There's an excellent Reply All episode about exactly this -- where a journalist dives deep into figuring out how one of these scams work and who is behind it.

https://www.gimletmedia.com/reply-all/long-distance

On 2019-03-12 10:51 p.m., Howard Gibson via talk wrote:
On Tue, 12 Mar 2019 21:25:22 -0400
James Knott via talk <talk@gtalug.org> wrote:
Several years ago, many companies decided to cut costs by moving help
desks etc. to India.  Many have come to regret that decision, due to the
poor quality "help".  In another thread, I mentioned how many put cost
ahead of value and we get garbage as a result.
James,

    Is Microsoft paying the Microsoft help-desk peole who call me to fix my 
Microsoft networking problems?  [Ctrl][r] does not seem to work!


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