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Fraud detection in the era of artificial intelligence: risks, solutions, and how they work

Kirey Group

  

    Financial fraud has existed for centuries and continues to pose a constant risk to businesses and individuals. Criminals have refined increasingly sophisticated techniques over time to exploit human and system vulnerabilities, a consequence of the ongoing digitalization of companies.

    We now live in an era where traditional Ponzi schemes go hand-in-hand with modern techniques powered by Generative AI, which can be used to create highly realistic and deceptive content or simulate identities with unprecedented detail. Implementing advanced fraud detection systems is the first effective response to this phenomenon.

    Financial fraud affects all sectors. AI-powered fraud is on the rise 

    In the digital age, financial fraud manifests in various ways and affects a multitude of companies and industries. 

    • Banks 
      The banking sector is particularly vulnerable to fraud involving credential theft and unauthorized access to accounts, in addition to the risk of sensitive customer data being compromised. The sector is heavily regulated, and since the implementation of PSD2 (2018), all payment service providers must enforce Strong Customer Authentication (SCA). 
    • Retail 
      Retail, both online and offline, is particularly prone to digital payment fraud and the use of cloned credit cards, directly impacting transactions and the reputation of e-commerce platforms. 
    • Insurance  
      Insurance companies may face fraudulent claims and fake reimbursement requests, leading to significant financial losses and higher premiums for customers. 
    • Healthcare  
      Identity theft is a significant issue in healthcare, allowing individuals to acquire expensive medications under someone else's name. Stolen data can also be used to file false claims with insurance companies, linking this sector back to the previous case. 

    For businesses, the effects of fraud are easy to imagine, ranging from significant financial and reputational losses to penalties, not to mention increased operational costs and reduced customer satisfaction.

    To provide some authoritative data, Revelin's Global Fraud Trends 2024 reported a 69% increase in payment fraud in 2023 and an annual cost of over $15 million for 27% of the companies surveyed. In Italy, the same research found that 34.4% of the sample had been publicly mentioned by the press or social media as victims of fraud within the last year. 

    Equally interesting is the phenomenon of AI-powered fraud, which affected 63.6% of the sample. This data is significant because the impact of synthetic identities and AI-driven automation is often underestimated, and considered by many as marginal issues. The data suggests the opposite.

    The main types of fraud in the digital age 

    As mentioned, in 2024 fraud can take many forms, as most processes and transactions are now digital, and fraud attempts are continuously increasing. Broadly, financial (digital) fraud can be categorized into five main types: 

    • Payment fraud 
      This includes the typical cloning of credit cards for online and offline payments.
    • Account takeover 
      Through techniques like malware or social engineering, fraudsters gain control of an account, enabling them to conduct financial operations such as purchasing products or transferring funds.
    • Identity theft 
      Identity theft allows fraudsters to open new accounts, access financial services, secure loans, or execute unauthorized transactions.
    • Internal fraud 
      Employees misuse their privileged access to company systems to harm the company itself.
    • Money laundering 
      This involves using complex systems and digital transactions to conceal the illegal origin of funds, often through cryptocurrencies or intermediaries. 

    How to Prevent Financial Fraud: Tips for Companies 

    The good news is that there are tools, processes, and activities that can significantly reduce the incidence and impact of financial fraud.

    In the era of artificial intelligence, the focus is on advanced fraud detection solutions, which can automate the identification of suspicious behaviors, requests, and potentially fraudulent transactions efficiently and timely. However, every company should approach this issue systematically, assessing not only tools and technologies but also the security of its internal processes and the risks posed by human behavior. Below is a brief checklist for mitigating digital fraud.

    1. Adopt multi-factor authentication (MFA) wherever possible; 
    2. Prioritize biometric access systems over traditional password-based ones; 
    3. Provide regular training for employees and security awareness programs; 
    4. Set transaction limits and enable real-time alerts; 
    5. Educate customers about fraud risks and safe practices; 
    6. Develop robust internal control systems; 
    7. Invest heavily in cybersecurity, cutting-edge anti-fraud systems and real-time security services.

    Fraud detection solutions and the role of artificial intelligence 

    Fraud detection solutions are a set of tools and technologies that work synergistically to identify, prevent, and mitigate fraudulent activities within financial transactions and commercial operations. The goal is to detect anomalies in user behavior and transactions to respond promptly and automatically, minimizing financial losses. 

    Fraud detection: what role does machine learning play? 

    Fraud detection solutions analyze transactions and access data in real-time to detect noteworthy anomalies. This can be done using a set of rules, however complex, or through self-learning mechanisms (machine learning), either supervised or unsupervised. 

    In the case of supervised learning, the machine learning model is trained on a dataset where each transaction is manually labeled as legitimate or fraudulent. This training allows the model to learn the distinctive characteristics of fraud, improving its ability to identify suspicious behavior in future transactions, with increasingly accurate performance. 

    Unsupervised machine learning, on the other hand, does not require a pre-labeled dataset. In this approach, algorithms search for patterns and anomalies in data without external guidance. This method is particularly useful in contexts where fraud may manifest in unexpected or unknown ways, making it difficult to define fixed rules. The algorithms autonomously identify clusters of similar behaviors and detect anomalies that deviate from these patterns, flagging potential fraud through a scoring mechanism. 

    How to create an advanced AI-powered fraud detection solution 

    So, how is an AI-powered fraud detection solution built, and how does it work? Below are the main steps of the process. 

    • Data collection 
      Fraud detection solutions gather and correlate relevant data from various sources, such as financial transactions, user logs, and online behavior. This data can include transaction amounts, payment methods, and even IP addresses for geolocation.
    • Data pre-processing 
      The collected data is prepared for analysis, which may involve normalizing the data, removing outliers, and integrating disparate sources. Ensuring consistent data is crucial for producing accurate model outputs.
    • Model training 
      Various algorithms can be used to train the model, ranging from supervised methods to unsupervised techniques like Isolation Forests. Afterward, the AI model's performance is evaluated.
    • Deployment 
      The system is then deployed in a production environment, followed by continuous monitoring and improvement.

    In essence, this solution performs a behavioral analysis of user activity, establishing a baseline and evaluating any deviation from the norm. Through machine learning, often in combination with predetermined rules, the system can monitor transactions in real time, detect anomalies, and, depending on the case, instantly block requests or require additional authorizations through a secure channel. As mentioned, this is a scoring mechanism, a real-time risk assessment for each transaction, while machine learning helps progressively improve performance, reducing both false positives and negatives.

    These solutions cannot eliminate the problem of digital fraud, but they represent a significant step in the right direction. When integrated with appropriate processes and best practices, they can significantly reduce risks. 

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