Tackling Insurance Fraud
Tackling Insurance Fraud

Author: Lynne Skajaa

Publisher: Taylor & Francis

Published: 2020-11-26

Total Pages: 200

ISBN-13: 1000341402

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Insurance fraud is a growing problem on a global scale. The ABI estimates that fraudulent insurance claims on motor and household policies alone cost insurers in excess of £1 billion every year. This book provides an analysis of the insurance industry’s response to the problem and examines fraud from legal and practical perspectives to determine how to manage and reduce fraud. Key issues covered include: fraud in the insurance and reinsurance context, a look at industry-wide initiatives and individual insurance companies’ approaches to the problem, consideration of recent legal developments and a look at how insurance fraud is tackled in other jurisdictions. Includes a chapter on marine insurance fraud.

Marine Insurance Fraud
Marine Insurance Fraud

Author: Baris Soyer

Publisher: CRC Press

Published: 2014-07-25

Total Pages: 527

ISBN-13: 1317746236

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This book provides a comprehensive and coherent legal analysis of the impact of fraud on the position of various parties to a marine insurance contract, as well as the cover provided by standard marine policies. The issues under discussion in this invaluable guide are also equally relevant in the context of non-marine insurance contracts. Helpfully divided into two parts; the first part deals with the impact of fraud committed by parties to an insurance contract i.e. the assured, brokers and insurers.The second part analyses the extent to which standard marine policies cover the fraudulent and dishonest activity of third parties to an insurance contract. This book will be of huge practical assistant to practitioners specialising in marine insurance as well as insurance generally, and to professionals, academics and post-graduate students.

Insurance Fraud Casebook
Insurance Fraud Casebook

Author: Laura Hymes

Publisher: John Wiley & Sons

Published: 2014-07-22

Total Pages: 292

ISBN-13: 1118700872

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Real case studies on insurance fraud written by real fraud examiners Insurance Fraud Casebook is a one-of-a-kind collection consisting of actual cases written by fraud examiners out in the field. These cases were hand selected from hundreds of submissions and together form a comprehensive picture of the many types of insurance fraud—how they are investigated, across industries and throughout the world. Entertaining and enlightening, the cases cover every type of insurance fraud, from medical fraud to counterfeiting. Each case outlines how the fraud was engineered, how it was investigated, and how perpetrators were brought to justice Written for fraud examiners, auditors, and insurance auditors Other titles by Wells: Fraud Fighter and Corporate Fraud Handbook, Third Edition Edited by Dr. Joseph T. Wells, the founder and Chairman of the Association of Certified Fraud Examiners (ACFE), the world's leading anti-fraud organization, this book reveals the dangers of insurance fraud and the measures that can be taken to prevent it from happening in the first place.

No-fault Insurance Anti-fraud Litigation
No-fault Insurance Anti-fraud Litigation

Author: Max Gershenoff

Publisher: American Bar Association

Published: 2019-06-07

Total Pages: 312

ISBN-13: 9781634257909

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No-fault insurance fraud amounts to a significant "fraud tax" on consumers, estimated at billions of dollars each year. This is a practice-focused guide to the litigation and settlement of no-fault insurance anti-fraud cases, from inception through summary judgment.

Broken Promises
Broken Promises

Author: Robert Tillman

Publisher: UPNE

Published: 1998

Total Pages: 230

ISBN-13: 9781555533755

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As the costs of medical care have skyrocketed, so has the amount of money lost to fraudulent health insurance providers. These bogus operations typically victimize individuals on the lower end of the socioeconomic scale who then face staggering medical bills without coverage. Robert Tillman shows how market conditions and weak regulatory structures have allowed these crimes to occur, and cites recent institutional and legal changes that have created both new demands for insurance and greater opportunities for fraud. He also analyzes the political and economic climate that enables these criminal practices to flourish. Drawing on court documents, congressional hearings, and actual cases, Tillman provides numerous examples of the three most prevalent forms of fraud: scams involving multiple employer welfare arrangements, employee leasing schemes, and fictitious labor unions. He also examines recent innovations in insurance fraud such as "24-hour plans" and coverage offered by dubious religious organizations. With the regulation of health insurance currently in chaos, Broken Promises offers a critical examination of this insidious form of white-collar crime. It is a timely book that raises important questions about the definition of insurance and consumer protection.

Insult to Injury
Insult to Injury

Author: Ray Bourhis

Publisher:

Published: 2021-09

Total Pages: 280

ISBN-13: 9781736791806

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Joan Hangarter bought a disability insurance policy to protect her should she ever become seriously ill. She dutifully paid her annual premiums for nearly a decade. But when she became disabled, she and her children found themselves homeless and bankrupt when her insurer, UnumProvident, stopped paying her benefits. With the help of her attorneys Hangarter won a landmark $7.7 million jury verdict, which was unanimously upheld by the US Ninth Circuit Court of Appeals.