Insurance Fraud Casebook: Paying a Premium for Crime - Hardcover

by Laura Hymes (Editor), Joseph T. Wells (Editor)

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.

Front Jacket

Insurance fraud is not committed by accounting systems or computers. It's carried out by living, breathing human beings, victimizing fellow consumers and costing millions of dollars in the form of increased premiums and higher prices for goods and services. If you want to learn how insurance fraud is engineered, how it is investigated and how its perpetrators are brought to justice, Insurance Fraud Casebook is a must-read.

Edited by Laura Hymes, Managing Editor of the Association of Certified Fraud Examiners' (ACFE) Research Department and Dr. Joseph T. Wells, the founder and Chairman of the ACFE, Insurance Fraud Casebook is a behind-the-scenes look at how insurance fraud takes root. Featuring contributions by fraud examiners, the book details the measures that can be taken to keep fraud from happening in the first place through real cases, all handpicked by Laura Hymes.

Insurance Fraud Casebook provides you with special insights on every type of insurance scam, from healthcare fraud and workers' compensation fraud to counterfeiting and online fraud, illustrated with entertaining and enlightening cases, including:

• " The Good Doctor and Insurance Consultant"
• "Extinguishing an Arson Fraud"
• " Everyone Gets Hurt: A Study in Workers' Compensation Fraud"
• "Getting Rich from the Elderly"
• "Falling Prey to Online Charms"
• "Woo, Wed, Insure, Murder"
• "Mystery Shopping for Fraud"

Understanding the enormity of this problem is essential in fighting back. Whether you're a fraud investigator or an insurance auditor, Insurance Fraud Casebook is your best source for optimizing your fraud detection efforts and protecting against insurance fraud.

Back Jacket

INSURANCE FRAUD CASEBOOK

Insurance fraud is not committed by accounting systems or computers. It's carried out by living, breathing human beings, victimizing fellow consumers and costing millions of dollars in the form of increased premiums and higher prices for goods and services. If you want to learn how insurance fraud is engineered, how it is investigated and how its perpetrators are brought to justice, Insurance Fraud Casebook is a must-read.

Edited by Laura Hymes, Managing Editor of the Association of Certified Fraud Examiners' (ACFE) Research Department and Dr. Joseph T. Wells, the founder and Chairman of the ACFE, Insurance Fraud Casebook is a behind-the-scenes look at how insurance fraud takes root. Featuring contributions by fraud examiners, the book details the measures that can be taken to keep fraud from happening in the first place through real cases, all handpicked by Laura Hymes.

Insurance Fraud Casebook provides you with special insights on every type of insurance scam, from healthcare fraud and workers' compensation fraud to counterfeiting and online fraud, illustrated with entertaining and enlightening cases, including:

• "The Good Doctor and Insurance Consultant"
• "Extinguishing an Arson Fraud"
• "Everyone Gets Hurt: A Study in Workers' Compensation Fraud"
• "Getting Rich from the Elderly"
• "Falling Prey to Online Charms"
• "Woo, Wed, Insure, Murder"
• "Mystery Shopping for Fraud"

Understanding the enormity of this problem is essential in fighting back. Whether you're a fraud investigator or an insurance auditor, Insurance Fraud Casebook is your best source for optimizing your fraud detection efforts and protecting against insurance fraud.

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.