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.


Fraud Casebook

Fraud Casebook

Author: Joseph T. Wells

Publisher: John Wiley & Sons

Published: 2008-01-07

Total Pages: 627

ISBN-13: 0470178671

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Praise for Fraud Casebook Lessons from the Bad Side of Business "I have known Mr. Wells for over twenty years. In my opinion, no one in the world knows more about fraud than he does." -W. Steve Albrecht, Associate Dean, Marriott School of ManagementBrigham Young University, Provo, Utah "This book covers the entire range of fraud that can be encountered in the workplace." -Grant D. Ashley, Vice President for Corporate Security and SurveillanceHarrah's Entertainment Inc., Las Vegas, Nevada "I had the pleasure of serving with Mr. Wells when both of us were volunteers for the American Institute of Certified Public Accountants. He knows as much as anyone about how to detect and deter fraud." -James G. Castellano, Chairman, RubinBrown LLP, St. Louis, Missouri "I have worked with Mr. Wells for ten years. His reputation is unsurpassed." -John F. Morrow, Vice President, The New FinanceAmerican Institute of Certified Public Accountants, New York, New York "Fraud Casebook is a terrific work. I highly recommend it." -Sherron S. Watkins, a Time magazine "Person of the Year," Houston, Texas "No one has done more for fraud prevention and detection than Mr. Wells and the Association of Certified Fraud Examiners. Their guidance and training proved invaluable to my staff and me in uncovering the WorldCom fraud." -Cynthia Cooper, a Time magazine "Person of the Year," Clinton, Mississippi


Computer Fraud Casebook

Computer Fraud Casebook

Author: Joseph T. Wells

Publisher: John Wiley & Sons

Published: 2009-01-23

Total Pages: 531

ISBN-13: 0470488921

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This one-of-a-kind collection consists 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 computer fraud how they are investigated, across industries and throughout the world. Topics included are email fraud, on-line auction fraud, security breaches, counterfeiting, and others.


Fraud Examination Casebook with Documents

Fraud Examination Casebook with Documents

Author: William H. Beecken

Publisher: John Wiley & Sons

Published: 2017-03-31

Total Pages: 208

ISBN-13: 1119349877

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A practical advantage for entry-level fraud examiners with start-to-finish casework Fraud Examination Casebook with Documents provides critical practice for students and new CPAs; criminal and insurance investigators; and attorneys seeking additional guidance on real-world fraud investigation. With five cases that include over 100 pages of documentation, this guide helps you put your conceptual knowledge to work as you conduct full-length Fraud Examinations from predication through report. Short instructional narratives guide you through tools like horizontal and vertical analysis, report writing, and other important tasks, while Excel templates streamline the process and kick start your investigation. Multiple-choice questions help you gauge your understanding and practical mastery, while expert guidance throughout prompts you to draw on your existing knowledge and apply it to casework. With a focus on asset misappropriation and financial statement fraud, these cases provide highly relevant experience for real-world practice. Learning concept isn't always enough to do the job effectively; "knowing" is different from "applying,” yet few practical resources exist for new and aspiring fraud examiners—until now. This book provides the much-needed practice that helps examiners polish their skills, with expert guidance every step of the way. Conduct actual Fraud Examinations Perform horizontal and vertical analyses Review checks and decode debit card transactions Examine adjustments to electronic records Perform simple forensic data analytics Vouch to/from documentation Write complete Fraud Examination reports Prepare court-ready schedules and audio-visuals As you work your way through the cases, you'll develop the skills and instinct experienced examiners rely upon every day. You'll hone your analytical edge and master the essentials of report writing, leaving you fully equipped to conduct a thorough investigation and deliver your findings clearly, comprehensively, and authoritatively. Fraud Examination Casebook with Documents is a vital resource for students and new fraud examiners seeking a practical advantage in real-world skills.


Siu

Siu

Author: Jack Morgan

Publisher:

Published: 2012-04

Total Pages: 212

ISBN-13: 9781618620842

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Jack Morgan has been investigating large insurance-fraud cases for over three decades. The cases he has worked range from dealing with murder to hit men to the Mafia and back again. From arson and fake burglaries to car-theft rings and other dangerous situations, SIU represents ten of the most memorable investigations Jack has been involved in. While investigating insurance-fraud claims, Jack has put to the test several tried-and-true methods of lie detection, and he uses them to illustrate how he knows when a claimant just wants his money. Rapid blinking, an inability to make eye contact, and answering a question with a question are surefire ways to tell when a person is lying. When Jack encounters all three, the claimant is in for trouble, especially if he has purposefully set his own building on fire or if she has hidden valuable jewelry she claims was stolen by her ex-husband. In the pages of SIU, Jack Morgan provides an eye-opening account into the life of an insurance-fraud detector. He discusses in painstaking detail the techniques used for lie detection and recounts case after case that will both entertain and inform. Gritty detail, wry humor, and heart-pounding suspense combine to make SIU a thrilling true-crime read.


Secret Files Of America's

Secret Files Of America's

Author: Cesar Denholm

Publisher: Independently Published

Published: 2021-05-15

Total Pages: 182

ISBN-13:

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An insurance fraud investigation is a type of fraud investigation that centers around attempts to benefit from deceitful claims. Seeking compensation for false or inflated claims is illegal, dangerous, and raises the price of insurance for everyone. An insurance fraud investigation aids by revealing false claims. Don't let your insurance premiums be a waste of money; use a private investigator to safeguard your insurance privileges. Here's a fascinating-often-time hilarious compilation of insurance fraud cases, some so outrageous, so utterly bizarre and crazy, you'll have a hard time believing them. But it's all true-direct from the private confidential files of one of the nation's top investigators. It represents the best of the best cases the author has handled.


Financial Statement Fraud Casebook

Financial Statement Fraud Casebook

Author: Joseph T. Wells

Publisher: John Wiley & Sons

Published: 2011-05-12

Total Pages: 372

ISBN-13: 1118077067

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A comprehensive look at financial statement fraud from the experts who actually investigated them This collection of revealing case studies sheds clear insights into the dark corners of financial statement fraud. Includes cases submitted by fraud examiners across industries and throughout the world Fascinating cases hand-picked and edited by Joseph T. Wells, the founder and Chairman of the world's leading anti-fraud organization ? the Association of Certified Fraud Examiners (ACFE) ? and author of Corporate Fraud Handbook Outlines how each fraud was engineered, how it was investigated and how the perpetrators were brought to justice Providing an insider's look at fraud, Financial Statement Fraud Casebook illuminates the combination of timing, teamwork and vision necessary to understand financial statement fraud and prevent it from happening in the first place.


Warranty Fraud Management

Warranty Fraud Management

Author: Matti Kurvinen

Publisher: John Wiley & Sons

Published: 2016-05-26

Total Pages: 403

ISBN-13: 1119239702

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Cut warranty costs by reducing fraud with transparent processes and balanced control Warranty Fraud Management provides a clear, practical framework for reducing fraudulent warranty claims and other excess costs in warranty and service operations. Packed with actionable guidelines and detailed information, this book lays out a system of efficient warranty management that can reduce costs without upsetting the customer relationship. You'll dig into the whole spectrum of warranty fraud, from simple sloppy procedures to systematic organized crime, and get to know the fraudulent parties, the victims, as well as the objectives and methods of the fraudulent activities in different scenarios. You'll learn how to implement controls to detect and reduce fraudulent claims and decrease the overall warranty costs. The impact of fraudulent claims is plainly spelled out alongside detailed descriptions of typical symptoms and process gaps present in diverse companies. A comprehensive, multi-modal framework for robust warranty management is presented as a template for revamping your own company's strategy. Fraudulent warranty claims occupy an estimated 3-15 percent of the average company's warranty costs, which generally average between 1-4 percent of sales. Many companies are unaware of the issue or struggle to take action against the claims for fear of upsetting business partners, or because they lack tangible evidence. This book details a robust warranty control framework that institutes transparency and control over the whole warranty chain—supporting the process far beyond just fraud reduction. Understand the different actors (customers, sales channels, service agents, warranty providers, etc.) and different forms of warranty fraud Uncover issues in your company's warranty processes Learn methods to detect and prevent fraudulent activities Implement a robust system of warranty cost control Warranty fraud is a major cost-control issue for most companies, but the sensitive nature of the topic leaves most reluctant to share their experiences and divulge their strategies. Warranty Fraud Management brings warranty fraud out into the open, and provides a clear, actionable framework for cost-savings through fraud reduction.


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.


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.