Model for Insurance Fraud Risk Assessment and Prevention
Model for Insurance Fraud Risk Assessment and Prevention

Summary/Abstract: This article critically examines insurance frauds in terms of the risk they create and the significant losses they bring to the insurance industry. A comparative analysis of the classification of insurance frauds in the legal systems of many developed countries has been conducted. A model for risk assessment and the prevention of insurance frauds is presented. In the suggested model the overall risk assessment is achieved by the evaluation of risk elements – probability, exposure (frequency) and results. The possibilities for the practical application of the model of insurance frauds assessment and prevention in the insurance organizations practices have been outlined.

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