Insurance Fraud Casebook: Paying a Premium for Crime

Index

Abuse, 144, 147, 148, 185, 211, 236, 237

Admissibility of evidence, 255–257

After-market parts. See Automobile glass replacement company, fraudulent insurance billing

Agency office, internal fraud

background, 67–69

investigation, 69–72

lessons learned, 73

prevention recommendations, 73, 74

prosecution and plea deal, 72, 73

Agents, fraud in soliciting medical insurance clients

background, 169–171

investigation, 172–175

lessons learned, 176

prevention recommendations, 176

Anti-fraud training and education, 28, 92, 168, 236

Antique automobile theft claims

background, 103, 104

investigation, 104–111

lessons learned, 111

prevention recommendations, 111

prosecution, 111

Application misrepresentation, 39, 43, 44, 46, 202, 203, 205, 254. See also Antique automobile theft claims

Arson fraud

background, 39, 40

investigation, 40–45

legal proceedings, 45, 46

lessons learned, 46

prevention recommendations, 46

Attorney-client privilege, 79, 80

Audits

employee behavior during, 85

healthcare fraud, 183–186, 189

Medicare fraud, 180–183, 212–214

of monthly trends, 197, 198

vendors, 168

Automobile glass replacement company, fraudulent insurance billing

background, 159–164

criminal prosecution, 166, 167

investigation, 164–166

lessons learned, 167

prevention recommendations, 168

Automobile insurance

antique automobiles. See Antique automobile theft claims

auto theft. See Automobile theft claims glass replacement. See Automobile glass replacement company, fraudulent insurance billing

and Mexican ...