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Open AI and its Impact on Fraud Detection in Financial Industry

Authors:
  • National Coalition of Independent Scholars (NCIS)

Abstract

As per the Nilson report, fraudulent activities targeting cards amounted to a loss of $32.34 billion globally in 2021, a 14 % increase from the previous year. Such practices can be combated by harnessing OpenAI's powerful machine learning and automation capabilities. Such advanced technologies help financial companies avoid any potential fraud and protect their esteemed clients' interests. Through the adoption and utilization of such innovative technologies., financial institutions will be better placed to protect their customers and entities from financial losses. Digital fraudsters are skillful in identifying loopholes and have developed cunning techniques like phishing for unsuspecting victims and wittingly swindling money off them. They are also updated in using OpenAI to develop deceitful information to scam people. This has seen the emergence of names like WormGPT and FraudGPT, reliant on generative AI models used by tech corporations with fraud intents. As a result, fraud detection techniques have to evolve with time as fraudsters progressively devise new techniques that bypass old and rigid banking security protocols and learn how to convince unsuspecting individuals to dispatch their money to them.
ISSN: 2959-6386 (Online), Vol. 2, Issue 3, December 2023
Journal of Knowledge Learning and Science Technology
journal homepage: https://jklst.org/index.php/home
Open AI and its Impact on Fraud Detection in Financial Industry
Sina Ahmadi
Independent Researcher
Abstract
As per the Nilson report, fraudulent activities targeting cards amounted to a loss of $32.34 billion globally in 2021, a 14 % increase
from the previous year. Such practices can be combated by harnessing OpenAI’s powerful machine learning and automation
capabilities. Such advanced technologies help financial companies avoid any potential fraud and protect their esteemed clients'
interests. Through the adoption and utilization of such innovative technologies., financial institutions will be better placed to protect
their customers and entities from financial losses. Digital fraudsters are skilful in identifying loopholes and have developed cunning
techniques like phishing for unsuspecting victims and wittingly swindling money off them. They are also updated in using OpenAI
to develop deceitful information to scam people. This has seen the emergence of names like WormGPT and FraudGPT, reliant on
generative AI models used by tech corporations with fraud intents. As a result, fraud detection techniques have to evolve with time
as fraudsters progressively devise new techniques that bypass old and rigid banking security protocols and learn how to convince
unsuspecting individuals to dispatch their money to them.
Keywords: OpenAI; machine learning; fraud; fintech
Article Information:
Article history: Received: 15/06/2023 Accepted: 30/08/2023 Online: 20/09/2023 Published: 12/12/2023
DOI: https://doi.org/10.60087/jklst.vol2.n3.p281
i Correspondence author: Sina Ahmadi Email: sina0@acm.org
Introduction
Due to its vast implications, fraud is one of man's biggest problems. It refers to intentionally using
false details to swindle an organization, individual property or money. The COVID-19 pandemic saw an
upsurge in fraudulent malpractices due to the economic recession that most unemployed individuals faced
(G. Colvin 2020). The pandemic had rendered thousands of individuals jobless, while those privileged to
be working faced cuts in their salaries. Fraud experts say fraud springs from three elements: opportunity,
pressure and rationalism (A. Littman 2011). Fraud also occurs when a person develops an unshakeable urge
or motive to commit fraud.
The likely fraud perpetrator needs to feed an unmet urge with limited resources. These unmet needs
continue to grow as they are endless and different among people. They may include gambling debts, reduced
household income or burgeoning medical bills. Once the person encounters such unmet needs and has
Sina Ahmadi, 2023 264
limited resources to meet them, they may opt for fraud. Opportunities are expressed as a lack of internal
controls or reckless management within a person that may present fraud as an easy activity. Lastly, the
person rationalizes their intent to engage in fraudulent activities by assuring themselves that they urgently
needed the money or would eventually pay it back. With harsh economic spells, there is increased motives
and pressure to engage in fraud, pushing the fraudsters to rationalize their actions.
Fraud is common in finance and comprises money laundering, financial statements fraud, email
phishing, cyber fraud, and credit card fraud. The advent of digital banking exposed financial institutions to
digital fraud. It therefore becomes necessary to acknowledge that fraud management is essential in the
finance docket, though it is an excruciating venture. Digital fraudsters are skilful in identifying loopholes
and have developed cunning techniques like phishing for unsuspecting victims and wittingly swindling
money off them. As a result, fraud detection techniques have to evolve with time as fraudsters progressively
devise new techniques that bypass old and rigid banking security protocols and learn how to convince
unsuspecting individuals to dispatch their money to them.
Traditional fraud detection approaches within the finance docket are rule-based, meaning that
humans make the rules. Most financial institutions use such approaches. As more people opt for emerging
digital technologies, fraud scenarios are projected to increase, rendering the existing rule-based approaches
unsustainable and unscalable. Additionally, false positives (non-fraudulent practices termed as fraudulent)
impose substantial financial losses in terms of customer complaints and transactions in the finance sector.
Ciabanu's 2020 study on 1000 adult customers discovered that almost 25 % of the customers whose
transactions had been falsely declined turned to competitors for the same financial services (M. Ciobanu
2020). The switch of competitors increased to 36 % for the customers between 18 and 24 years and a further
31 % for those in the 25-34 years old bracket (M. Ciobanu 2020). Such results show the profitability needed
for modern fraud detection structures.
Financial, banking and fintech industries encounter various scams annually. The scams can be
categorized into these classes: digital fraud, physical attacks, internal collusion and violation of the Four
Eyes Rule. The last two items involve employee-based schemes or traditional malpractices. Digital fraud,
however, involves a range of online fraud activities. Machine learning and automation are needed to combat
digital fraud as they have evolved into crucial business tools as fraudsters develop increasingly intricate
practices. Such advanced technologies help financial companies avoid any potential fraud and protect their
esteemed clients' interests. Through the adoption and utilization of such innovative technologies., financial
institutions will be better placed to protect their customers and entities from financial losses.
To add to the challenges encountered by the traditional rule-based system, fraudsters need specific
patterns and keep changing their hacking techniques. This renders the system cumbersome and quickly
265 Journal of Knowledge Learning and Science Technology ISSN: 2959-6386 (Online), Vol. 2, Issue 3, December 2023
obsolete. There arises the need to change this traditional approach in any financial institution. As per the
Nilson report, fraudulent activities targeting cards amounted to losses of $32.34 billion globally in 2021, a
14 % increase from the previous year (C. Mullen 2023). With the increase in technological processes in the
banking sector and due to the diverse payment channels, such as debit and credit cards and smartphones,
the number of digital transactions has increased since 2020. Due to such occurrences, there is a dire need
to create more robust and rigid fraud detection solutions in the financing world. The onset of AI has opened
a myriad of approaches to adopting and curbing these online malpractices.
Technological giants like Google, Facebook, Apple, Amazon and Netflix have also leveraged
proprietary AI tools to improve their back-end and front-end financial processes. Currently, they have
prioritized using AI in their financial strategies by frequently collecting and using new data to serve through
AI models, which has set the bar for the economic world in fraud detection.
Fraud Detection in the Finance Industry
An article in Javelin Strategy and Research on fraud detection claims that fraud detection in
financial institutions uses a brick-and-mortar model, which takes much longer to implement (Pascual et al.
2017). Such long durations could be more welcoming for the financial institutions and their customers since
several dire fraudulent malpractices could be affected within these durations. Fraud also hugely affects
financial institutions that are involved in online payment services, mainly under the contemporary
technological advancement in the business industry. For instance, almost 20 % of customers change
financial institutions after encountering fraud (S. Sando 2021). The defection of such members to rival
institutions causes financial losses and bad reputations to the victim institution, mainly if the trend becomes
recurrent. It, therefore, becomes an essential practice for financial institutions to mount robust fraud
detection structures within their systems. There are two major fraud detection approaches, the rule-based
approach and the leveraging of OpenAI.
Machine Learning-Based Fraud Detection
There are hidden and disguising events in user behaviour that lack the clarity of outright evidence
to be identified as fraudulent transactions. Machine learning allows for the development of algorithms that
can handle massive datasets with several variables and helps identify these hidden behaviours between
operator behaviour and the likelihood of fraudulent actions. Machine learning structures are more advanced
than traditional rule-based structures due to their fast data processing capabilities and automation tools in
data handling. For example, intelligent algorithms are excellent in behaviour analytics as they reduce the
number of verification steps needed.
Sina Ahmadi, 2023 266
Financial institutions are more involved in monitoring the likely occurrence of fraudulent activities
as they must identify and communicate any flagged online activity. A research by Villalobos explains a
scenario that involved the programming of a machine prototype on a dataset containing transactions that
had been criminally executed. The prototype used in the rule-based model helped identify the hidden
relations manifested in the transactions and criminal activities. Such machine learning systems reduce the
amount of work in smaller financial institutions that undertake fraud monitoring operations. The suggested
solution in the article revealed that 99.6 % of money laundering transactions and cut down the reported
transactions from 30 % to 1 % (Villalobos and Silva 2017).
Machine learning (ML) is built on algorithms, which increase efficiency as the data size increases.
The greater the data, the more the machine learning prototype grows more efficient and can differentiate
the differences and similarities between different behaviours. The more the machine learning model
unearths the differences between fraudulent and legitimate operations, the more its systems grow more
efficient in sorting data sets into the needed classes. Machine learning models become more scalable as the
customer database increases in size.
Although machine learning algorithms have numerous benefits in fraud detection among financial
institutions, they carry some drawbacks that limit their application in detecting fraud. For example, one of
the main disadvantages is that machine learning needs colossal amounts of data for the models to be
accurate. The data threshold is manageable, but there should be ample data points that identify the legitimate
causal associations in smaller financial institutions. In addition, machine learning algorithms run on actions,
activity and behaviour. The model may overlook clear connections, for instance, a card used in multiple
accounts, which could render the fraud detection operation inaccurate.
Article Reviews
Ayowemi (Awoyemi, et al. 2017) researched why credit card-related fraud detection becomes an
impediment and articulated that it occurs for two main reasons. Firstly, fraudulent and regular behaviour
changes constantly. Secondly, there is a massive imbalance in the datasets generated from credit card fraud.
In the same vein, the approach used to sample the dataset, the selection of variables and the methods used
in fraud detection also affect the fraud detection performance in transactions related to credit cards. The
research investigated the performance of naïve Bayes, k-nearest Neighbour and logistic Regression on
credit card datasets assumed to be largely skewed. The research also uses a hybrid technique that involves
the undersampling and oversampling of skewed data. The techniques were applied to the generated data
and later transferred to Python. The results demonstrated higher levels of accuracy for k-nearest Neighbour,
naïve Bayes and classifiers for the Logistic Regression were 97.92 % and 97.69%. According to the
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comparative results, k-nearest Neighbour outperformed the naïve Bayes and Logistic Regression
algorithms.
Research carried out by Bauder et al. focused on the alleged fraud experienced at Medicare. The
research compared some of the machine learning methods leveraged while identifying fraud at Medicare.
The researchers carried out a comparative study using hybrid machine learning methods that relied on four
performance systems of measurements and minimization of class imbalance by deploying the 80-20
undersampling technique in tandem with oversampling. The former sampling technique had a better
performance than the latter approach. The research concluded that oversampling leads to poor performance
in machine learners (Herland 2018).
To add to this pool of research, balanced accuracy (BACC) seemed unreliable as a method of
measuring the performance of models in various models and rendered it unable to reflect more realistic
alterations observed in other metrics. Therefore, the undersampling technique enhanced learner
performance and the supervised approaches turned out better than the hybrid and unsupervised hybrid
learners. The provider section contributed to impediments in fraud detection, with somewhat specialized
provider categories depicting higher performances than other general categories.
Use of Generative AI in augmenting and enhancing fraud detection strategies
Generative AI’s backbone involves the use of transformer deep neural networks. One such example of
generative AI is OpenAI’s ChatGPT. Generative AI is constructed to provide data sequence as output and
has to be trained using sequential data, like payment histories and sentences. It varies from other methods
that produce single categorizations, such as fraud/ not fraud, depending on the given input and training data,
that can be provided to the model in any sequence. Generative AI’s yield can progress indefinitely, while
other classification methods only yield single outputs.
Generative AI becomes the superlative tool needed to generate data grounded on actual data synthetically.
Its development will depict essential applications in detecting fraud, whereby, as earlier noted, the number
of feasible fraud samples remains little and challenging for machine learning to effectively learn from., A
model can apply generative AI and use the existing patterns to develop novel, synthetic samples that pose
as actual fraud samples, enhancing the fraud signals for essential fraud detection machine learning tools.
An archetypal fraud signal comprises non-fraudulent and fraudulent data. Usually, the non-fraudulent data
appears first in the sequence of events and carries the actual behavioural activity of the card’s owner.
Generative AI can generate such payment sequences and simulate a fraud attack on the card, which would
then be used to train data to help fraud detection machine learning tools and enhance their performance.
Sina Ahmadi, 2023 268
Using Generative AI to detect Fraud
One of OpenAI’s criticisms is that current models can rely on incorrect outputs. This is a significant
flaw that most people in financial institutions are concerned about as they never use public tools like
customer chatbots to present made-up, more false information. However, the perceived flaw can be used to
generate synthetic fraudulent data since synthetic disparity in synthesized output can develop exceptional
fraud patterns, enhancing the end fraud defence model’s detection performance.
As known to many, repetitive examples of a similar fraud signal do not always enhance detection
since most of the machine learning models need a few occurrences of each entity to learn from. The
variation in the developed outputs generated from the generative model increases the sturdiness of the end
fraud model, helping it spot any fraud patterns in the data and identify similar attacks that would have
quickly passed unnoticed if traditional processes were used.
This would pose some concerns for fraud managers and cardholders as they may wonder how a
fraud model trained on generated data can enhance fraud detection and any merits attached to the exercise.
Unknown to them is that before a model is used on live payments, it passes through severe evaluation
operations to maintain its projected performance. It is abandoned if it does not attain the expected top-notch
performance and replacements are trained until the best models are found. This process is standard and is
the norm for all produced machine learning models since models trained using authentic data can also
produce substandard results during the evaluation stage.
Tools used in OpenAI to effectively detect Fraud in Finance
Financial institutions are overwhelmingly shifting to AI to help in efficient fraud detection.
Multiple industries including banking, fintech and e-commerce have already adopted fraud detection
solutions. Using machine learning algorithms, such industries can now process huge amounts of data and
detect suspicious patterns to safeguard the business from fraud.
The Use of Logistic Regression in Fraud Detection Machine Learning Algorithms
Logistic regression is the supervised learning method supported by definite decisions. All obtained
results are categorized as non-fraud or fraud once a transaction occurs. This technique uses a cause-and-
effect relationship to generate organized data sets. The regression analysis method is more complex when
detecting fraud due to the data set sizes and numerous variables. This algorithm forecasts whether new
transactions will be categorized as fraudulent. The models are primarily accurate for clients from larger
financial institutions. However, the general models also remain viable and applicable for use.
Using Decision Trees in Fraud Detection Machine Learning Algorithms
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This AI version creates a graphic illustration of a decision-making process. They are useful tools
in fraud detection, as they did in identifying the most crucial variables that led to fraud and developing a
framework used in identifying fraudulent transactions.
Decision Tree algorithms come into play while classifying atypical activities in any transaction an
authorized user initiates. The algorithms house trained constraints that are essential tools in fraud
classification on the dataset. The algorithms are used in the regression or classification extrapolative
modelling challenges. They are fundamental rule sets designed to use fraud allegations involving clients.
Designing a decision tree discards any unrelated features and does not need wide-ranging data
normalization. After a tree is inspected, it becomes clear why some decisions were made by relying on the
group of rules initiated by a specific client. The machine learning algorithm output may surface as a model
aping the decision tree, giving a possible trace of fraud based on earlier events.
Using Random Forest in Fraud Detection Machine Learning Algorithms
Random Forest Machine Learning combines decision trees to produce more accurate results. Every
tree assesses transactions for various decisions (V. Ayyadevara 2018). Training is conducted on random
datasets. Depending on the executed training offered on the decision trees, each tree classifies transactions
by deeming them either fraudulent or non-fraudulent. The model is then harnessed to accurately predict the
result, allowing fraud detectors to even out errors that may surface in a tree. It improves the overall
performance model accuracy and sustains the ability to interpret the results and give explicable scores to
the users.
Random forest runtimes are fast and can handle unbalanced or missing data. However, they have
some weaknesses. For instance, when deployed in regression, they cannot predict past the variety in the
training of the data and may provide overfit data sets, often termed as noisy.
Using Neural Networks in Fraud Detection Machine Learning Algorithms
They emulate the complex nature of the human brain. Financial institutions use it to parse antique
databases of preceding transactions, inclusive of those predetermined as fraudulent transactions. Each
transaction a neural network processes upsurges its accuracy levels in detecting future frauds and
incorporates it into its vast repository of historical information, enabling the model to learn new and existing
patterns of habitual fraudsters continually.
Neural networks are designed to function similarly to the human brain. They utilize various
computation layers. They also use cognitive computing that aids in developing machines that can use self-
learning algorithms that involve data mining, processing of natural language and recognition of patterns
Sina Ahmadi, 2023 270
(D. Graupe 2016). Neural networks pass through multiple layers during the data training process. They
however, give more accurate results than other models since they use cognitive computing and learn from
the patterns of authorized behaviour. They are therefore able to distinguish between non-fraud and
fraudulent transactions. They blend into the change in the behaviour of what is assumed to be standard
transactions and identify types of fraudulent transactions. Neural networks are fast and function in real-
time.
Deep Learning
Mastercard is one of the leading users of AI in preventing card-related fraud. The adoption of AI technology
has helped Mastercard reduce occurrences of false declines. Through the leveraging of deep learning
models that progressively learn from the organization's 75 billion transactions processed annually across
its 45 million locations worldwide, the AI system uses a constantly flowing stream of data and self-
searching algorithms to make its decisions (OpenAI 2023). The results are hugely impressive, significantly
reducing fraudulent practices and false declines for Mastercard.
Natural Language Processing
World leading institutions, such as PayPal, American Express and Bank of New York Mellon, are some of
the financial institutions using the power of Natural Language Processing in fraud detection efforts (OpenAI
2023). NLP extracts signals from IVR interactions, voice and chats to enable these financial companies to
effectively spot and prevent suspicious fraud due to the technology's capacity to enhance routine detection.
Merits of Using AI-Powered Fraud Detection Systems
AI-powered fraud detection approaches create a more efficient strategy than the existing traditional
methods as they offer intricate fraud pattern detection and real-time analysis and are adaptable to emerging
fraud schemes; by reducing the associated time, budgets and false positives, OpenAI will increase the
efficiency and accuracy of detecting fraud, causing to decreased financial losses emerging from
cybercrimes.
From a client's viewpoint, institutions that accurately and efficiently detect fraudulent activities
will prevent customers from falling victim to financial fraud. Therefore, institutions that adopt OpenAI will
benefit from preventing fraud and increasing customer retention and loyalty.
Partnerships between OpenAI and Fintech companies
Since its inception, a synergetic partnership between fintech companies and Open AI has existed.
The partnership is quickly changing how financial operations are being executed. These Fintech companies
are innovative entities now integrating OpenAI to expand the boundaries they can achieve in their financial
operations. OpenAI has been used by fintech institutions in the following ways:
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Spearheading Intelligent Investing
Key to this new advent is the growth of robo-advisors, whereby OpenAI's data-crunching abilities
equip investors with algorithm-driven and personalized tips (P. Mahajanam 2023). The collaboration
between OpenAI's analytical prowess and fintech's accessibility upscales intelligent investing, making
intricate strategies accessible to vast audiences.
Using Blockchain to Revolutionize Transactions
Incorporating OpenAI into blockchain technology has revolutionized how transactions are carried
out. OpenAI has advanced skills in understanding complex instructions and has helped streamline and
secure agreements using smart contracts. The marriage has set the bar for a future controlled and managed
by decentralized and transparent financial operations and increased its efficiency.
Enhancing Customer Experience
OpenAI has natural language processing techniques that improve customer interactions in fintech
companies. Such natural language-reliant tools include chatbots and virtual assistants, which offer a
personalized and seamless user experience when powered by OpenAI algorithms. These interfaces have
redefined customer engagement by assisting in financial planning and answering queries and have made
financial services approachable and user-friendly.
Fortifying Security Structures
OpenAI and fintech partnership extend to fraud prevention and risk management. Open AI has
powerful algorithms that analyze existing patterns in real-time and identify anomalies and other likely
frauds with utmost accuracy. This proactive measure protects financial institutions and revamps consumer
trust by ensuring that the security and integrity of AI-powered financial services are upheld.
Manoeuvring Regulatory Practices
As the partnership transcends time, it becomes more essential to navigate regulatory landscapes.
Fintech institutions, in collaboration with OpenAI, employ various strategies to comply with the set
regulations. The two must balance innovation and concurrently adhere to changing legal frameworks to
ensure they remain responsible and promote sustainable growth amongst themselves.
Financial Companies using OpenAI: The Case of Stripe and Mastercard
Stripe
One financial company that has harnessed Open AI's powers in fraud detection is the
Irish/American financial services company Stripe. It is among the pioneering OpenAI's GPT-4 users. Stripe
Sina Ahmadi, 2023 272
facilitates the payment of large and small businesses over the Internet. As the organization develops its
ecosystem to support all elements of the payment procedures, developers become their fundamental users.
The more accomplished the developers grow while enrolling in Stripe, the more Stripe expands through the
digital payments realm and grows the Internet's GDP.
The shift to OpenAI began when Stripe summoned a team of 100 staff from its different
departments to cease their duties and brainstorm how GPT-4 would optimize old features or develop new
ones for the organization. Stripe tasked the 100 employees with dreaming up functionality and features to
use in the payment platform using OpenAI's language learning model's newest generation, GPT-4
(Boukherouaa et al. 2021). Stripe's specialists from the onboarding, support and risk sections considered
where their institution would leverage artificial intelligence that comprehends free-form images and text
and develops human-like responses to either change or improve workflows or features.
According to Eugene Mann, Stripe's Applied Machine Learning Team product lead, the company's
mere access to GPT-4 helped them realize they had various problems that could be amicably solved using
GPT. Mann stated that their primary mission was to discover workflows or products across the organization
that would be enhanced using large language models and understand specific areas where the models would
work well or struggle in delivering results. Stripe is a familiar user of AI as it used OpenAI's previous sequel
technology, GPT-3, to aid its support team in better serving users through services like summarizing a user's
query and routing issue tickets.
In the initial development process, Stripe's team assembled 50 potential applications to test GPT-
4. After vigorous testing and vetting, 15 of the prototypes emerged as strong candidates that would be
incorporated into the platform to serve functions that included fraud detection, support customization and
answering any questions pertaining to support. Stripe uses OpenAI in the following operations;
Seeking Clarity over the Users' Operations
To enhance user experience and give the expected support, Stripe has to precisely understand how
each of its customers uses the platform and tailor its support accordingly. Although it may seem like an
obvious step, it needs long human hours to master and effect.
Mann states that most businesses, for instance, nightclubs, keep their websites mysterious and
sparse, making it challenging as one searches to discover what is happening on such platforms. However,
the advent of GPT-4 has enabled Stripe to scan such websites and provide a summary that vastly outdoes
those performed using human skills. Upon hand-checking the results, Stripe realized that humans were
wrong, but the model deployed was the right pick. However, GPT-4 has now erased any traces of
uncertainty as it produces accurate results.
Answering Queries Regarding Documentation
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Yet another way Stripe supports developers is through detailed technical documentation and a strong
developer support team that answers technical queries or troubleshooting-related challenges. GPT-4 can
understand, digest and provide virtual assistance. The technology understands all questions from the user
and reads comprehensive documentation for them.
Detecting Fraud in Community Platforms
The need arises to control harmful or malicious actors. Stripe houses a strong community on forums such
as Discord, which not only crowdsources help for niche technical queries but also enhances developers'
visibility for upcoming works. However, since it operates online, malicious fraudsters gain access to such
forums, mainly intending to access crucial information from community members or obtain credibility with
Stripe's community team after being expelled from the platform.
GPT-4 becomes helpful in this scenario by evaluating the posts' syntax on Discord and flagging
accounts where Stripe's fraud team should investigate and ascertain that it is not a fraudster in disguise.
GPT-4 is also helpful in scanning inbound communications and discovering coordinated activities from
suspected actors.
Future Engagements
The Stripe Team is now considering other upcoming features from OpenAI. GPT can be harnessed
as a business coach that can interpret revenue models or advise financial institutions on effective strategies.
As GPT grows more intelligent over time, its potential areas of applications keep growing.
MasterCard
Mastercard is another beneficiary of the new AI-powered tool in fighting financial fraud.
Mastercard adopted the use of AI technology in the last decade. Today, AI has evolved into a foundational
technology deployed all over Mastercard’s operations and has become a game-changer in identifying fraud
patterns. The new AI-powered cybersecurity solutions have saved over $35 billion in fraud losses in the
last three years [26]. It uses AI to help banks envisage upcoming frauds in real-time before any funds are
transferred from a victim’s account. If all U.K banks successfully adopt the new technology, the Trustee
Savings Bank predicts a decrease in scam losses of up to $100 million [26]. Ranging from simple enticing
scams to fictitious online frauds, impersonation scams of various forms have hurt businesses and individuals
over recent times and reduced the confidence of those yet to be scammed. However, the situation is
changing as financial institutions like Mastercard have reinforced the fight against online fraudsters using
a new Consumer Fraud Risk Solution.
Sina Ahmadi, 2023 274
By using the organization’s new AI capabilities and its exemplary network monitoring of account-
to-account payments, the new technology helps financial institutions look for any impending fraud.
Mastercard has partnered with nine UK banks, including Bank of Scotland, TSB, Lloyds Banks, Monzo,
Halifax and now uses large-scale payment data in picking out actual payment frauds before initiating a
funds transfer from any account.
Organized fraudsters have scammed unsuspecting individuals through a series of assumed mule
accounts by disguising them as trustworthy parties. To battle the trend, Mastercard collaborated with United
Kingdom Banks to track the flow of funds through these fraud accounts and lock them out. Using insights
gained from the tracking activity and supporting them with unique analysis factors like payment values,
payee history, account names, payer details and payee’s links to accounts linked with scams, Mastercard’s
AI tool gives banks the needed intelligence to intervene in real-time and thwart any suspicious payment in
time. Trustee Savings Bank is among the first beneficiaries of the new revolution. The bank has adopted
Mastercard’s Consumer Fraud Risk Tool. In its first four months, the bank attests that the new tool has
revamped its fraud detection capabilities. Based on its reports, in the U.K., the amounts that would have
been saved from scams in a year is £100m [26], should all banks adopt the solution. Other banks have on-
boarded the process and Mastercard looks to scale the solution to other international markets.
As payment and banking security advances, scammers have opted for impersonation tactics to
bypass security measures. They aim to convince people or institutions to send them funds, thinking they
are legitimate people or entities. Mostly referred to as APP (authorized push payment) fraud, it accounts
for 40 % of the United Kingdom’s bank fraud losses and it is predicted that it could cost $4.6 billion in the
U.K. and U.S alone by 2026 [26]. Ajay Bhalla, Mastercard’s president of Cyber and Intelligence admits
that banks find these scams challenging to detect (Mastercard 2023). He states that customers bypass all set
security checks and send the funds themselves, saving criminals the need to breach any security measures.
Online fraud erodes customers’ confidence in digital financing in a digitally advancing world. Bhalla
reiterates that Mastercard’s mission is to build and maintain customer trust. Using the new AI technology,
Bhalla believes, will help banks identify and forecast any payments linked to fraudsters and stop them early
enough.
TSB’s director of Fraud Prevention, Paul Davis, compares identifying fraudulent payments among
the millions of transactions carried out within a day to looking for a needle in a haystack. According to
Paul, the new TSB’s partnership with Mastercard will give the financial intelligence required to discover
fraudulent accounts and deter any payments linked to such accounts.
Results generated from banks adopting Consumer Fraud Risk’s score reveal massive success in
preventing fraud, especially when deployed with various insights concerning customers and their
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behaviours. This has helped the banks develop fraud strategies that precisely identify various forms of
fraud, mainly romance, impersonation and purchase scams. Purchase scams are the leading firms in the
U.K., accounting for 57 % of all scams and a significant nuisance for the banks 1. In 2022, the U.K
experienced 207 372 cases of authorized push payment scams and incurred losses of up to £485 million
[26].
OpenAI as an Advantage for Fraudsters
The scene has become two-way traffic as upcoming fraudsters can use OpenAI to stage unsuspected
scams on innocent victims. Using OpenAI, scammers can imitate a person's voice and identity and carry
out scams on their banking institutions. According to Soups Ranjan, CEO and co-founder of Sardine, a San
Francisco-based fraud prevention startup, fraudsters now have access to flawless grammar, similar to a
native speaker (Mastercard 2023). Banking customers are often falling victim to more swindles because
they are now getting almost perfect disguising text messages.
In the new realm of generative AI, deep learning models can curate content based on the
information they get trained on. It has therefore become easier for fraudsters to generate video, text or audio
that can not only convince potential individual victims but also the programs or software intended to prevent
the fraud. The same analogy has resurfaced with the advent of OpenAI. The fraudsters have been long
adopters of new technologies as law enforcers struggle to cope. For instance, an article by Churbuck (D.
Churbuck 1989) explains how thieves used laser printers and ordinary personal computers to excellently
forge cheques to trick the banking institutions, which during those times, had lagged in establishing
measures that would detect fake cheques.
Generative AI has grown threatening. It could sadly make high-tech fraud prevention technology,
for example voice authentication, obsolete. According to a survey conducted by Deep Instinct (Deep
Instincts 2023), a New York-based cyber firm, on 650 cybersecurity experts, three out of four sampled
cybersecurity experts noted an upsurge in attacks the previous year. 85 % of the cybersecurity experts
attributed the surge to online fraudsters leveraging generative AI. Customers, in 2022, reported losses
amounting to $8.8 billion through online fraud, a 40 % increase from the previous year. This is according
to a report obtained from the US Federal Trade Commission reports (J. Mayfield 2023). Massive monetary
losses arise from online frauds, but imposter scams have taken centre stage as AI has bolstered them.
Fraudsters can harness generative AI capabilities in myriads of cunning ways. If a person often
posts on online or social media platforms, the fraudsters can train an AI model to type in the person's style.
They can also contact your relatives and implore them to send you funds. More astonishingly, fraudsters
can use a short audio sample of a person's voice to convince relatives through impersonation. In extreme
Sina Ahmadi, 2023 276
cases, they stage kidnappings and ask for ridiculous ransom using the voice. Jennifer Destefano, an
Arizonian mother of four, once faced such a predicament and later testified to Congress (U.S. Senate
Committee on the Judiciary 2023). Not only are relatives being scammed, but businesses have fallen victim
too. Fraudsters have disguised themselves as actual suppliers and crafted deceiving yet convincing emails
to accountants claiming immediate payments. They proceed to attach payment instructions for bank
accounts they can manipulate. Ranjan, Sardine's CEO, confirms that Sardine's fintech startup customers
often fall prey to such scams and lose thousands of monies in such scams. These amounts may seem little
compared to the $35 million a Japanese company lost in 2020 after one of its directors' voices was cloned
and later used to stage an intricate swindle (T. Brewster 2021). That was a prelude to what was to follow,
as AI capabilities now spill to video manipulation, writing and voice impersonation services. These AI tools
have become cheaper and more accessible to fraudsters. Much earlier, one needed hundreds or perhaps
thousands of photos to curate a high-quality, deep fake video. However, AI can now complete such tasks
using a few photos.
As financial institutions adapt AI to curb fraud, online crooks are updated on the same as they
develop off-the-shelf tools. This has seen the emergence of names like WormGPT and FraudGPT, reliant
on generative AI models used by tech corporations with fraud intents.
In one fake YouTube video, generative AI helped clone Elon Musk’s voice and face hawking a
crypto investment prospect that involved a $100,000,000 Tesla-sponsored bargain, which promised to give
back double the bitcoin, dogecoin, ether or tether amount the investors would pledge. In the video, Elon
was heard appreciating the interested investors and hailed the platform as an online broadcast enabling all
cryptocurrency owners to increase their incomes. In this low-resolution video, Musk attributed the lack of
clarity to hosting the crypto event from SpaceX. Since the video was fake, innocent and unsuspecting
investors would have fallen victim to this scam. Scammers had used a similar 2022 YouTube Video (CNET
2022) he had given while on a SpaceX spacecraft program and impersonated his voice and image. Although
YouTube pulled the fake video down, any investor that had sent crypto to any of the issued addresses lost
their funds to innovative fraudsters that harnessed the power of generative AI. Musk remains a significant
target for impersonations, as numerous audio samples are online to power AI-enabled voice clones.
However, these fraudsters can impersonate almost anyone with online audio samples.
Voice impersonations are also gaining much use in scamming people through calls. The elderly
American population is mainly targeted in this case. Everyone needs to be cautious about incoming calls,
even when they are from what seems to be conversant numbers. Victims who have once been scammed
find it challenging to trust any incoming calls due to spoofing phone numbers in robocalls, according to
Kathy Stokes, director of fraud prevention programs at AARP, a lobbying and services provider with more
277 Journal of Knowledge Learning and Science Technology ISSN: 2959-6386 (Online), Vol. 2, Issue 3, December 2023
than 38 million members aged over 50 years (Mastercard 2023). Stokes claims they always suspect emails
and text messages sent to them, which has posed severe concerns for their primary communication channels.
Another worrying development is the new threat to the already established security structures. For
instance, Vanguard Group is a huge financial institution that has given voice recognition utmost priority to
its customers. This mutual fund giant serves over 50 million investors and allows its clients to access
specific services over the phone by speaking instead of answering security questions. Vanguard Group
entrusts the client's voice to be as unique as their fingerprints, according to its 2021 video promotion on
YouTube (CNET 2022). The company was rallying its members to sign up for its voice recognition feature
in the video promotion. However, the latest exploits in voice-cloning suggest that financial institutions
should rethink such practices. Ranjan, Sardine's CEO, claims that she has seen individuals deploying voice
cloning to authenticate with unsuspecting banks and. access accounts effortlessly (Mastercard 2023).
Large and small businesses that use informal procedures to pay bills or transfer funds are also
critical targets for online AI fraudsters. Since time immemorial, fraudsters have been emailing fake invoices
to demand payment bills that appear to have been initiated by suppliers. The practice can reach higher levels
of deceit as fraudsters can use the AI tools to call the company's employees using cloned versions of the
executive's voice and order transactions or ask employees for sensitive information to conduct vishing or
voice vishing attacks. According to Rick Song, CEO at Persona, impersonating an executive for highly
valued fraud remains one of the biggest fears of voice recognition security measures (Mastercard 2023).
Criminals continuously use generative AI to engage fraud-prevention specialists assigned to thwart
these threats in the digital finance system. Fraud prevention specialists must verify that the customers are
who they claim to be to safeguard the institution and the customers from losses from online fraud. One of
the ways that fraud-prevention businesses like MiTek, Socure and Onfido verify their users is by use of
liveness checks. This method requires the user to take a video or selfie photo and the fraud prevention
specialists use the elements to match the live face with the face found in the ID, which the user is also
prompted to submit. When they understand how the system operates, online fraudsters purchase images of
driver's licenses on the dark web and use the now cheaper and available video morphing programs to
superimpose the real faces onto theirs. The program also allows them to talk and move their heads behind
real people's digital faces, maximizing the chances to bypass the liveness checks.
There has been an upsurge in the generation of fake faces. The fake faces are high-quality and used
to mount automated attacks to impersonate liveness checks. The upsurge varies according to the industries,
but the previous years have recorded significant cases. Crypto and Fintech companies have experienced the
highest number of impersonated liveness check attacks. Fraud experts reported to Forbes that they suspected
Sina Ahmadi, 2023 278
that well-established verification providers such as MiTek and Socure have experienced their fraud
prevention metrics degrade due to the attacks. Johnny Ayers, Socure's CEO, points out that some clients
need to be more active in adopting the firm's new models, which could adversely affect their performance
(Mastercard 2023). Ayers also pointed out a top bank behind four versions, citing the dangers posed to the
financial institution.
MiTek failed to comment on its performance metrics. However, Chris Briggs, its senior vice
president, claims that if a particular model were developed some months ago, it would be argued that the
older model performed at lower levels than the newer models. The vice president stated that the firm's
models undergo vigorous training and retraining trained and retrained using lab-based and real-life data
streams.
Wells Fargo, Bank of America and JPMorgan failed to remark on the impediments they faced with
generative AI-powered online scam. One spokesperson from Chime, America’s most prominent digital
bank and a victim of significant fraud problems, also claims that the institution has not recognized any
upsurge in generative AI-powered fraud attempts (Vanguard 2021).
Online fraudsters behind the growing financial scams vary from solo individuals to well-organized
groups made of hundreds of tech gurus. The organized online groups work in multi-layered structures and
have adept members, with data scientists onboard. They own their command-and-control centers. Some
members are only tasked to identify leads by phishing phone calls and emails. When their phishing attacks
get an unsuspecting customer, they hand them over to the next colleague in line, who masquerades as a
bank branch manager and attempts to persuade the victim to transfer the money from the account. One of
the critical steps in the scamming process involves persuading the victim to install a program like Citrix or
Microsoft TeamViewer that allows them to control their computer. With such levels of control on the
victim's computer, the online fraudsters further stretch to carrying out more purchases and withdrawing
funds to other addresses.
OpenAI has attempted to develop precautions that hamper people from using ChatGPT to commit
fraud. For example, the model immediately declines any attempt to initiate ChatGPT to ask an individual
for their account number. OpenAI recognizes fraudsters' possible misuse of the platform and has a safety
and misuse policy on its website that reads. There is no silver bullet for responsible deployment, so we try
to learn about and address our models' limitations and potential avenues for misuse at every development
and deployment stage." (Haverstock and Kauflin 2021).
Meta, on the other hand, released a language model, Llama 2, which is even easier to use for
advanced criminals due to its open-source nature, which displays all its deployed codes. This expands the
possible number of ways online fraudsters can tailor it to their advantage and spell doom on unsuspecting
279 Journal of Knowledge Learning and Science Technology ISSN: 2959-6386 (Online), Vol. 2, Issue 3, December 2023
victims. These fraudsters can develop malicious AI tools on top of the model. Amid the insecurity concerns,
Meta CEO Mark Zuckerberg said Llama is open-sourced to enhance its security and safety. According to
Zuckerberg, many people can scrutinize open-sourced software to highlight and fix issues.
Fraud prevention organizations are rapidly trying to innovate and remain updated by increasingly
assessing new data types to identify possible fraudsters. Defining people as being who they are online is a
challenging feat to achieve and calls for the use of AI. AI will be needed to combat the generative AI-
powered trickery from the fraudsters.
Summary
OpenAI is a revolutionary tool in finance. However, its usefulness will depend on the parties being
more conversant and updated about leveraging its powerful tools. Its deep machine learning tools are used
in the financial sector in various operations, including using blockchain to revolutionize transactions and
chatbots to enhance customer experience. Machine learning has also been a cheat code in fraud detection,
as financial fraud detectors harness the power of neural networks, decision trees, algorithms, natural
language processing and machine learning to develop robust security structures that thwart fraud attempts.
International companies like Stripe and Mastercard can attest to the benefits of using OpenAI in detecting
fraud and they hope to upscale their AI operations into their business. However, if OpenAI lands in the
wrong hands, it can be used to swindle money from these financial institutions effortlessly, as depicted by
the emergence of the terms WormGPT and FraudGPT. Numerous cases have been reported involving use
of generative AI to clone voices and images or even generate convincing texts that con unsuspecting
individuals or organizations. Since fraudsters will always be on the move to curb their economic needs,
fraud detection specialists must proactively use OpenAI to curb these attacks and protect their financial
institutions from incurring huge losses through online fraud.
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Abstract In the United States, advances in technology and medical sciences continue to improve the general well-being of the population. With this continued progress, programs such as Medicare are needed to help manage the high costs associated with quality healthcare. Unfortunately, there are individuals who commit fraud for nefarious reasons and personal gain, limiting Medicare’s ability to effectively provide for the healthcare needs of the elderly and other qualifying people. To minimize fraudulent activities, the Centers for Medicare and Medicaid Services (CMS) released a number of “Big Data” datasets for different parts of the Medicare program. In this paper, we focus on the detection of Medicare fraud using the following CMS datasets: (1) Medicare Provider Utilization and Payment Data: Physician and Other Supplier (Part B), (2) Medicare Provider Utilization and Payment Data: Part D Prescriber (Part D), and (3) Medicare Provider Utilization and Payment Data: Referring Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS). Additionally, we create a fourth dataset which is a combination of the three primary datasets. We discuss data processing for all four datasets and the mapping of real-world provider fraud labels using the List of Excluded Individuals and Entities (LEIE) from the Office of the Inspector General. Our exploratory analysis on Medicare fraud detection involves building and assessing three learners on each dataset. Based on the Area under the Receiver Operating Characteristic (ROC) Curve performance metric, our results show that the Combined dataset with the Logistic Regression (LR) learner yielded the best overall score at 0.816, closely followed by the Part B dataset with LR at 0.805. Overall, the Combined and Part B datasets produced the best fraud detection performance with no statistical difference between these datasets, over all the learners. Therefore, based on our results and the assumption that there is no way to know within which part of Medicare a physician will commit fraud, we suggest using the Combined dataset for detecting fraudulent behavior when a physician has submitted payments through any or all Medicare parts evaluated in our study.
Book
Bridge the gap between a high-level understanding of how an algorithm works and knowing the nuts and bolts to tune your models better. This book will give you the confidence and skills when developing all the major machine learning models. In Pro Machine Learning Algorithms, you will first develop the algorithm in Excel so that you get a practical understanding of all the levers that can be tuned in a model, before implementing the models in Python/R. You will cover all the major algorithms: supervised and unsupervised learning, which include linear/logistic regression; k-means clustering; PCA; recommender system; decision tree; random forest; GBM; and neural networks. You will also be exposed to the latest in deep learning through CNNs, RNNs, and word2vec for text mining. You will be learning not only the algorithms, but also the concepts of feature engineering to maximize the performance of a model. You will see the theory along with case studies, such as sentiment classification, fraud detection, recommender systems, and image recognition, so that you get the best of both theory and practice for the vast majority of the machine learning algorithms used in industry. Along with learning the algorithms, you will also be exposed to running machine-learning models on all the major cloud service providers. You are expected to have minimal knowledge of statistics/software programming and by the end of this book you should be able to work on a machine learning project with confidence. You will: • Get an in-depth understanding of all the major machine learning and deep learning algorithms • Fully appreciate the pitfalls to avoid while building models • Implement machine learning algorithms in the cloud • Follow a hands-on approach through case studies for each algorithm • Gain the tricks of ensemble learning to build more accurate models • Discover the basics of programming in R/Python and the Keras framework for deep learning
The pandemic may be the greatest environment for business fraud in decades
  • G Colvin
Colvin, G. (2020, November 12). The pandemic may be the greatest environment for business fraud in decades. Fortune. https://fortune.com/2020/11/12/pandemic-corporate-fraud-scams/
The Fraud Triangle: Fraudulent Executives, Complicit Auditors and Intolerable Public Injury
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Littman, A. (2011). The Fraud Triangle: Fraudulent Executives, Complicit Auditors and Intolerable Public Injury. CreateSpace Independent Publishing Platform.
Why understanding your fraud false-positive rate is key to growing your business. The Paypers
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Ciobanu, M. (2020, March 12). Why understanding your fraud false-positive rate is key to growing your business. The Paypers. https://thepaypers.com/thought-leader-insights/why-understandingyour-fraud-false-positive-rate-is-key-to-growing-your-business--1241130
Card industry's fraud-fighting efforts pay off: Nilson Report. Payments Dive
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Mullen, C. (2023, January 5). Card industry's fraud-fighting efforts pay off: Nilson Report. Payments Dive. https://www.paymentsdive.com/news/card-industry-fraud-fighting-efforts-payoff-nilson-report-credit-debit/639675/
Identity Fraud: Securing the Connected Life
  • Marchini Pascual
  • Miller
Pascual, Marchini, & Miller. (2017). Identity Fraud: Securing the Connected Life. Javelin Strategy. https://javelinstrategy.com/research/2017-identity-fraud-securing-connected-life