Academic literature on the topic 'Twisting (Life insurance fraud)'
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Journal articles on the topic "Twisting (Life insurance fraud)"
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Pathmananathan, P. Ravindran, and Khairi Aseh. "Identying Factors That Influences Fradulences in Non-Life Insurance Companies." Archives of Business Research 9, no. 6 (June 27, 2021): 93–102. http://dx.doi.org/10.14738/abr.96.10346.
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Insurance fraud is the most common form of fraud in the world, aside from tax evasion. By its very existence, the insurance industry is prone to deception. Basic income levels in Vietnam have a tendency to steadily rise as a result of improving socioeconomic conditions. As a result, the need for citizen security has increased and become more diverse.The aim of this study is to study the predictor/s of anti-insurance fraud among non-insurer companies in Vietnam. This study was conducted using a questionnaire that was completed by 51 employees who are currently working in the 11 non-life insurance company in Vietnam. It can be concluded that there exists a significant relationship between all the four independent variables which are namely external regulations, public context, management functions as well as underwriting guidance.
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Pathmananathan, P. Ravindran, and Khairi Aseh. "Identifying Predictors of Perceived Claims of Insurance Fraudulance." Archives of Business Research 9, no. 6 (June 27, 2021): 68–76. http://dx.doi.org/10.14738/abr.96.10343.
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Insurance fraud affects nearly every industry in the world, costing companies and others that pay insurance premiums billions of dollars per year. Insurance fraud can be found in almost any area of business where liability insurance is carried and intended to protect consumers; illegal activity can be detected in almost any field of business where liability insurance is carried and intended to protect consumers. The aim of this study is to study the predictor/s of anti-insurance fraud among non-insurer companies in Vietnam. This study was conducted using a questionnaire that was completed by 51employees who are currently working in the 11 non-life insurance company in Vietnam. It can be concluded that there exists a significant relationship between all the three independent variables which are namely claim procedure as well as business operation management and the dependent variable which is anti fraud procedure.
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Dehghanpour, Ali, and Zeinab Rezvani. "The profile of unethical insurance customers: a European perspective." International Journal of Bank Marketing 33, no. 3 (May 18, 2015): 298–315. http://dx.doi.org/10.1108/ijbm-12-2013-0143.
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Purpose – Although perceived as a wrong act, insurance fraud is a prevalent phenomenon. The purpose of this paper is to understand the psychological factors that lead to reporting an exaggerated/false insurance claim would enable insurance companies and policy makers to devise better preventive policies. Design/methodology/approach – Utilizing data-driven clustering techniques on psychological and demographic measures from 985 insurance customers in Europe, this study outlines profiles of segments of customers as it relates to dishonesty in dealing with insurance companies. The segmentation criteria include attitude toward insurance fraud, perceived probability of punishment, basic human values and morals, religiosity, life satisfaction and demographic characteristics. Findings – Results reveal the existence of four market segments. The segments include non-conservatives (sensitive to both perception of wrong behavior and the monetary payoff for a fraudulent claim), self-protectionists (sensitive to the probability of being caught), hedonists (sensitive to the personal pleasure and monetary payoffs for insurance fraud) and socially focused individuals (sensitive to social norms regarding admitting to having committed insurance fraud). Among the demographic variables, only education and among psychological variables, universalism, hedonism, security, conformity, tradition, benevolence, moral philosophy, religiosity, perceived probability of punishment and attitude toward insurance fraud were significantly different among the four identified segments. Practical implications – Specific policies are proposed in order to prevent insurance fraud, tailored to the specific profile of each segment. Originality/value – Using a psychological perspective and a data-driven methodology, this study identifies four heterogeneous segments of unethical insurance customers with dissimilar values, attitudes toward fraud and perception of punishment probability.
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Prasetyono, Tarjo, Elita Aprilianty, Ach Fawaid As'ad, Indra Prayitno, Erfan Muhammad, and Emi Rahmawati. "Fraud Prevention Mechanism: Enhancing From Religiosity, Whistleblowing Protection, and Whistleblowing Intention." InFestasi 17, no. 1 (June 30, 2021): InPres. http://dx.doi.org/10.21107/infestasi.v17i1.9626.
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This This research aims to determine fraud prevention from religiosity, protection whistleblower, and whistleblowing system perspectives. The population in this research was employees of PT Prudential Life Assurance. The population is taken without distinguishing gender, education, and work experience and taken from 43 as the total number of insurance employees. This study used saturated samples or census as the sampling technique, whereas all population employs as samples. The research data uses primary data obtained by researchers by giving questionnaires (structured questions) to insurance employees. The research analysis was conducted with multiple linear regression analysis. The results showed that religiosity and whistleblower prevention did not affect fraud prevention. The absence of the effect of whistleblower protection on fraud prevention shows that the protection for whistleblowers is not yet adequate. The existence of intimidation, injustice and law enforcement are reasons why individuals are reluctant to become whistleblowers. However, whistleblowing intention affects fraud prevention. These findings indicate that human actions are influenced by their intentions, attitudes and subjective norms.
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Petrović, Miloš. "Necessity of closer international cooperation of various institutions in fighting against insurance fraud." Tokovi osiguranja 36, no. 4 (2020): 57–76. http://dx.doi.org/10.5937/tokosig2003057p.
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In this paper, the author analyses a few examples of fraud in life and accident insurance. The cases that are the subject of this Article can be classified as "heavy frauds" according to the seriousness of the crime committed and as "external" according to the source type. The course and epilogue of the trials show how important it is to have the closest possible coordination between the judicial, police and insurance institutions and that the character of insurance frauds is becoming increasingly international, requiring stronger cross-border inter-institutional cooperation. Also, experts from a growing number of disciplines (from medicine, through mechanical engineering to technological sciences) do have a particularly notable role in discovering false insurance claims. Their expertise findings can make a decisive contribution to clarifying the circumstances of each and every case. The examples presented in this Article illustrate that closer cooperation between all the named participants and the use of advanced methods and technologies are the indispensable tool of a good and a more efficient fight against the insurance fraud.
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Tseng, Lu-Ming. "The link between guanxi and customer–salesperson collusion." International Journal of Conflict Management 27, no. 3 (July 11, 2016): 353–78. http://dx.doi.org/10.1108/ijcma-08-2015-0049.
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Purpose In the insurance industry, it is common for the insurance salespeople to sell insurance products to friends, relatives and associates. However, permitting (or encouraging) salespeople to sell insurance through personal relationships may result in some ethical conflicts. For example, some insurance salespeople may help relatives or friends with pre-existing medical conditions buy the health insurance. Previous studies on insurance fraud have rarely focused on this problem. Thus, this study aims to investigate the effects of guanxi (guanxi refers to the durable social connections and relationships a Chinese person uses to exchange favors for a specific purpose) on the salespeople’s acceptance of customer–salesperson collusions. Two types of guanxi are discussed in the research. The author further focuses on how the ethical attitudes and intentions are affected by the salespeople’s guanxi considerations, consequence evaluations, perception of peers’ attitudes, perceived harm to other policyholders and perceived probability of being caught. Design/methodology/approach Full-time life insurance salespeople from Taiwan were surveyed, and partial least squares method was used in the study. Findings The results showed that the types of guanxi, guanxi considerations, consequence evaluations, perception of peers’ attitudes and perceived harm to other policyholders were important in forming the salespeople’s ethical decision-making in the customer–salesperson collusions. Originality/value This is the first time that guanxi has been studied as the factor influencing collusive behaviors in the problems of insurance fraud. The results challenged an established belief that the insurance salespeople should first target close relations as they build their portfolio of customers.
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Hilt, Eric. "Rogue Finance: The Life and Fire Insurance Company and the Panic of 1826." Business History Review 83, no. 1 (2009): 87–112. http://dx.doi.org/10.1017/s0007680500000210.
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In July of 1826, a financial panic on Wall Street caused several companies to fail abruptly and precipitated runs on two of New York City's fifteen banks. Life and Fire Insurance became the largest of the bankruptcies. In violation of New York's banking statutes, the firm had engaged in lending on a massive scale during the speculative boom that prevailed in 1824–25. Innovative lending techniques had been developed outside the traditional banking sector—in this case, in the insurance industry. These lending practices, based on an instrument known as a post note, were initially sound, but were later extended to riskier borrowers and ultimately proved ruinous. In the credit crisis that began in late 1825, the value of the Life and Fire's assets fell dramatically, and in a desperate effort to raise cash, the directors resorted to fraud.
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Alfejeva, Jeļena. "Nelikumīgas darbības iespējamie riski Latvijas apdrošināšanas nozarē." SOCRATES. Rīgas Stradiņa universitātes Juridiskās fakultātes elektroniskais juridisko zinātnisko rakstu žurnāls / SOCRATES. Rīga Stradiņš University Faculty of Law Electronic Scientific Journal of Law 1, no. 4 (2016): 64–76. http://dx.doi.org/10.25143/socr.04.2016.1.64-76.
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Apdrošināšanas nozare kā valsts finanšu sistēmas sastāvdaļa, līdzīgi kā kredītiestāžu joma, satur reālu risku un nav pilnībā aizsargāta no iespējamām prettiesiskām darbībām ar noziedzīgi iegūtiem līdzekļiem. Galvenokārt noziedzīgi līdzekļi apdrošināšanas nozarē var tikt ģenerēti ar apzināti nepamatotiem apdrošināšanas atlīdzību pieteikumiem, kurus apdrošinātāji nav spējīgi identificēt vai pierādīt pieteicēju krāpniecisko rīcību. Krāpnieciskā rīcība pret apdrošinātāju var izpausties kā apdrošināšanas objekta apzināta bojāšana, lai saņemtu apdrošināšanas atlīdzību, vai kā pārspīlēta prasība naudas izteiksmē, vai arī kā apdrošināšanas gadījuma imitācija. Kaut arī dzīvības apdrošināšana pasaulē vairāk pakļauta noziedzīgi iegūtu līdzekļu legalizācijas riskam, Latvijas dzīvības apdrošināšanas nozarē šajā ziņā aktivitāte nav vērojama. Savukārt nedzīvības apdrošināšanas joma ir vairāk pakļauta krāpšanas riskam un daudz biežāk saskaras ar viltus pieteikumiem nekā dzīvības apdrošināšanā. Latvijā līdz šim problēma nav aktualizēta un netika risināta pietiekamā līmenī. The insurance industry as a part of national financial system the same as credit institutions contains a real risk and is not fully protected from possible illegal activities with the proceeds of crime. In the insurance sector, mainly criminal funds can be generated by deliberately unreasonable insurance claims that insurers are not able to identify or prove the applicant’s fraudulent conduct. Fraudulent action against the insurer may take the form of insurance object damaging for obtaining insurance reimbursement, as well as by exaggerated requirement in terms of money and imitation of insurance cases. While the life insurance in the world is more exposed to money laundering risks, there is no activity in this regard in Latvian life insurance sector. By contrast, non-life insurance sphere is more exposed to the risk of fraud and more often confronted with false claims than life insurance. In Latvia, the problem not yet actuated and adequately solved.
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Khan, Mr Afroz. "Suicide Clause in Various Life Policies in India." IJOHMN (International Journal online of Humanities) 1, no. 1 (September 14, 2017): 1–14. http://dx.doi.org/10.24113/ijohmn.v1i1.1.
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Life insurance policy is a contract between the policy holder (assured) and the insurer (insurance company), where the insurer promises to pay a designated beneficiary a sum of money (a “premium”) upon the death of the insured person. In return, the policy holder agrees to pay a stipulated amount (at regular intervals or in lump sums). In nutshell, life policies are legal contracts and the terms of the contract describe the limitations of the insured events. Specific exclusions are often written into the contract to limit the liability of the insurer; common examples are claims relating to suicide, fraud, war, riot and civil commotion. Suicide means a wilful and intentional act on the part of the self-destroyer. It includes every act of self-destruction. Policies of life insurance contain conditions by which the liability of the insurer is modified and limited in case of suicide by the assured. Where there is such a clause in a policy, the insurer can avoid the policy. The position in England and in India is different on this issue. In England suicide is a crime and hence no money is payable if a person commits suicide while in a sane state of mind. On the other hand if the assured was insane at the time of committing suicide, the sum due can be recovered by his legal representatives. Under the Indian law, suicide in itself is not an offence, and as such a policy cannot be avoided on the ground of suicide, unless the policy otherwise provides. Suicide will, however, not affect the rights of assignee, if the policy holder had assigned the policy for valuable consideration. The burden of proving suicide is upon the insurers and where the cause of death is not known, the presumption is against suicide and the policy cannot be avoided. This same is followed in India. According to this approach, the claim would be barred on a contractual level because the assured cannot be the author of his own loss, and on a broader level, because the law will not allow him to benefit from his own criminal acts. This paper examines the development of law and policy in relation to claims on life insurance policy where the assured or insured has committed suicide after the commencement of the policy and the effect of suicide clause in life insurance contract. Is that the present practice of insurance companies to insert suicide clause in life policies, indirectly promotes commercial suicide in cases of intentional suicides.
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Myckowiak, Vicki. "Compliance in Interventional Pain Practices." Pain Physician 3;12, no. 3;5 (May 14, 2009): 671–77. http://dx.doi.org/10.36076/ppj.2009/12/671.
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Background: Compliance is a fact of life for interventional pain physicians (IPPs). The health care industry is highly regulated by federal and state governments. IPPs must understand and comply with a broad regulatory landscape that ranges from health care fraud to the prescribing of oral narcotics. Complying with all of these laws requires a proactive approach by an IPP in both the practice and business of medicine. Objectives: This article provides: 1) a brief discussion of the health care laws that IPPs must navigate in their practices; and, 2) practical steps that IPPs can take to ensure that they comply with the relevant laws. Discussion: IPPs should familiarize themselves with the major federal and state fraud and abuse laws that apply to all interventional pain practices. IPPs should also implement effective compliance programs that include tools such as auditing, education, and employee reporting designed to uncover and correct fraud and abuse. Conclusion: Once in place, a compliance program can easily become part of a practice’s culture and pay for itself many times over in problems avoided. IPPs that implement appropriate compliance programs can focus on the most important part of their practice: taking care of patients. Key words: Interventional pain practices, compliance, health care laws, federal, state, fraud, abuse, auditing, education, compliance program, health care industry, False Claims Act, Anti-Kickback Statute, Physician Self-Referral Proscription, Health Insurance Portability and Accountability Act
Dissertations / Theses on the topic "Twisting (Life insurance fraud)"
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Martinez, Michaël. "Le train de vie en droit privé." Thesis, Bordeaux, 2016. http://www.theses.fr/2016BORD0195.
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Locution issue du langage courant, le « train de vie » a été importée dans la sphère juridique dès la fin des années 1930 pour lutter contre la fraude fiscale. Depuis les années 1960 et surtout 2000 elle est utilisée dans toutes les branches du droit privé. Elle n’a pourtant reçu aucune définition. Partant de ce constat, la première partie de cette thèse s’intéresse au contenu juridique de la notion de train de vie. Elle y est définie comme la jouissance, à titre habituel d’une certaine quantité de biens et de services, caractérisant à la fois un niveau de vie et une habitude de vie. Il ressort de cette définition que tant les biens que les services peuvent être le support du train de vie, que cette notion s’apprécie en jouissance et non en propriété et qu’une condition de durée doit être remplie. La seconde partie de cette thèse s’intéresse aux effets qui sont attachés au train de vie. Il est toujours utilisé en tant que point de référence mais n’est pas toujours invoqué par la même personne. Ainsi, le train de vie peut être soit opposé à son bénéficiaire par un tiers, soit opposé par son bénéficiaire à un tiers. Dans le premier cas, il est un point de référence permettant d’identifier une disproportion, à laquelle sont attachées des conséquences juridiques néfastes pour le bénéficiaire du train de vie. Dans le second cas, il sert de point de référence pour apprécier et traiter une situation de rupture patrimoniale. Caractérisant une situation économique habituelle, le train de vie est doté d’une certaine inertie,qui nécessite qu’il ne soit pas arrêté brutalement. Il est alors de nature à conférer des droits à son bénéficiaireAn expression usually found in everyday language, the « train de vie », or standard of living, wasbrought into the legal sphere as early as the late 1930’s in a bid to fight fiscal fraud. Since the 1960’s, and evenmore so since the 2000’s, it is found in all branches of private law. It has, however, never been defined.Therefore, the first part of this thesis looks into the legal content of the idea of « train de vie ». It is definedhere as the enjoyment of a certain quantity of goods and services that has come to be the habitual, markingboth a standard of living and a life habit. This definition of the expression leads to the conclusion that as goodsand services can support of the « train de vie », this is a notion that is to be assessed in enjoyment and not inpropriety, and that a condition of length of time is to be fulfilled. The second part of this thesis focuses on theeffects attached to the « train de vie ». It is still used as a reference point but not always invoked by the sameperson. Therefore, the “train de vie” can either be set against it’s beneficiary by a third party, or by it’sbeneficiary against a third party. In the first case, it becomes a point of reference allowing to identify a lack ofproportion, unto which are attached legal consequences unfavorable to the beneficiary of the « train de vie ».In the second case, it serves as a point of reference to asses and deal with a situation of a patrimonial break.Charaterizing a habitual economic situation, le “train de vie” is endowed with a measure of inertia, whichrequires that it not by stopped suddenly. It is thusfore of a nature to create rights for it’s beneficiary
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Chen, Po-Wen, and 陳泊文. "The Research of Life Insurance Fraud." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/15865041529594434006.
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碩士淡江大學
保險學系保險經營碩士在職專班
98
Abstract: Deceptions of medical insurance claim on medical treatments have caused severe problems for the insurance industry and the social welfare system of National Health Insurance. Criminal cases triggered by insurance frauds also have negative influences on the public and the society. If problems of fraud claims of the like cannot be controlled, the society and economics will be facing with more strikes. By collecting a variety of insurance fraud cases and analyzing statistic data, this thesis expects to reveal characteristics of insurance fraud, behavior patterns, and criminal behaviors. By interviewing insurance specialists, this thesis also conducts a comparative study with reference to foreign cases in prevention or reduction of insurance frauds. In such, instruments are provided here to deal with insurance fraud cases in Taiwan in the near future. This study intends to provide life insurance enterprises, competent authorities, and National Health Insurance respectively with suggestions against insurance frauds. Three fields of suggestions are listed as follows: 1 Suggestions to Insurance Enterprises: 1.1 Control new business underwriting 1.2 Enhance professional knowledge of claim specialists and underwriters 1.3 Establish business quality and agency management 1.4 Evaluate insurance product property 2 Suggestions to Competent Authorities: 2.1 Promulgate and enact laws for insurance fraud 2.2 Establish special courts and investigation bureaus for insurance fraud 2.3 Amend related insurance regulations 2.4 Grant investigation power to insurance enterprises 2.5 Reinforce functionality of The Insurance Anti-fraud Institute (IAFI) 3 Suggestions to the Bureau of National Health Insurance 3.1 Enhance the information sharing system with insurance enterprises 3.2 Enhance internal control and audit functions
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CHANG, KAI-JAY, and 張凱傑. "The Life Insurance Agents' Attitudes toward Customer Insurance Fraud." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/7hf8p7.
Full textAbstract:
碩士逢甲大學
風險管理與保險學系
106
With higher education standard, people realize that insurance not only compensate loss to danger but also stable development of economy. Compare to past, the willing of buying insurance is higher, so is insurance fraud. Insurance fraud obviously violates the meaning of insurance, increases social cost and causes higher rate so that getting insurance is more difficult to people. This study is based on salesperson and fraud by taking former researches as references. By making questionnaire to Taiwan insurance salespersons and recycling result for data quantify, we understand the attitude toward the customer when fraud happens. Through these data, we subjectively analyze the result and give our point of view for future study.
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HSIEH, WAN-CHIAO, and 謝婉僑. "The Study on Factors of Life Insurance Fraud." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/24991762455114218165.
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碩士國立高雄第一科技大學
風險管理與保險系碩士班
105
In Taiwan, the concepts of purchasing insurance products today have become more open minded than before. Of greatest concern to insurers and public alike is the increasing spread of moral hazard when the ratio of prevalence and the ratio of having insurance coverage are expanding at high speed. Insurance fraud also flows from moral hazard, insurers or reinsuers increasingly consider the potential for fraud threats when considering underwriting and claims. The purpose of this study is to investigate the factors and effects of fraud modus operandi on gender, the location of the crime, criminal records, accomplices, age of convicts, number of insurance coverages, number of convicts, sum insured in life insurance. This empirical introduces a model of the factors of life insurance fraud using chi-square test and binary logistic regression. The results indicate that these variables showed that (1). Gender, number of convicts, sum insured were insignificantly different on effects of fraud modus operandi in life insurance. (2). The location of the crime, criminal records, and number of insurance coverages should be taken into account a binary logistic regression that the accuracy of forecasting muders model will reach more than 70 percent.
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Li, Szu-Yin, and 李思穎. "Type and prevention method for the intelligent life insurance fraud." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/27612033510916631928.
Full textAbstract:
碩士淡江大學
保險學系保險經營碩士在職專班
99
Given the way life insurance fraud is ever-changing, only relying on the contact between each insurance industry is not enough to prevent the insurance fraud crime. Insurance companies, insurance associations, Insurance Anti-Fraud Institute (IAFI) and Government should cooperate and establish a communication with each other to fight against crime through government apartments, such as Police Force and Bureau of National Health Insurance. This cooperation way has been applied in other countries such as Britain, United States and other developed countries. Also, it has been approved that the insurance fraud crime is reduced effectively. In this study, the characteristics of intelligent life insurance fraud is summarized and investigate the raising problem of solicitation, underwriting and claims through different cases In addition, we learn the effective prevention method of insurance fraud from other countries and hope it can be applied to our country to prevent the life insurance fraud. From the view of insurance company and supervision institution, we provide some recommendations about the prevention way of insurance fraud as below to hope the loss due to insurance fraud can be reduced. 1. The view of the insurance company. (A) Set up an insurance claim of crime control department. (B) Set up the minimum training hours of insurance education. (C) Implementing the insurance company internal audit and control system. (D) Rigorously design for new insurance products. (E) Reviewing the current notification system and network building claims reporting system. (F) Maintain close cooperation with relevant units, and establish overseas contacts channel. 2. The view of supervisory agencies. (A) Promote the concept of Insurance Fraud Prevention. (B) Develop the personnel protection laws for the investigator of Insurance Crime Prevention. (C) Convicted of insurance fraud. (D) Clearly express to terminate the right for the immoral behavior on Insurance Law.
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Teng, Tzu-Chen, and 鄧子震. "The study of characteristic of Anti-Fraud in Life insurance." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/19755669442783865038.
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碩士朝陽科技大學
保險金融管理系
103
Abstract The insurance system has now become one of the indispensable economic activities. With the vigorous development of economic activities such as insurance system, the insurance fraud has also diversified itself with more innovative and smarter approaches. Unlike usual violent crimes, insurance fraud is categorized as “smart crime”, which makes it more difficult to detect, investigate and solve. Among all those crimes, insurance fraud has drawn the most attention by the government, the public and the news. There are various ways to commit an insurance fraud, for instance, self-mutilation, faking death by purchasing corpses, murdering to obtain insurance benefits, purchasing insurance for a person then fake the accident, arson, fake car accident, false report theft of own car, transporting valuable goods on purpose to obtain car insurance by damaging the car, forgery, false self-embezzlement, etc. Despite of the challenges to identify crime activities among these enormous superficialities, it is much less laborious to trace property lost than to pinpoint personal type insurance frauds. As a result, searching for the approaches of personal type insurance frauds is urgently required. This paper collects data from The Judicial Yuan of the Republic of China Law and Regulations Retrieving System, targeting on personal type insurance frauds with keyword “insurance company” from 2009 to 2014. Initially, there are in total of 4000 cases with keyword “insurance company” has been sifted. And then by screening to the specific type of personal insurance fraud, the data has been funneled down to 57 cases. Finally, 40 out of the 57 cases are found out to be directly related to the subject of this paper. According to the analysis of the verdict and the categorization, this paper identifies a prevalence of insurance fraud in middle and southern regions of Taiwan, with more cases in Taichung, Kaohsiung and Tainan. Also, it shows that insurance fraud has a tendency to reach its peak within one year of purchasing the insurance by suspects. Also, those accomplices are tend to be the suspect’s relatives and friends. In order to detect an insurance fraud from the verification of insurance company to intervention of the jurisdiction investigation, the thorough examination and close cooperation between the insurance company and the jurisdiction are of the essence. To conclude, it is crucially important for the insurance company to scrutiny their clients step by step to prevent the insurance fraud. Furthermore, to increase the insurance fraud detection rate, the jurisdiction should consider establishing a special division responsible for insurance fraud, regulating commission and evaluating standard guidelines.
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Wan, Tien-Chin, and 萬添金. "A Study on the Influence of Insurance Fraud Based on the Life Insurance Cases." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/59324594182309419910.
Full textAbstract:
碩士朝陽科技大學
保險金融管理系碩士班
101
Life Insurance is a kind of usage of principle in separated risks and sharing damages. It is done by numbers of people through sharing with the risks which are put on some people. When the insured people face the uncertain life risks which happen in deaths, injuries, illness, and aging, they can give the economic risks to the insurance companies. They also can get safety in their daily lives at the right time. Taiwan Insurance Institute estimates that insurance companies in Taiwan have to pay about 10 percent of insurance claim for the frauds, the total amount each year about 30 billion NT dollars. This is a big black hole for the insurance companies. Without making a proper prevention project, it will be the serious damage for the other nice insured people’s rights and benefits. The methods of this research were based on the literature review and case study. Collecting the cases which were sentenced by the court was studied and analyzed. The practical cases were used to prove the life insurance frauds. However, firstly to prevent the fraud cases happened again and again, the researcher tried to find out the defects of the insurance companies facing at the present and gave them some suggestions to take measures for the future. Secondly, life insurance lessons for both the elementary school and junior high school students will be taught. It is very important to have correct lawful knowledge and concepts for the younger generations. Last, supplying the insurance fraud models to the investigators and police officers kept fraud offenders from the crimes and positively decreased the social and people’s damages. Its goal was to achieve the insurance companies to lower their running business risks.
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Liao, HsienWei, and 廖先偉. "Utilizing Logistic Regression Model in the Management of Life Insurance Fraud." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/66008948240182433983.
Full textAbstract:
碩士國立高雄第一科技大學
風險管理與保險系
89
Life insurance fraud cases have kept happening continuously in recent years, which reveal that the amount of insurance fraud is keeping increasing. Insurance fraud not only affected the finance of insurers very much, but the whole society also encountered lots of damage and loss, and caused much social cost. Therefore, this study took Logistic Regression Model for compensation criterion mode to probe into the exposed items and other related variables of「Life Insurance Notification System」set by Taipei Life Insurance Commercial Association. It also deeply probed and found the variables of insurance fraud for setting up the most accurate and practical compensation criterion mode. It is set to strive for insurers compensatory time, reduce the time of verification, its objective and scientific methods offer the investigated information fast consolidation and analysis. The purpose of this mode is to stop the insurance fraud and make it easy to be predicted and prevented, and reduce the frequency of insurance fraud.
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Chun-Ching, Wei, and 韋俊青. "The research on organized crime of life insurance fraud andthe preventive strategies of the life insurance company in Taiwan." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/47391762569629827200.
Full textAbstract:
碩士淡江大學
保險學系保險經營碩士在職專班
94
During the vigorous development of varied social environments and insurance industry,ths phenomena of insurance fraud is more particular,life insurance fraud cases have kept happening continuously in recent years, which reveal that the amount of insurance fraud is keeping increasing and becomes the organized crime. In this research, we introduce the organized criminal cases of insurance fraud arrested by Criminal Investigation Bureau(CIB) recently,and administer the analysis of practical examples by discussion of the relative theory and overview of the research. In the same time,in order to examine the organized crime of insurance fraud’s formation,current status,characteristics,patterns,legal aspects and organizational structure, we collect the data of statistics about insurance fraud from the Insurance Anti-Fraud Institute and in business. We also compiles the present difficulty on prevention of organized crime of life insurance fraud and propose the preventive strategies of the life insurance company in Taiwan as follows： 1.Enlarging the rangeof the life insurance notification system, 2.Using the skill of underwriting to detect the members of the criminal organization, 3.Designing new product and to modify the provision of the policy, 4.Aberrant analysis of claim, 5.Keeping the closed relationship with prosecutor and police, 6.Establishing the obtained channel of foreign information.
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Lu, Chan-Nan, and 盧昭男. "The Prevention and Guard Plan of the Life Insurance Fraud and Abuse." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/43675264876087869263.
Full textAbstract:
碩士朝陽科技大學
保險金融管理系碩士班
95
In recent years, life insurance fraud case is continuously happening and keeping increasing. It was not only affected the profit of insurance’s company, but also brought the whole society a lot of damage and loss which caused much additional cost to disburse.. Owing to the insurance crime influence the socail justice and the reasonable management of the insurance industry seriously. How should the insurance company and police units face those cheat cases whose skills are more and more inovative and how should the supervisor organization take the lead in preventing those?Therefore, if we could make use of the cases had happened , try to find out the common characteristics of the insurance fraud and make a valid decision about underwriting the loss and risk would be reduced and the company''s management would be stablizde.Getting up to prevent resistence, take action in early stages to keep something from succeeding, avoild recommiting the same error and decrease the expansion of loss. Every governmental orginization should act more aggressively to establish the right idea about Insurance. It is a true way for Assurance company to lower the happening of moral dangerity cases through checking the Insurance.
Books on the topic "Twisting (Life insurance fraud)"
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Dohe, John. How to buy life insurance & live to enjoy it. Villanova, PA: Equity Press, 1993.
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Lavery, Charles. The black widower: The life and crime of a sociopathic killer. Edinburgh: Mainstream Pub., 2012.
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United States. Congress. House. Committee on Financial Services. Subcommittee on Oversight and Investigations. Retirement protection: Fighting fraud in the sale of death : hearing before the Subcommittee on Oversight and Investigations of the Committee on Financial Services, U.S. House of Representatives, One Hundred Seventh Congress, second session, February 26, 2002. Washington: U.S. G.P.O., 2002.
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Investigations, United States Congress Senate Committee on Governmental Affairs Permanent Subcommittee on. Third interim report on United States government efforts to combat fraud and abuse in the insurance industry: Enhancing solvency, regulation, and disclosure requirements--a case study of Guarantee Security Life Insurance Company. Washington: U.S. G.P.O., 1993.
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Investigations, United States Congress Senate Committee on Governmental Affairs Permanent Subcommittee on. Third interim report on United States government efforts to combat fraud and abuse in the insurance industry: Enhancing solvency, regulation, and disclosure requirements--a case study of Guarantee Security Life Insurance Company. Washington: U.S. G.P.O., 1993.
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United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations. Third interim report on United States government efforts to combat fraud and abuse in the insurance industry: Enhancing solvency, regulation, and disclosure requirements--a case study of Guarantee Security Life Insurance Company. Washington: U.S. G.P.O., 1993.
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Office, General Accounting. Insurance regulation: Weak oversight allowed Executive Life to report inflated bond values : report to the Chairman, Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives. Washington, D.C: The Office, 1992.
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United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations. Health care fraud/Medicare secondary payer program: Hearings before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred First Congress, second session, July 11, 12, 1990. Washington: U.S. G.P.O., 1990.
Find full textBook chapters on the topic "Twisting (Life insurance fraud)"
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"What Life Insurance Agents “Forget” to Tell Their Clients." In Protecting Clients from Fraud, Incompetence, and Scams, 103–7. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781119198543.ch11.
Full textConference papers on the topic "Twisting (Life insurance fraud)"
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Felcan, Miroslav. "Historical Cross-Section of Arson." In Safe and Secure Society. The College of European and Regional Studies, 2020. http://dx.doi.org/10.36682/ssc_2020/1.
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This work was supported by the Agency for Research and Development under the contract no. APVV-17-0217.Every year fires cause big damage to society, property, environment, buildings and infrastructure and pose a threat to life and health of persons in endangered areas. In most cases arson serves as insurance fraud or cover up any crime (e.g. robbery, embezzlement). However, there may be other reasons, e.g. in the case of the Commission of the European Union, the use of the product in envy, hatred, threats, blackmail, competitive struggle. Or social, political, or ethnic differences. In several cases, arson was used as a so-called 'arson attack'. The false flag, that is, the arsonist used the fire to accuse his enemy and took advantage of the wave of recourse that subsequently was raised against him. The circumstances of the cause and the fire are under investigation. After extinguishing a fire, it is standard procedure to seek and then either confirm, refute or further examine the possibility of intentional formation. In most countries of the world, arson is treated as a crime and seen as harming a stranger or a threat to life.