METHODS OF DETERRING, DETECTING, AND MITIGATING FRAUD BY MONITORING BEHAVIORS AND ACTIVITIES OF AN INDIVIDUAL AND/OR INDIVIDUALS WITHIN AN ORGANIZATION

• US 20070294195A1
• Filed: 09/28/2006
• Published: 12/20/2007
• Est. Priority Date: 06/14/2006
• Status: Abandoned Application

• Current Assignee: Edith L. Curry, Frank Hailstones, Laurie S. Holtz, Michael A. Dement
• Original Assignee: Edith L. Curry, Frank Hailstones, Laurie S. Holtz, Michael A. Dement
• Inventors: DEMENT, Michael A., HAILSTONES, Frank, HOLTZ, Laurie S., CURRY, Edith L.
• Application Number:
  US11/536,084
• Publication Number:
  US 20070294195A1
• Time in Patent Office: Days
• US Class Current: 705/500
• CPC Class Codes: G06Q 40/03 Credit; Loans; Processing thereof
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G06Q 99/00 Subject matter not provided for in other groups of this subclass

Abstract

A cooperative arrangement and method to help deter and/or detect and/or mitigate fraud by evaluating and then monitoring the information of an individual or individuals for changes in fraud risk. A personal information disclosure statement, personal information records, and other relevant information associated with an individual, or a plurality of individuals, associated with an organization, an individual potentially to be associated with an organization, or an individual acting in his or her individual capacity are obtained. Information is extracted from the personal information disclosure statement, the personal information records, and the other relevant information and entered into a risk assessment algorithm. The risk assessment algorithm operates on the entered information and generates risk assessment data. The risk assessment data is evaluated to make a determination of fraud risk with respect to the individual(s). A decision to provide a fraud risk determination means that the risk associated with the individual, with respect to committing fraud, is acceptable. Risk assessment data on a plurality of key individuals within an organization may be generated and evaluated to make a determination of fraud risk with respect to the organization itself.

Claims

1. A method to help deter and/or detect and/or mitigate fraud by evaluating the propensity of an individual, including an individual associated with an organization, an individual potentially to be associated with an organization, or an individual acting in his or her individual capacity, to commit fraud within an organization, said method comprising:

(a) obtaining a personal information disclosure statement of said individual;

(b) obtaining personal information records and other relevant information of said individual;

(c) entering first information from said personal information disclosure statement, said personal information records, and said other relevant information into a risk assessment algorithm;

(d) said risk assessment algorithm operating on said first entered information and thereby generating first risk assessment data; and

(e) evaluating said first risk assessment data and thereby making a first determination of fraud risk with respect to said individual.

2. The method of claim 1 further including providing a fraud risk determination if a decision to provide a fraud risk determination is made.

3. The method of claim 2 further including underwriting said individual if said determination of fraud risk is provided.

4. The method of claim 1 further including documenting reasons for not providing a fraud risk determination for said individual person if said decision not to provide a fraud risk determination is made.

5. The method of claim 4 further including investigating said reasons for not providing a fraud risk determination for said individual person and thereby generating investigative results.

6. The method of claim 5 further including entering second information from said investigative results, said personal information disclosure statement, said personal information records, and said other relevant information into said risk assessment algorithm.

7. The method of claim 6 further including:

said risk assessment algorithm operating on said second input information and thereby generating second risk assessment data; and

evaluating said second risk assessment data and thereby making an updated determination of fraud risk with respect to said individual.

8. The method of claim 1 wherein said individual is an individual of said organization.

9. The method of claim 1 wherein said individual is an individual acting in his or her individual capacity.

10. The method of claim 1 wherein said organization is a publicly held corporation.

11. The method of claim 1 wherein said organization is a non-publicly held corporation.

12. The method of claim 1 wherein said organization is a government entity.

13. The method of claim 1 wherein said organization is a non-governmental organization.

14. The method of claim 1 wherein said personal information records include at least one of tax return records, treasury records, real estate records, banking records, and credit reports and scores.

15. The method of claim 1 wherein said personal information disclosure statement includes information related to at least one of financial assets, liabilities, and income of said individual.

16. The method of claim 3 wherein said underwriting includes insuring said organization by accepting liability for designated losses suffered by said organization arising from fraudulent activity by said individual.

17. The method of claim 2 wherein said method is conducted by a first entity which is independent of said organization and said individual.

18. The method of claim 4 wherein said method is conducted by a first entity which is independent of said organization and said individual.

19. The method of claim 3 wherein said underwriting is conducted by a second entity which is independent of said organization, said individual, and a first entity conducting the steps (a) through (e) of claim 1.

20. The method of claim 5 wherein said investigating is conducted by a third entity which is independent of said organization, said individual, and a first entity conducting the steps (a) through (e) of claim 1.

21. The method of claim 1 wherein the step of said risk assessment algorithm operating on said first input information and thereby generating first risk assessment data includes said risk assessment algorithm comparing information from said personal information disclosure statement with information from said personal information records and other relevant information and thereby detecting any discrepancies.

22. The method of claim 1 wherein the step of said risk assessment algorithm operating on said first input information and thereby generating first risk assessment data includes said risk assessment algorithm detecting evidence of suspicious/anomalous behavior on the part of said individual.

23. The method of claim 1 wherein the step of said risk assessment algorithm operating on said first input information and thereby generating first risk assessment data includes said risk assessment algorithm generating an assessment of propensity of said individual to commit fraud.

24. The method of claim 1 wherein the step of obtaining personal information records and other relevant information of said individual is only conducted if said individual gives permission to perform said step.

25. The method of claim 1 wherein the step of evaluating said first risk assessment data and thereby making a first determination of fraud risk with respect to said individual includes:

generating a fraud risk determination in response to said first risk assessment data; and

comparing said fraud risk determination to a threshold value.

26. The method of claim 25 wherein said determination of fraud risk is provided if said fraud risk determination is below said threshold value.

27. The method of claim 23 wherein said determination of fraud risk is not provided if said fraud risk determination is above said threshold value.

28. The method of claim 26 further including underwriting said individual if said determination is to provide the fraud risk determination, said underwriting including adding said individual to an insurance policy for said organization, or creating a new insurance policy, and possibly adjusting a premium and/or terms of said policy in response to at least said fraud risk determination.

29. A method to help deter and/or detect and/or mitigate fraud by evaluating the propensity of an organization to commit fraud within an organization, said method including:

(a) obtaining a personal information disclosure statement from each of a plurality of individuals associated with said organization;

(b) obtaining personal information records and other relevant information of each of said individual persons;

(c) entering first information from each of said personal information disclosure statements, each of said personal information records, and each of said other relevant information into a risk assessment algorithm;

(d) said risk assessment algorithm operating on said first entered information and thereby generating first risk assessment data; and

(e) evaluating said first risk assessment data and thereby making a first determination of fraud risk with respect to said organization.

30. The method of claim 29 further including providing said organization with a fraud risk determination if said decision is made to provide said fraud risk determination.

31. The method of claim 29 further including underwriting said organization if said determination of fraud risk is provided.

32. The method of claim 29 further including documenting reasons for not providing said fraud risk determination for said organization if said decision is made not to provide said fraud risk determination.

33. The method of claim 32 further including, if so decided, investigating said reasons for not providing said organization with a fraud risk determination, and thereby generating investigative results.

34. The method of claim 33 further including entering second information from said investigative results, said personal information disclosure statements, said personal information records, and said other relevant information into said risk assessment algorithm.

35. The method of claim 34 further including:

said risk assessment algorithm operating on said second input information and thereby generating second risk assessment data; and

evaluating said second risk assessment data and thereby making an updated determination of fraud risk with respect to said organization.

36. The method of claim 29 wherein said individual are individuals of said organization.

37. The method of claim 29 wherein said organization is a publicly held corporation.

38. The method of claim 29 wherein said organization is a non-publicly held corporation.

39. The method of claim 29 wherein said organization is a government entity.

40. The method of claim 29 wherein said personal information records include at least one of one or more of tax return records, treasury records, real estate records, banking records, and credit reports and scores for each of said individuals.

41. The method of claim 29 wherein said personal information disclosure statements includes at least one of information related to financial assets, liabilities, and income of each of said individuals.

42. The method of claim 31 wherein said underwriting includes insuring said organization by accepting liability for designated losses suffered by said organization arising from fraudulent activities by any of said individuals.

43. The method of claim 30 wherein said method is conducted by a first entity which is independent of said organization and said individuals.

44. The method of claim 32 wherein said method is conducted by a first entity which is independent of said organization and said individuals.

45. The method of claim 31 wherein said underwriting is conducted by a second entity which is independent of said organization, said individuals, and a first entity conducting the steps (a) through (e) of claim 29.

46. The method of claim 33 wherein said investigating is conducted by a third entity which is independent of said organization, said individuals, and a first entity conducting the steps (a) through (e) of claim 29.

47. The method of claim 29 wherein the step of said risk assessment algorithm operating on said first entered information and thereby generating first risk assessment data includes said risk assessment algorithm comparing information from said information disclosure statements with information from said corresponding personal information records and said other relevant information and thereby detecting any discrepancies.

48. The method of claim 29 wherein the step of said risk assessment algorithm operating on said first entered information and thereby generating first risk assessment data comprises said risk assessment algorithm detecting evidence of suspicious/anomalous behavior on the part of any of said individuals.

49. The method of claim 29 wherein the step of said risk assessment algorithm operating on said first entered information and thereby generating first risk assessment data includes said risk assessment algorithm generating an assessment of the propensity of said individuals to commit fraud.

50. The method of claim 29 wherein the step of obtaining personal information records and other relevant information of any of said individuals is only conducted if said any individuals give permission to perform said step.

51. The method of claim 29 wherein the step of evaluating said first risk assessment data and thereby making a first determination of fraud risk with respect to said organization includes:

generating a fraud risk determination in response to said first risk assessment data; and

comparing said fraud risk determination to a threshold value.

52. The method of claim 51 wherein said determination of fraud risk is provided if said fraud risk determination is below said threshold value.

53. The method of claim 51 wherein said determination of fraud risk is not provided if said fraud risk determination is above said threshold value.

54. The method of claim 52 further including underwriting said organization if said decision is to provide said fraud risk determination, said underwriting including adding said individuals to an insurance policy for said organization, or creating a new insurance policy, and possibly adjusting a premium and/or terms of said policy in response to at least said fraud risk determination.

56. The method of claim 54 further including maintaining said fraud risk determination of said individual if said decision whether to provide said fraud risk determination is to provide said fraud risk determination.

69. The method of claim 56 wherein said method is conducted by a first entity which may be independent of said organization and said individual.

70. The method of claim 57 wherein said underwriting is maintained by a second entity which is independent of said organization, said individual, and a first entity conducting the steps (a) through (d) of claim 53.

55. A method to help deter and/or detect and/or mitigate fraud by monitoring the information of an individual, or a plurality of individuals, associated with an organization, an individual potentially to be associated with an organization, or an individual acting in his or her individual capacity, for changes in fraud risk, said method including:

(a) frequently and/or periodically obtaining updated personal information records and other updated relevant information of an individual that currently has a fraud risk determination;

(b) inputting, into a risk assessment algorithm, updated information from said updated personal information records and other updated relevant information along with previous information from a previously obtained personal information disclosure statement from said individual;

(c) said risk assessment algorithm operating on said input information and thereby generating updated risk assessment data; and

(d) evaluating said updated risk assessment data and thereby making an updated determination of fraud risk with respect to said individual.

57. The method of claim 55 further including maintaining an underwriting of said individual if said decision to provide said fraud risk determination is to provide said fraud risk determination.

58. The method of claim 55 further including documenting reasons for not providing said fraud risk determination of said individual if said decision to provide said fraud risk determination is not to provide said fraud risk determination.

59. The method of claim 58 further including investigating said reasons for not providing said fraud risk determination of said individual and thereby generating investigative results.

60. The method of claim 59 further including inputting second information from said investigative results, said personal information disclosure statement, said updated personal information records, and said updated other relevant information into said risk assessment algorithm.

61. The method of claim 60 further including:

said risk assessment algorithm operating on said second input information and thereby generating investigation-based risk assessment data; and

evaluating said investigation-based risk assessment data and thereby making an investigated determination of fraud risk with respect to said individual.

62. The method of claim 55 wherein said organization is a publicly held corporation.

63. The method of claim 55 wherein said organization is a non-publicly held corporation.

64. The method of claim 55 wherein said organization is a government entity.

65. The method of claim 55 wherein said updated personal information records include at least one of most-recent tax return records, most-recent treasury records, most-recent real estate records, most-recent banking records, and most-recent credit reports and scores.

66. The method of claim 55 wherein said personal information disclosure statement includes information related to financial assets, liabilities, and income of said individual person at the time of obtaining said personal information disclosure statement.

67. The method of claim 57 wherein said underwriting includes insuring said organization by accepting liability for designated losses suffered by said organization arising from fraud committed by said individual.

68. The method of claim 55 wherein said method is conducted by a first entity which may be independent of said organization and said individual.

71. The method of claim 59 wherein said investigation is conducted by a third entity which may be independent of said organization, said individual, and a first entity conducting the steps (a) through (e) of claim 55.

72. The method of claim 55 wherein the step of said risk assessment algorithm operating on said input information and thereby generating updated risk assessment data includes said risk assessment algorithm comparing information from said information disclosure statement with information from said updated personal information records and said updated other relevant information, and thereby detecting any discrepancies.

73. The method of claim 55 wherein the step of said risk assessment algorithm operating on said input information and thereby generating updated risk assessment data includes said risk assessment algorithm detecting evidence of fraud committed by said individual.

74. The method of claim 55 wherein the step of said risk assessment algorithm operating on said input information and thereby generating updated risk assessment data includes said risk assessment algorithm generating data related to propensity of said individual to commit fraud.

75. The method of claim 55 wherein the step of frequently and/or periodically obtaining updated personal information records and other relevant information of said individual is only conducted if said individual gives permission to perform said step.

76. The method of claim 55 wherein the step of evaluating said updated risk assessment data and thereby making an updated determination of fraud risk with respect to said individual includes:

generating an updated fraud risk determination in response to said updated risk assessment data; and

comparing said updated fraud risk determination to a threshold value.

77. The method of claim 76 wherein said determination of fraud risk is to maintain said fraud risk determination if said updated fraud risk determination is below said threshold value.

78. The method of claim 76 wherein said decision of whether to provide said fraud risk determination is not to provide said fraud risk determination if said fraud risk determination is above said threshold value.

79. The method of claim 76 further including updating an underwriting of said organization if said decision is to provide said fraud risk determination and said updated fraud risk determination is closer to said threshold value than a previously calculated fraud risk determination for said individual.

80. The method of claim 79 wherein said updating said underwriting includes re-calculating a premium and updating terms of insurance in response to at least said updated fraud risk determination.