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<p>Preface ix</p> <p>Insurance Fraud Classification System xiii</p> <p>Chapter 1 Needles in a Paystack 1<br /><i>Charles Piper</i></p> <p>Chapter 2 The Good Doctor and Insurance Consultant 11<br /><i>Michael King</i></p> <p>Chapter 3 Greasing the Wheels in the Oil Business 21<br /><i>Abdulrazaq Al-Morjan</i></p> <p>Chapter 4 Living the Dream, Keeping Up the Lie 31<br /><i>Andries J. Brummer</i></p> <p>Chapter 5 Extinguishing an Arson Fraud 39<br /><i>Barry Zalma</i></p> <p>Chapter 6 Weakest Link in the Chain 47<br /><i>Angela Bisasor</i></p> <p>Chapter 7 Everyone Gets Hurt: A Study in Workers’ Compensation Fraud 57<br /><i>Michael Sputo</i></p> <p>Chapter 8 The Hazards of Doing Business with Friends 67<br /><i>Bill Maloney</i></p> <p>Chapter 9 There’s Gold in Them Thar Malls! 75<br /><i>Carl Knudson</i></p> <p>Chapter 10 Damsel in Diamonds 83<br /><i>Michael Skrypek</i></p> <p>Chapter 11 Operation Give and Go 93<br /><i>Edward P. Buttimore</i></p> <p>Chapter 12 An Inspection Is Worth a Thousand Photos 103<br /><i>Ed Madge</i></p> <p>Chapter 13 The Danger of Trusting Too Much 113<br /><i>Joe Bonk</i></p> <p>Chapter 14 The Twin Cities Machine 121<br /><i>Bob Weir</i></p> <p>Chapter 15 With Friends Like These . . . 131<br /><i>John Fifarek</i></p> <p>Chapter 16 All the Buzz 139<br /><i>Dalene Bartholomew</i></p> <p>Chapter 17 Getting Rich from the Elderly 149<br /><i>John R. Holley</i></p> <p>Chapter 18 Transparent Greed 159<br /><i>Joseph Licandro</i></p> <p>Chapter 19 Fault of Fortune 169<br /><i>Jyoti Khetarpal</i></p> <p>Chapter 20 Going Blind to Fraud 179<br /><i>Karen Wright</i></p> <p>Chapter 21 Going Against the Cartel 191<br /><i>Loftin C. Woodiel</i></p> <p>Chapter 22 Falling Prey to Online Charms 199<br /><i>Tina Hancock</i></p> <p>Chapter 23 Big Bills in Little Cuba 209<br /><i>Mark Starinsky</i></p> <p>Chapter 24 Rushing an Insurance Claim 217<br /><i>Peter Parillo</i></p> <p>Chapter 25 Ignorance Is Bliss, While It Lasts 229<br /><i>Rebecca Busch</i></p> <p>Chapter 26 The Name Game 239<br /><i>William D. Meader</i></p> <p>Chapter 27 Woo, Wed, Insure, Murder 249<br /><i>William P. Hight</i></p> <p>Chapter 28 Mystery Shopping for Fraud 259<br /><i>Stephen Pedneault</i></p> <p>Index 269</p>

<p><b>LAURA HYMES, CFE,</b> is the Managing Editor of the ACFE's Research Department, where she oversees the editing of books, manuals and other publications related to the prevention, detection and investigation of fraud. She also collaborates with authors and speakers who are experts in the anti-fraud industry to produce high-quality educational material. She has a master's degree in publication management and years of experience in editing and publishing. <p><b>D<small>R</small>. JOSEPH T. WELLS, CFE, CPA,</b> spent nearly a decade as a U.S. FBI Special Agent and is the founder and Chairman of the Association of Certified Fraud Examiners (ACFE) as well as the author of twenty-one books. For his landmark research in fraud detection and deterrence, Dr. Wells has been inducted into the American Institute of Certified Public Accountants' Business and Industry Hall of Fame and named to <i>Accounting Today's</i> list of the 100 most influential people for nine years in a row. He holds a doctorate in commercial science from York College, The City University of New York.

<p><b>INSURANCE FRAUD CASEBOOK</b> <p>Insurance fraud is not committed by accounting systems or computers. It's carried out by living, breathing human beings, victimizing fellow consumers and costing millions of dollars in the form of increased premiums and higher prices for goods and services. If you want to learn how insurance fraud is engineered, how it is investigated and how its perpetrators are brought to justice, <i>Insurance Fraud Casebook</i> is a must-read. <p>Edited by Laura Hymes, Managing Editor of the Association of Certified Fraud Examiners' (ACFE) Research Department and Dr. Joseph T. Wells, the founder and Chairman of the ACFE, <i>Insurance Fraud Casebook</i> is a behind-the-scenes look at how insurance fraud takes root. Featuring contributions by fraud examiners, the book details the measures that can be taken to keep fraud from happening in the first place through real cases, all handpicked by Laura Hymes. <p><i>Insurance Fraud Casebook</i> provides you with special insights on every type of insurance scam, from healthcare fraud and workers' compensation fraud to counterfeiting and online fraud, illustrated with entertaining and enlightening cases, including: <ul> <li> "The Good Doctor and Insurance Consultant"</li> <li> "Extinguishing an Arson Fraud"</li> <li> "Everyone Gets Hurt: A Study in Workers' Compensation Fraud"</li> <li> "Getting Rich from the Elderly"</li> <li> "Falling Prey to Online Charms"</li> <li> "Woo, Wed, Insure, Murder"</li> <li> "Mystery Shopping for Fraud"</li> </ul> <p>Understanding the enormity of this problem is essential in fighting back. Whether you're a fraud investigator or an insurance auditor, <i>Insurance Fraud Casebook</i> is your best source for optimizing your fraud detection efforts and protecting against insurance fraud.

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