Life Insurance Fraud-Risk Management and Fraud Prevention
Life Insurance Fraud-Risk Management and Fraud Prevention

Author: Dhara Shah

Publisher:

Published: 2018

Total Pages: 10

ISBN-13:

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Insurance fraud is one of the most serious problems threatening viability of insurance companies.Insurance frauds are driving up the overall costs of insurers and premiums for policyholders. It encompasses a wide range of illicit practices and illegal acts. Insurance companies have witnessed increase in the number of fraud cases since couple of years. Risk Management has been acquiring monumental importance in insurance industry. Insurance business is of dynamic nature that puts an additional onus on risk management. So insurance companies need comprehensive risk management strategies that involve fraud risk assessment and fraud prevention. The purpose of this study is to analyze various types of life insurance frauds, assess the risks associated with these frauds and finally frame an ideal risk management strategy to curtail or minimize the frauds associated with life insurance. The existing literature on life insurance fraud is used to explore the fraud risk management and internal control system of various organizations.

A Short Guide to Fraud Risk
A Short Guide to Fraud Risk

Author: Helenne Doody

Publisher: Gower Publishing, Ltd.

Published: 2012-09-28

Total Pages: 204

ISBN-13: 1409458717

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A Short Guide to Fraud Risk is for: ∗ anyone who needs to better understand fraud risks, either company-wide, or in a specific business unit; ∗ directors and managers who would like to add value by building fraud resistance into their organization and to demonstrate to shareholders, regulators or other stakeholders that they are managing fraud risks, rather than just reacting to incidents; ∗ regulators, auditors and compliance professionals who need to assess the effectiveness of an organisation's fraud prevention measures. The book gives a concise but thorough introduction to the risk of fraud based on a six-element strategy. It includes practical steps to assess and treat fraud risks across an organisation, including those relating to executive directors. It also provides practical steps to develop fraud awareness across an organisation and how to implement an effective fraud detection and incident management program. The application of the principles is illustrated with example documents and numerous case studies aimed at assisting the reader to implement either individual elements or a complete fraud risk management strategy.

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.

Anti-Fraud Risk and Control Workbook
Anti-Fraud Risk and Control Workbook

Author: Peter Goldmann

Publisher: John Wiley & Sons

Published: 2009-07-17

Total Pages: 192

ISBN-13: 0470524944

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How to measure your organization's fraud risks Detecting fraud before it's too late Little-known frauds that cause major losses Simple but powerful anti-fraud controls Proven guidance for fraud detection and prevention in a practical workbook format An excellent primer for developing and implementing an anti-fraud program, Anti-Fraud Risk and Control Workbook engages readers in an absorbing self- paced learning experience to develop familiarity with the practical aspects of fraud detection and prevention. Whether you are an internal or external auditor, accountant, senior financial executive, accounts payable professional, credit manager, or financial services manager, this invaluable resource provides you with timely discussion on: Why no organization is immune to fraud The human element of fraud Internal fraud at employee and management levels Conducting a successful fraud risk assessment Basic fraud detection tools and techniques Advanced fraud detection tools and techniques Written by a recognized expert in the field of fraud detection and prevention, this effective workbook is filled with interactive exercises, case studies, and chapter quizzes and shares industry-tested methods for detecting, preventing, and reporting fraud. Discover how to become more effective in protecting your organization against financial fraud with the essential techniques and tools in Anti-Fraud Risk and Control Workbook.

Financial Services Anti-Fraud Risk and Control Workbook
Financial Services Anti-Fraud Risk and Control Workbook

Author: Peter Goldmann

Publisher: John Wiley & Sons

Published: 2010-01-07

Total Pages: 290

ISBN-13: 0470498994

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Myth-busting guidance for fraud preventionin a practical workbook format An excellent primer for developing and implementing an anti-fraud program that works, Financial Services Anti-Fraud Risk and Control Workbook engages readers in an absorbing self-paced learning experience to develop familiarity with the practical aspects of fraud detection and prevention at banks, investment firms, credit unions, insurance companies, and other financial services providers. Whether you are a bank executive, auditor, accountant, senior financial executive, financial services operations manager, loan officer, regulator, or examiner, this invaluable resource provides you with essential coverage of: How fraudsters exploit weaknesses in financial services organizations How fraudsters think and operate The tell-tale signs of different types of internal and external fraud against financial services companies Detecting corruption schemes such as bribery, kickbacks, and conflicts of interest, and the many innovative forms of financial records manipulation Conducting a successful fraud risk assessment Basic fraud detection tools and techniques for financial services companies, auditors, and investigators Fraud prevention lessons from the financial meltdown of 2007-2008 Written by a recognized expert in the field of fraud detection and prevention, this effective workbook is filled with interactive exercises, case studies, and chapter quizzes, and shares industry-tested methods for detecting, preventing, and reporting fraud. Discover how to mitigate fraud risks in your organization with the myth-busting techniques and tools in Financial Services Anti-Fraud Risk and Control Workbook.

Fraud Risk Management
Fraud Risk Management

Author: Catherine Turner

Publisher: Elsevier

Published: 2007-12-19

Total Pages: 171

ISBN-13: 0080561209

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This book provides a user-friendly guide to current and emerging issues in fraud both internal to the company, and external. It explains the terminology used and sets out the chief risks which management accountants need to be aware of. It then sets out a practical framework for the management and mitigation of fraud risk. This is followed up by an explanation of what to do in the event of concerns that a fraud has been perpetrated, is underway or is being attempted. The book also guides the reader through the process of dealing with the law enforcement authorities in the event of an investigation. The book is for all those accountants who are not professionals in risk management or investigation procedures, but who need to be aware of the issues, many of which will impact on their area of responsibility; it therefore aims to give them a user-friendly manual to the issue of fraud risk. In addition the book will provide a valuable update on emerging trends in the fraud environment. The author is a financial services and regulatory consultant with extensive experience in fraud risk management. She is also Manager, Corporate Governance for an international life company, and an examiner and moderator who lectures and writes extensively on a wide range of compliance and financial services matters.The book is in three sections:Section 1: What is fraud? What are the emerging trends in fraud at present?Section 2: what risks may you encounter in your business, and what fraud management systems should you have in place?Section 3: post-event fraud management ? what to do when your concerns are aroused that a fraud has taken place or is being attempted?* makes accountants aware of different types of fraud risk* explains practical issues including post-fraud event management* The author, a financial and regulatory consultant, offers her extensive experience in fraud risk management

Standards for Internal Control in the Federal Government
Standards for Internal Control in the Federal Government

Author: United States Government Accountability Office

Publisher: Lulu.com

Published: 2019-03-24

Total Pages: 88

ISBN-13: 0359541828

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Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers' Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.

An Empirical Analysis of the Characteristics and Detection of Life Insurance Frauds
An Empirical Analysis of the Characteristics and Detection of Life Insurance Frauds

Author: Dhara Shah

Publisher:

Published: 2018

Total Pages:

ISBN-13:

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The mounting frequency of life insurance frauds is driving up costs of insurance companies and premiums of policyholders. Investigations were carried out to assess the fraud scenario in the Indian life insurance companies, the potential risk exposure, the impact of growing events of frauds, and company's practices to counteract the frauds. This study examines the factors which aid in implementing an effective fraud control policy and also whether insurers' artillery against life insurance frauds is used effectively. Numerous variables are tested such as - characteristics of perpetrators (fraudsters), schemes employed for insurance frauds, and types of detection and investigation techniques used for comparison of the characteristics of insurer fraud with those of insurance fraud. A detailed survey of 50 employees of different life insurance companies provides the database; techniques such as chi square statistics, paired sample T test, cross tabulation, frequency distribution were used to measure test of independence, test of significant differences and occurrence of events.

Financial Crime Investigation and Control
Financial Crime Investigation and Control

Author: K. H. Spencer Pickett

Publisher: John Wiley & Sons

Published: 2002-10-15

Total Pages: 288

ISBN-13: 0471269778

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The indispensable guide to detecting and solving financial crime inthe office Low-level financial crimes are a fact of life in the modernworkplace. Individually these crimes are rarely significant enoughto warrant the hiring of professional investigators, but if leftunchecked, small crimes add up to big losses. In companies withoutdedicated fraud investigators, detecting and solving low-levelcrimes generally falls to managers and internal auditors. FinancialCrime Investigation and Control offers tips, tools, and techniquesto help professionals who lack investigative experience stem thetide of small financial crimes before it becomes a tsunami. Inside you'll find expert guidance on investigating and uncoveringcommon types of fraud, including: * Credit card fraud * Consumer fraud * Kickbacks * Bid rigging * Inflated invoices * Inventory theft * Theft of cash * Travel and subsistence claims * Check fraud * ID fraud * Ghost employees * Misappropriation schemes * Computer-related crime * Financial statement fraud

Fraud and Corruption
Fraud and Corruption

Author: Nigel Iyer

Publisher: CRC Press

Published: 2016-12-05

Total Pages: 204

ISBN-13: 1317133099

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Executives are under enormous pressure to meet stakeholder expectations regarding the prevention of fraud and corruption. However, the drive to demonstrate that they are complying with legislative requirements and high principles has, in many cases, overshadowed the need to deal with the problem itself. As a result, fraud and corruption remain a significant unmanaged source of risk for many organizations. Drawing on experiences across Europe, America and Australia, Iyer and Samociuk give you the tools to establish an effective and far-reaching anti-fraud and corruption programme. Included is a compendium of techniques for assessing the true risk of fraud and corruption, reducing those risks and using health checks to provide early warnings. Also included is The Tightrope, A Story of Fraud and Corruption...which takes the reader from first suspicions through crisis and finally recovery in a vivid and instructive style, covering the lessons in the main text. This new book is a must-read for all those responsible for the prevention of fraud and corruption, risk management, corporate compliance, corporate responsibility and governance.