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Insurance in a market for credence goods

Sülzle, Kai; Wambach, Achim - 2002

We study the impact of insurance on the amount of fraud in a physician-patient relationship. In a market for credence goods, where prices are regulated by an authority, physicians act as experts. Due to their informational advantage, physicians have an incentive to cheat by inducing...

Persistent link: https://www.econbiz.de/10011409200

The impact of insurance fraud detection systems

Schiller, Jörg - 2002

The purpose of this paper is to characterize the impact of fraud detection systems on the auditing procedure and the … signal of the system and auditing becomes more effective. This paper presents conditions under which insurance fraud and the … third party. -- insurance fraud ; auditing ; detection system …

Persistent link: https://www.econbiz.de/10009389471

A Burning Question : Does Arson Increase When Local House Prices Decline?

Eriksen, Michael D. - 2015

We construct panel data on house prices and the determined cause of 4.8 million individual fires in the United States between 1986 and 2010 to test whether decreases in local housing market prices coincided with increases in arson. Since some insured homeowners may attempt to disguise the actual...

Persistent link: https://www.econbiz.de/10013035765

A Fuzzy-Based Algorithm for Auditors to Detect Element of Fraud in Settled Insurance Claims

Pathak PhD, CPA, CGA, CFF, CFE, CISA, Jag; Vidyarthi, … - 2005

In the current global economy, the survival of insurance companies depends on its ability to respond to the customer demands, which are settlements of the insurance claims. All insurance companies face the conflicting goals of settling claims quickly and authenticating the claims. The increasing...

Persistent link: https://www.econbiz.de/10014066718

Optimal Auditing for Insurance Fraud

Dionne, Georges - 2003

This article aims at making a bridge between the theory of optimal auditing and current procedures applied to audit … auditing strategy takes the form of a quot;Red Flags Strategyquot; which consists in referring claims to a Special … Investigation Unit (SIU) when certain fraud indicators are observed. Fraud indicators are classified based on the degree to which …

Persistent link: https://www.econbiz.de/10012739467

What Causes Insurance Frauds? Evidence on Motor Third Part Liability in Italian Provinces

Zanghieri, Paolo - 2017

This paper seeks to explain the large differences in the incidence of motor insurance fraud between Italian provinces. The econometric analysis highlights the role of the differences in per capita income and strength of social norms common to other types of crimes. Moreover the cross province...

Persistent link: https://www.econbiz.de/10012970996

The Empirical Measure of Information Problems with Emphasis on Insurance Fraud and Dynamic Data

Dionne, Georges - 2012

We discuss the difficult question of measuring the effects of asymmetric information problems on resource allocation. Three problems are examined: moral hazard, adverse selection, and asymmetric learning. One theoretical conclusion, drawn by many authors, is that information problems may...

Persistent link: https://www.econbiz.de/10013101614

Contract design and insurance fraud : an experimental investigation

Lammers, Frauke; Schiller, Jörg - 2010

This paper investigates the impact of insurance contract design on the behavior of filing fraudulent claims in an experimental setup. We test how fraud behavior varies for insurance contracts with full coverage, a straight deductible or variable premiums (bonus-malus contract). In our...

Persistent link: https://www.econbiz.de/10003987689

Current Trends in Insurance Fraud in Russia : Evidence from a Survey of Industry Experts

Timofeyev, Yuriy - 2020

former police officers who work at security or investigation departments. Survey data analysis was employed. According to the …

Persistent link: https://www.econbiz.de/10012844644

Development of an Expert System for the Automatic Detection of Automobile Insurance Fraud

Belhadji, El-Bachir - 1998

the probability of fraud in files and to decide whether or not an in-depth investigation should be conducted. This … help the adjuster to decide whether an in-depth investigation is warranted …

Persistent link: https://www.econbiz.de/10012744126