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Short note on insurance fraud
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CHAPTER - 3
NEED OF THE STUDY
Insurance Industry is one of the flourishing Industries, who deals with uncertainty and provide protection to the subject matter insured. With the rapid growth in the industry, there has been an augmented incidence of frauds in the country. The industry has witnessed a rise in the number of fraud cases during the last one year. Therefore, the need of my study is to know that what kind of Frauds happen in the Industry, who is responsible for these frauds and how we can prevent ourselves from indulging in these Frauds. Also to suggest measures through which new laws could be made to remove these kinds of crime from the industries.
CHAPTER - 4
OBJECTIVE OF THE STUDY
1. To understand the different kinds of Frauds that is happening in the insurance industry.
2. To understand the factors which are responsible for these Frauds?
3. To find out who is responsible for these Frauds
4. To identify how we can prevent ourselves from these frauds and how we can control the occurrence of these frauds.
CHAPTER - 5
SCOPE OF THE STUDY
1. The scope of my study is to understand different kinds of frauds happening in this industry.
2. To analyze the factors which contribute to these frauds? Then compiling the data and suggest adequate measure regarding how we can tighten the grip on insurance frauds.
3. This study is limited to frauds that happen in insurance industry
4. This study revolves around customers and their perception towards insu...
... middle of paper ...
...thing is that we have to understand the areas which need more care. Through this research, I have come across the fact that why frauds happen in the industry i.e. employee’s income, poor internal controls and moral hazard of the consumers, some dishonest insurance agents etc. and their motive is greed and lifestyle.
Identification of insurance fraud and controlling it is the basic priority. It is not a victimless crime i.e. someone whether internal or external is directly or indirectly involved in it. The Industry needs to tighten its grip to ensure that all types of frauds are being identified or can be reduced whether happen at the application level or at the claim level. To reduce the cost of frauds in insurance industry, I have suggested certain strategies which could be adopted by the insurer so that the ratio of fraud happening can be minimized in the country.
I believe that asset misappropriation by accounts payable fraud is occurring at Wayland Manufacturing Company due to a lack of proper internal controls. Making the company’s Chief Accountant responsible for additional day-to-day functions provides him with opportunity to commit by creating fictitious vendors with his information and then creating fictitious invoices. Newbaker can then conceal his fraud by approving the invoices for payment. Employees working at an organization for more than five years are more likely to commit fraud. Therefore, Newbaker’s six-year history with the company has made him trustworthy and very knowledgeable, which could indicate involvement in asset misappropriation. The high employee turnover could represent a past fraudster leaving before getting caught or employees refusing to continue with the asset misappropriation. In addition, the varying monthly accounts payable transactions ranging from the lowest being April 2014 and
. In general, how was Barry Minkow able to execute and perpetuate his fraud for so long?
The stock markets immediately responded to the restatement and the stock price dropped to less than $10 a share (Thomas, 2002). Enron and Dynegy announced the merger agreement of $7.8 billion which would have created Dynegy Corp, where 64% owned by Dynegy and 36% owned by Enron on November 9, 2001 (Enron Fast Facts, 2015). Dynegy terminated merger agreement with Enron on November 28, 2001 due to Enron’s lack of full disclosure of its off-balance-sheet debt. This immediately downgraded Enron’s rating to junk status (Enron Fast Facts, 2015). Enron’s stock price had dropped closely to zero, 26 cents per share on November 30, 2001 (Thomas, 2002). It only took a year for Enron to collapse from its highest point. Enron filed for Chapter 11 protection
In this assignment we will exam three case-studies and determine whether the best course of action would be litigation, ADR or criminal prosecution. In the first we look a case of embezzlement, the second is a case of product liability and the third involves a supplier providing non preforming goods. We will evaluate the specifics of each and determine the best course of action. Spoiler alert, some of these may involve more than one course of action.
Insurance is a subject that not everyone wants to talk about because it’s something that only gets brought up when they have an incident that happens to them or they might just not know enough about it. The insurance business is a huge business, which many people don’t realize that the top richest companies are all insurance companies. It is an interesting industry that not enough people know a whole lot about and through watching the film “Cedar Rapids”, you get some accurate depictions on the inside of the industry through an insurance agent’s and even though it’s not shown, an insurance broker’s point of view. Throughout this film there were some interesting points that many people might not be able to tell, but some are accurate in
A fraud is a wrong action, which is basically deprivation of the legal rights from an individual. Fraud is seen at various instances of life. There are a number of frauds that occur and every case has different rights being deprived from an individual. When frauds take place, some legal authority has to intervene and take the necessary action. The legal authority is granted with the power to decide the right that has been taken from the victim and identify the compensation to be given to the individual on behalf of the party, which has made the fraud. In this report, I will discuss some cases in which fraud caused some issues and deprivation of the basic legal rights of an individual thus resulting in
[17] Robert K. Elliot, CPA and John J. Willingham PhD, CPA, Management Fraud: Detection and Deterrence. New York: Petrocelli Books, Inc., 1980, pp. vii.
When discussing health care fraud we need to know what exactly we are discussing. There are many different types of health care fraud. This paper will give an overview of the five major types of health care fraud. The different types occur on both the patient/consumer level and at the provider level. According to the Centers for Medicare & Medicaid Services (CMS) the five major types of health
must ensure the victim is able to recover the damage caused by the fraudster. The Fraud
But the stakeholders play a very important role in preventing and deterring fraud. Stakeholders includes customers, suppliers, employees, the community and the government. Each play an important role since they have an interest in the integrity of financial reports of the publicly-traded company. Employees have a vested interest in the company’s success and they have a responsibility to protect their interest. Their roles may start from the bottom but they are key players in the company. To help deter or prevent financial statement fraud, the employee must report financial reporting fraud if it is detected. This can be done by way of a vigorous whistleblower program of some other tip line provided by the company. The community and its members, including the news media, can play a regulator role by confirming that the company is a good citizen with fair business practices. Shareholders should make sure that any company in which they’d like to invest is in compliance with standards of oversight and ethics. Investors need to play and active role also. They should be actively involved by monitoring the companies in which they invest. They should attend shareholder’s meeting regularly to discuss concerns and check the books of the company. This will allow them to stay current with what is going on within the company. Shareholders should always remain vigilant and make
The Hollate Manufacturing case provided by Anti-Fraud Collaboration has well illustrated how several common issues in an organization contributed to the fraud’s occurrence. These issues can be categorized into two major groups: ethical culture (internal aspect) and internal control system (external aspect). By taking effective actions to enhance these two aspects, an organization can protect itself against the largest frauds, which result in financial and reputational damage.
ABSTRACT: The quantity of accounting fraud cases keeps on rising. Fraud is a consistent thing that will reliably be around, and in a bigger number of routes than just a single. An extensive apportionment of organizations out there fighting fraud, either from within the organization, or from outside the organization. Knowing how to manage this is essential for an organization to be productive over an extended period of time. The investigation regarding the matter of accounting fraud will utilize sources from the web and the DeVry School Library.
In today’s day and age, there is a lot of news that is related to corporate accounting fraud as companies intentionally manipulate their financial statements to show a better picture of their financial health. The objective of financial reporting is to provide financial information about a company to its various stakeholders such as investors and creditors so that these stakeholders can make decisions accordingly. Companies can show a better image of their financial well being by providing misleading information. This can be done by omitting material information from the books or deceitful appropriation of assets such as inventory theft, payroll fraud, check forgery or embezzlement. Fraudulent financial reporting will have an effect on the This includes but is not limited to; check forgery, inventory theft, cash or check theft, payroll fraud or service theft.
Fraud is defined as someone try to act with intention to cheat other people in order to acquire an unfair or illegal advantage. The fraud happens due to management override the internal control of the organisation and fraud will affect the financial reporting. The main categories of fraud that can affect financial reporting are fraudulent financial reporting and misappropriation of assets.
Fraud in a very general term is the crime of deceiving a person in order to get them to give up something in value, usually money and usually to the criminal himself or a group of criminals. This paper will be discussing cybercrime fraud, specifically cybercrime auto fraud, the type of scams associated with cybercrime auto fraud, the criminal profile of a cybercriminal fraud, law enforcement initiatives to combat this type of fraud and the penalties that go along with committing this type of fraud.