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Insurance fraud casebook : paying a premium for crime /

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...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Wells, Joseph T.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Hoboken, N.J. : John Wiley & Sons, Inc., [2013]
Temas:
Acceso en línea:Texto completo
Texto completo
Tabla de Contenidos:
  • Insurance Fraud Casebook: Paying A Premium for Crime; Contents; Preface; Insurance Fraud Classification System; Chapter 1 Needles in a Paystack; A Growing Company; Another New Case on My Desk; Rolling Up Our Sleeves; Presenting the Facts for Justice; About the Author; Chapter 2 The Good Doctor and the Insurance Consultant; A Growing Company; On a Hunch; Paging Dr. Ahmet; Working Through the Pain; Indisputable Evidence; Trend Setting; About the Author; Chapter 3 Greasing the Wheels in the Oil Business; Long-Distance Call for Help; A Groundbreaking Case; Looking Outside for Suspects.
  • Lack of accountabilityAbout the Author; Chapter 4 Living the Dream, Keeping Up the Lie; The Family Illness; Watching and Waiting; About the Author; Chapter 5 Extinguishing an Arson Fraud; Backyard Barbecue; Expanding the Team; Good Faith Is Easily Exploited; Lazy Appraisal Work; Outcome of the Investigation; About the Author; Chapter 6 Weakest Link in the Chain; The Unexpected Meeting; The Interview; The Interrogation; The Second Interview and Interrogation; The Crime Ring Breaks; About the Author; Chapter 7 Everyone Gets Hurt: A Study in Workers' Compensation Fraud; Bundled and Bungled.
  • Unlikely RescuerCrash Course in Insurance; Tracking the Letters of Credit; It All Comes Together; About the Author; Chapter 8 The Hazards of Doing Business with Friends; It Started with a Single Call; Understanding the Industry; What Jack Did Not Know; It Does Not End with a Confession; Plea Deal; About the Author; Chapter 9 There's Gold in Them Thar Malls!; When It Rains, It Pours; Divide and Conquer; Just the Tip of the Iceberg; Whistleblower, Beware; Complications Begin to Mount; Delay, Delay and Delay!; Our Team Enters the Fray; An Outcome, Not a resolution; About the Author.
  • Chapter 10 Damsel in DiamondsViceroy Jewelers; One Thing Leads to Another; The Truth Comes Out; Solving the Paperwork Puzzle; Duty Calls; Police Involvement; About the Author; Chapter 11 Operation Give and Go; Designing a Sting; The First Deal; On a Roll; Unexpected Consequences; Successful Sting; About the Author; Chapter 12 An Inspection Is Worth a Thousand Photos; Start Your Engines; Bringing on a Navigator; Becoming Car Buffs; Seeing What's Behind the Photos; One More for the Road; About the Author; Chapter 13 The Danger of Trusting Too Much; A Single Suspicious Check.
  • Climbing the Fraud LadderSurprise Interview; Where Did It Go?; About the Author; Chapter 14 The Twin-Cities Machine; Running a Machine; The Team Versus the Machine; Ambulance Chasers, Runners and the Mob; Interviews; Medical Mill; Out of Sight, Not Out of Mind; The Big Picture; About the Author; Chapter 15 With Friends Like These . . .; False Alarm?; Nagging Suspicions; Mounting Dread; Now What?; Justice; About the Author; Chapter 16 All the Buzz; Partnerships in Action; Confirmed Suspicions; Lying Under Oath; Understanding the Elements; Preparing for Legal Action; Realities of the Courtroom.