All the articles below are marked for inclusion under the CPDP program
May / June 2024
Life Insurance Fraud
LIFE INSURANCE POLICY
- AIDS Condition concealed for USD150,000!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Breast Augmentation or Injuries!
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- Failing the commonsense test! / 3
Anti-Fraud Training
GLOBAL / EDUCATION
- Calling on Polytechnics and Universities
March / April 2024
Life Insurance Fraud
LIFE INSURANCE POLICY |
ACCIDENTAL DEATH POLICY
- Declared ‘wife’ dead for USD40,000!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Canadian Insurer paid USD12,000 for treatment of USD35!
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- The inebriated traveler!
Anti-Fraud Training
GLOBAL / REPORT WRITING
- The many readers of an insurance investigation report!
Jan / Feb 2024
Life Insurance Fraud
LIFE INSURANCE POLICY
- Scanty Documentation for USD500,000!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- MRI and X-Ray billed the same charge, USD440!
Travel Insurance Fraud
BAGGAGE, PERSONAL EFECTS,
AND MONEY
- CCTV revealed the facts!
Anti-Fraud Training
GLOBAL / EDUCATION
- Uncovering Fraud from Patients’ Register!
Nov/Dec 2023
Life Insurance Fraud
LIFE INSURANCE POLICY
- Laid in state for US$60,000 and US$300,000!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
-
- Insights into fraud from Europe (2)
- Serial fraudulent claimants (5) / Kenya
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- Sham theft in Sharm-el-Sheikh, Egypt!
Anti-Fraud Training
LIFE INSURANCE POLICY |
ACCIDENTAL DEATH POLICY
- Interviewing the family is a sine qua non to uncovering the fraud!
Sept/Oct 2023
Life Insurance Fraud
LIFE INSURANCE POLICY
- Wasted trip!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Serial fraudulent claimants (4) / Italy
- Insights into fraud from South America (2)
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- Failing the commonsense test! / 2
Anti-Fraud Training
EMERGENCY MEDICAL EXPENSES |
MEDICAL TOURISM
- Intelligence work saved insurers US$100,000!
July/August 2023
Life Insurance Fraud
LIFE INSURANCE POLICY |
ACCIDENTAL DEATH POLICY
- Body substitution, Case 3
Insurance Attorneys beware!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Serial fraudulent claimants (3) / India
- Fabricating documents of existing medical providers (1) / Russia
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- Baggage, personal effects, and money loss (3) / Sri Lanka
Anti-Fraud Training
ACCIDENTAL DEATH POLICY
- The conniving pathologist!
May/June 2023
Life Insurance Fraud
LIFE INSURANCE POLICY
- Body substitution, Case 2
Pilgrimage to cash US$9.8 million!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Insights into fraud from Asia (1)
- Serial fraudulent claimants (2) / Cameroon
- Insights into fraud from South America (1)
Travel Insurance Fraud
BAGGAGE, PERSONAL EFFECTS,
AND MONEY
- Baggage, personal effects, and money loss (2) / Pakistan
Anti-Fraud Training
TRAVEL INSURANCE FRAUD |
EMERGENCY MEDICAL EXPENSES |
MEDICAL TOURISM
- Pre-planned treatment / Medical tourist countries, Case 2
March/April 2023
Life Insurance Fraud
LIFE INSURANCE POLICY
- Body substitution, Case 1
Fire for US$5 million!
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Serial fraudulent claimants (1) / Bangladesh
- Insights into fraud from Africa (1)
Travel Insurance Fraud
BAGGAGE, PERSNAL EFFECTS,
AND MONEY
- Failing the commonsense test / 1
Anti-Fraud Training
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Examining foreign health insurance claims from India, the challenges,
and the way forward
Jan/Feb 2023
Life Insurance Fraud
ACCIDENTAL DEATH POLICY
- Fraudulent Accidental Death Claims (1) / Cuba
Health Insurance Fraud
HEALTH INSURANCE POLICY |
EMERGENCY MEDICAL EXPENSES
- Man, in casts!
- Insights into fraud from Europe (1)
Travel Insurance Fraud
PERSONAL LIABILITY
- Kick that allegedly cost GB£220,000!
Anti-Fraud Training
TRAVEL INSURANCE FRAUD |
EMERGENCY MEDICAL EXPENSES |
MEDICAL TOURISM/FACILITATOR EXPLAINED
- Pre-planned treatment / Medical tourist countries, Case 1
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