Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - How the detection of insurance fraud succeeds and fails.
AU - Morley, N.J.
AU - Ball, L.J.
AU - Ormerod, T.C.
N1 - The final, definitive version of this article has been published in the Journal, Psychology, Crime & Law, 12 (2), 2006, © Informa Plc
PY - 2006/4
Y1 - 2006/4
N2 - 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.
AB - 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.
U2 - 10.1080/10683160512331316325
DO - 10.1080/10683160512331316325
M3 - Journal article
VL - 12
SP - 163
EP - 180
JO - Psychology, Crime and Law
JF - Psychology, Crime and Law
SN - 1068-316X
IS - 2
ER -