Insurance Fraud Casebook Paying a Premium for Crime

by Hymes, Laura; Wells, Joseph T.

• ISBN13: 9781118617717
• ISBN10: 1118617711
• Edition: 1st
• Format: Hardcover
• Copyright: 2013-06-10
• Publisher: Wiley

Summary

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 the many types of insurance fraud-how they are investigated, across industries and throughout the world. Entertaining and enlightening, the cases cover every type of insurance fraud, from medical fraud to counterfeiting. Each case outlines how the fraud was engineered, how it was investigated, and how perpetrators were brought to justice Written for fraud examiners, auditors, and insurance auditors Other titles by Wells: Fraud Fighter and Corporate Fraud Handbook, Third Edition Edited by Dr. Joseph T. Wells, the founder and Chairman of the Association of Certified Fraud Examiners (ACFE), the world's leading anti-fraud organization, this book reveals the dangers of insurance fraud and the measures that can be taken to prevent it from happening in the first place.

Author Biography

LAURA HYMES, CFE, is the Managing Editor of the ACFE's Research Department, where she oversees the editing of books, manuals and other publications related to the prevention, detection and investigation of fraud. She also collaborates with authors and speakers who are experts in the anti-fraud industry to produce high-quality educational material. She has a master's degree in publication management and years of experience in editing and publishing.

Dr. JOSEPH T. WELLS, CFE, CPA, spent nearly a decade as a U.S. FBI Special Agent and is the founder and Chairman of the Association of Certified Fraud Examiners (ACFE) as well as the author of twenty-one books. For his landmark research in fraud detection and deterrence, Dr. Wells has been inducted into the American Institute of Certified Public Accountants' Business and Industry Hall of Fame and named to Accounting Today's list of the 100 most influential people for nine years in a row. He holds a doctorate in commercial science from York College, The City University of New York.

Table of Contents

Preface Insurance Fraud Tree

Chapter 1 Needles in a Paystack (Charles Piper, CFE, CRT)

Chapter 2 The Good Doctor and Insurance Consultant (Michael King)

Chapter 3 Greasing the Wheels in the Oil Business (Abdulrazaq Al-Morjan)

Chapter 4 Living the Dream, Keeping Up the Lie (Andries J. Brummer)

Chapter 5 Extinguishing an Arson Fraud (Barry Zalma)

Chapter 6 Weakest Link in the Chain (Angela Bisasor)

Chapter 7 Everyone Gets Hurt: A Study in Worker’s Compensation Fraud (Michael Sputo)

Chapter 8 The Hazards of Doing Business with Friends (Bill Maloney)

Chapter 9 There’s Gold in Them Thar Malls! (Carl Knudson)

Chapter 10 Damsel in Diamonds (Michael Skrypek)

Chapter 11 Operation Give and Go (Edward P. Buttimore, CFE, CPM)

Chapter 12 An Inspection Is Worth a Thousand Photos (Ed Madge)

Chapter 13 The Danger of Trusting Too Much (Joe Bonk)

Chapter 14 The Twin-Cities Machine (Bob Weir)

Chapter 15 With Friends Like These … (John Fifarek)

Chapter 16 All the Buzz (Dalene Bartholomew, CFE, CIFI)

Chapter 17 Getting Rich from the Elderly (John R. Holley)

Chapter 18 Transparent Greed (Joseph Licandro)

Chapter 19 Fault of Fortune (Jyoti Khetarpal)

Chapter 20 Going Blind to Fraud (Karen Wright)

Chapter 21 Going Against the Cartel (Loftin C. Woodiel)

Chapter 22 Falling Prey to Online Charms (Tina Hancock)

Chapter 23 Big Bills in Little Cuba (Mark Starinsky)

Chapter 24 Rushing an Insurance Claim (Peter Parillo, CFE, CPA)

Chapter 25 Ignorance Is Bliss, While It Lasts (Rebecca Busch)

Chapter 26 The Name Game (William D. Meader)

Chapter 27 Woo, Wed, Insure, Murder (William P. Hight)

Chapter 28 Mystery Shopping for Fraud (Stephen Pedneault, CFE, CPA/CFF)

Index