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ACFE CFE-Fraud-Schemes-and-Financial-Crimes Exam Syllabus Topics:

ACFE Certified Fraud Examiner -Fraud Schemes and Financial Crimes Sample Questions:

1. Which of the following scenarios is the MOST ACCURATE example of insurer health care fraud?

A) While acting as an intermediary for a government health care program, the insurance company verifies provider claims before billing the government for them.
B) Upon identifying that a claimant has provided incomplete information, the insurance company refuses to pay a claim.
C) To obtain regulatory approval for increasing its rates, the insurance company submits inflated cost data for review.
D) After negotiating discounts with its medical providers, the insurance company provides the negotiated rate to its consumers instead of the original amount.

2. Madison has been appointed as a bankruptcy administrator. According to the recommendations of the World Bank Principles for Effective Insolvency and Creditor/Debtor Regimes, which of the following statements concerning Madison's role as bankruptcy administrator is MOST ACCURATE?

A) Madison may cancel any fraudulent contracts or transactions entered into by the debtor.
B) Madison may collect a debtor's property, but a third party must dispose of it.
C) Madison may not interfere with contracts that were signed by the debtor.
D) Madison may not force third parties with knowledge of the debtor's affairs to provide information.

3. To prevent expense reimbursement fraud, it is recommended that companies require employees to submit receipts electronically.

A) True
B) False

4. Hannah is a manager at a financial institution. To safeguard the bank and its customers from electronic funds transfer (EFT) fraud, Hannah is implementing several preventive measures. Which of the following is NOT a measure Hannah should take to prevent EFT fraud?

A) Send a welcome letter to new customers to determine if the address submitted on the account application is valid.
B) If a customer reports the loss or theft of an access device, then cancel the existing card, PIN, or other form of access and issue a new one.
C) Separate the duties of bank employees so that the responsibilities for the issuance of access devices are separate from the issuance of PINs.
D) Mail PINs and other associated account information together to reduce the chance of those items being lost during transit.

5. A fraud examiner is attempting to determine whether an online retailer's customers have committed card-not- present (CNP) payment card fraud schemes. Which of the following measures would be MOST EFFECTIVE in detecting this type of fraud?

A) Examine orders in which customers declined rush or overnight shipping for their purchases.
B) Check for small orders placed from newly created customer accounts that do not have a purchase history.
C) Compare IP addresses for internet orders with those from previous orders placed by the same customer.
D) Review orders in which a customer purchased several unique items during a single transaction.

Solutions: