Insurance fraud cases uncovered: lessons learned

Insurance fraud is a global problem. It represents a serious crime that can result in serious consequences for fraudsters victims. Moreover, every type of insurance is vulnerable. In this FREE ebook, we examine two insurance fraud case studies, revealing how they were discovered and what went wrong.
The reality is that insurance fraud cases are often committed by opportunists, and sometimes the perpetrators work in teams to conduct such frauds. In fact, there are well-known cases of highly organised criminal gangs committing insurance fraud. But fraud can happen at any point along the process of an insurance claim by insurance applicants, members/policyholders, third-party claimants or others (including professionals who specialise in pursuing claims for policyholders).

Insurance fraud cases cover a wide range of schemes and crimes, and every scheme represents a potential liability for the victim organisation. Due diligence and fraud prevention programs must extend to insurance fraud at every level to help organisations be better protected. In this ebook, we will examine the following:

• What is Insurance Fraud?
• Insurance Industry
• Case Study: GETTING BURNED BY FALSE CLAIMS
• Case Study: THE HOUSE FIRE
• Red Flags and Lessons Learned
• Case Study: FAKE HOSPITAL BILLS
• Healthcare Industry Overview
• Red Flags and Lessons Learned

Download your Insurance fraud cases uncovered: lessons learned FREE ebook here!

Who is CRI® Group?

Based in London, CRI® Group works with companies across the Americas, Europe, Africa, Middle East and Asia-Pacific as a one-stop international Risk Management, Employee Background Screening, Business Intelligence, TPRM, Due Diligence, Compliance Solutions and other professional Investigative Research solutions provider. We have the largest proprietary network of background-screening analysts and investigators across the Middle East and Asia. Our global presence ensures that no matter how international your operations are we have the network needed to provide you with all you need, wherever you happen to be. CRI® Group also holds BS 102000:2013 and BS 7858:2012 Certifications, is an HRO certified provider and partner with Oracle.

In 2016, CRI® Group launched Anti-Bribery Anti-Corruption (ABAC®) Center of Excellence – an independent certification body that provides education and certification services for individuals and organisations on a wide range of disciplines and ISO standards, including ISO 31000:2018 Risk Management- Guidelines; ISO 37000:2021 Governance of Organisations; ISO 37002:2021 Whistleblowing Management System; ISO 37301:2021 (formerly ISO 19600) Compliance Management system (CMS); Anti-Money Laundering (AML); and ISO 37001:2016 Anti-Bribery Management Systems ABMS. ABAC® offers a complete suite of solutions designed to help organisations mitigate the internal and external risks associated with operating in multi-jurisdiction and multi-cultural environments while assisting in developing frameworks for strategic compliance programs. Contact ABAC® for more on ISO Certification and training.