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The book attempts to establish the effects of fraud risk management practices on insurance fraud levels. The author employed standard framework of fraud risk management which encompasses corporate governance, fraud prevention practices, fraud detection practices and fraud response & monitoring practices. Primary data on the fraud risk management practices from medical insurance providers was collected. Further, secondary data on net incurred claims ratios, as well as industry benchmarks were sought from Insurance Regulator. The data collected aided in the determination of possible correlation…mehr

Produktbeschreibung
The book attempts to establish the effects of fraud risk management practices on insurance fraud levels. The author employed standard framework of fraud risk management which encompasses corporate governance, fraud prevention practices, fraud detection practices and fraud response & monitoring practices. Primary data on the fraud risk management practices from medical insurance providers was collected. Further, secondary data on net incurred claims ratios, as well as industry benchmarks were sought from Insurance Regulator. The data collected aided in the determination of possible correlation between independent variables (corporate governance, fraud preventive practices, fraud detective practices, fraud response & monitoring and market share) and dependent variable net incurred claim ratio through the Pearson correlation test and regression analysis.
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Autorenporträt
Timothy Gathu tem Mestrado em Comércio (Contabilidade Forense) - Universidade de Strathmore Quénia. Além disso, tem uma vasta experiência e conhecimentos na investigação de fraudes com uma tendência para a fraude de seguros.