit Committee—so that those responsible for a questioned activity do not control the investigation’s scope or conclusions.

Professional references