ppt课件-i n s u r a n c e f r a u d the crimeand punishment（我n s u r e n c f r u d crimeand惩罚）.pptVIP

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2017-01-22 发布于四川
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ppt课件-i n s u r a n c e f r a u d the crimeand punishment（我n s u r e n c f r u d crimeand惩罚）.ppt

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If They Cheat, Can We Catch Them With Predictive Modeling Richard A. Derrig, PhD, CFE President Opal Consulting, LLC Senior Consultant Insurance Fraud Bureau of Massachusetts Insurance Fraud- The Problem ISO/IRC 2001 Study: Auto and Workers Compensation Fraud a Big Problem by 27% of Insurers. CAIF: Estimation (too large) Mass IFB: 1,500 referrals annually for Auto, WC, and Other P-L lines. Fraud Definition PRINCIPLES Clear and willful act Proscribed by law Obtaining money or value Under false pretenses Abuse, Unethical:Fails one or more Principles HOW MUCH CLAIM FRAUD?

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ppt课件-i n s u r a n c e f r a u d the crimeand punishment（我n s u r e n c f r u d crimeand惩罚）.pptVIP