Introductions Baby!
This key element of fraud involves pretending to be someone else.
What Is Deceit or Falsehood.
An employee who resents their employer may do this.
What is Insurer Internal Fraud.
This is the degree to which insurance consumers are optimistic that fraud is being dealt with effectively.
What is Consumer Confidence.
This test is performed when an insurer activities and practices are believed to be compliant with privacy laws.
What is Privacy Test.
This is another word for red flags.
What are indicators.
This element of potential fraud involves the belief that fraud is possible.
What is Expressed Possibility.
Exhibiting bullying tendencies - just go with it!
What is Coercion.
These are government departments or organizations that are legislated or authorized to license insurers to sell insurance and conduct insurance business, and to ensure the legislation, regulations, rules, and directives governing the insurance industry are followed.
What are Insurance Regulators.
This proof is theoretically when evidence and facts presented as proof satisfies, at minimum, a threshold of 51 percent that the allegation is true.
What is Balance of Probabilities.
This is the part of a policy where one may find information about a mortgagee.
What is Loss Payees.
The first stage of fraud maturity.
What is Fraud Risk.
What is Intermediary Fraud.
This refers to the action arising out of an investigation by the insurer.
What is Enforcement.
Unlike the popular pop band, this standard of proof is not impossible to achieve.
What is No Doubt.
This is the part of a policy application which describes what is being insured.
What is Subject of Insurance.
This fraud prevention strategy has taken notes from Game of Thrones.
What is Fraud History Record (Shame!).
Sending in false or altered documents for goods or services rendered.
What is Supplier Fraud.
Consumer harm is one of these.
What is Impacts of Insurance Fraud.
Insurers must embed this into their fraud management programs to mitigate legal and reputational risk.
What are Privacy Principles.
Poor housekeeping or distance from a fire station are examples of this with respect to property inspections.
What are Physical Hazards.
Deterrence strategy that can demotivate people from committing fraud.
What is Cognitive Deterrence.
What is Falsified Claim Fraud.
This occurs when a model focuses heavily on public-sector enforcement.
What is Primary Focus on Public Interest.
When removing estoppel - these are the two documents that can protect the insurer.
What are Non-Waiver Agreement and Reservation of Rights.
This is the term for a vehicle that never existed or has already been salvaged.
What is a Phantom Vehicle.