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NCJRS Abstract

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NCJ Number: 98396 Find in a Library
Title: Claims, Costs and Crimes - A Study of Insurance Frauds From Inventions to Preventions
Author(s): L S Cole
Date Published: 1984
Page Count: 111
Sponsoring Agency: Lee Books
Novato, CA 94948
Sale Source: Lee Books
P.O. Box 906
Novato, CA 94948
United States of America
Language: English
Country: United States of America
Annotation: This book focuses on a variety of insurance frauds, from traffic accidents and injuries to the double selling of oil cargoes; the perpetrators and their schemes are analyzed. The use of controlling programs as a first step in fraud prevention is discussed.
Abstract: Case examples for various types of fraud are presented. Controlling programs for preventing insurance fraud focus on individual company efforts and collective insurance bureaus, associations and boards. The functions of these organizations is to provide a computerized registry that can be used as an investigative tool on a current loss. Information forwarded to the index bureau includes the claimant's name, insurance company, claim number, and claimant's doctor and lawyer. A review of claims filed can reveal a pattern and indicate a professional fraud artist in operation. A suspicious claim profile presents indicators which are used to determine whether or not the possibility of fraud exists. Suggestions for proposed legislations to prevent insurance fraud focus on motor vehicle theft and motor vehicle insurance fraud reporting, false police reports, and other areas of concern. Fifteen references are included.
Index Term(s): Insurance claim investigations; Insurance fraud
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