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How the detection of insurance fraud succeeds and fails.

Research output: Contribution to journalJournal article

Published

Associated organisational unit

Journal publication date04/2006
JournalPsychology, Crime and Law
Journal number2
Volume12
Number of pages18
Pages163-180
Original languageEnglish

Abstract

Insurance fraud is a serious and growing problem, and there is widespread recognition that traditional approaches to tackling fraud are inadequate. Studies of insurance fraud have typically focused upon identifying characteristics of fraudulent claims and claimants, and this focus is apparent in the current wave of forensic and data-mining technologies for fraud detection. An alternative approach is to understand and then optimize existing practices in the detection of fraud. We report an ethnographic study that explored the nature of motor insurance fraud-detection practices in two leading insurance companies. The results of the study suggest that an occupational focus on the practices of fraud detection can complement and enhance forensic and data-mining approaches to the detection of potentially fraudulent claims.

Bibliographic note

The final, definitive version of this article has been published in the Journal, Psychology, Crime & Law, 12 (2), 2006, © Informa Plc