GOOD MORNING

FRAUDS IN INSURANCE COMPANY.

NAMESADITYA AMBOKARMOHIT AROLKARASHISH SHAHASEEM SOMANI

02 03 37 47

GROUP MEMBERS

ROLL NO.

INTRODUCTION TO INSURANCE FRAUDS

OPPORTUNITY FOR EXPLOITATION

FALSE INSURANCE CLAIMS

INFLATING OF LOSS

CAUSES FOR THE FRAUDS

LOSSES DUE TO INSURANCE FRAUDS

HARD FRAUD

HARD V/S SOFT FRAUD

SOFT FRAUD

LOSS BY F IRE ,THEFT

CRIMINAL RINGS

OPPORTUNISTICFRAUD

POLICY HOLDEREXAGGERATION

TYPES OF INSURANCE FRAUDS

AUTOMOBILEINSURANCE

HEALTH CARE INSURANCE

LIFE INSURANCEORGANISED

CRIME

PROPERTY INSURANCE

PADDING YOUR CLAIMS.

FALSE CLAIMS.

LYING ON YOUR APPLICATION.

FALISIFYING OF DOCUMENTS.

EXAMPLES

METHODS FOR DETECTING INSURANCE FRAUDS

SUPERVISED

FRAUDULA

NTLE

GITIMATE

FALSE CLIAMS

N O N -F R A U DU L A N T

UNSUPERVISED

1. •I N C I D E N T I N I L L I N O I S

2. •I N C I D E N T I N N E W Y O R K C I T Y

3. •I N C I D E N T I N C H I C A G O

REAL EXAMPLE DURING RECENT YEARS

CASE STUDY

CONCLUSION

THANK YOU