PROJECT DETAILS
Client: Confidential
Industry: Home Health and Personal Care Services
Location: Maryland
Engagement Type: Pre-Launch Fraud Risk Assessment
Services: Fraud Risk Advisory, Compliance Review
Overview
An early-stage in-home care agency serving elderly and disabled clients across Maryland engaged KingaRisk to identify fraud and compliance risks before business launch. The goal was to build fraud controls into operations from day one rather than respond to losses after the fact.
Risks Identified
The assessment identified exposure across four categories: client-side fraud including fake referrals, insurance fraud, and identity theft; employee fraud including timesheet fraud, credential fraud, and elder abuse and exploitation; billing fraud including Medicare and Medicaid overbilling and payment fraud; and compliance risks including HIPAA violations, data breaches, and licensing gaps.
Mitigation Strategies
KingaRisk recommended a digital time-tracking system with GPS verification, thorough background checks for all caregivers, HIPAA-compliant data storage and staff training, payment verification protocols, monthly billing audits, and a confidential reporting hotline for abuse and fraud concerns.
Impact
The assessment enabled the client to launch operations with fraud controls built in from day one, avoid costly regulatory penalties and compliance violations, protect vulnerable clients from abuse and exploitation, and build a foundation for a reputation grounded in quality, compliance, and trustworthiness.
PROJECT DETAILS
Client: Confidential
Industry: E-Commerce, Apparel Retail
Location: Georgia
Engagement Type: Fraud Risk Assessment
Services: Fraud Risk Advisory, Policy Development
Overview
An online apparel brand engaged KingaRisk to identify fraud vulnerabilities across its customer-facing operations. The assessment identified exposure in promo code redemption, return policies, shipping processes, and brand protection, and delivered actionable controls to prevent revenue loss and maintain customer trust.
Risks Identified
Four high-priority vulnerabilities were identified: promo code abuse, where customers created multiple accounts to repeatedly redeem discounts; friendly fraud, where customers wore items then returned or disputed charges; shipping fraud involving false non-delivery claims despite tracking confirmation; and brand impersonation through fake websites and social accounts stealing customer payment data.
Mitigation Strategies
KingaRisk recommended tracked shipping for all orders, promo code limits by IP address, proactive monitoring for repeat chargeback offenders and non-delivery claims, monitoring for fake domains and social accounts, chargeback response protocols with evidence documentation, and immediate reporting procedures for brand impersonation.
Impact
Fraud controls implemented during launch or early growth reduce losses, protect revenue, and maintain customer trust. Small businesses do not need expensive tools. They need intentional policies and proactive monitoring.