The Claim Game

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Publisher : iUniverse
ISBN 13 : 1491774150
Total Pages : 104 pages
Book Rating : 4.4/5 (917 download)

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Book Synopsis The Claim Game by : Mario S. Pecoraro

Download or read book The Claim Game written by Mario S. Pecoraro and published by iUniverse. This book was released on 2015-10-08 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organizations that fail to identify and eliminate fraud are losing hundreds of thousands of dollarsand many dont even know it! Many claims professionals dont have the time or resources to spot the red flags that indicate a fraudulent workers compensation claim, and even if they stumble upon one by chance, they fail to conduct a comprehensive investigation. Mario S. Pecoraro, CEO of Alliance Worldwide Investigative Group, provides proactive strategies that will save you resources, money, and time investigating claims. The twenty best practices he explores will help you: hire the type of employee who wont file a claim in the first place; engage in preventative maintenance throughout the life of a claim; determine who should conduct an investigation when a claim is filed; carry out the investigative process using a variety of tools. Filled with case studies demonstrating where investigations went wrong (and where they went right), youll be equipped to apply best practices and avoid common mistakes. Start saving money, and get the right team in place with The Claim Game.

The Auto Policy and The Claim Investigation Process

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Publisher : Lulu.com
ISBN 13 : 0615203604
Total Pages : 187 pages
Book Rating : 4.6/5 (152 download)

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Book Synopsis The Auto Policy and The Claim Investigation Process by : Hector Quiroga

Download or read book The Auto Policy and The Claim Investigation Process written by Hector Quiroga and published by Lulu.com. This book was released on with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Malpractice Claims Investigation

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834208605
Total Pages : 298 pages
Book Rating : 4.2/5 (86 download)

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Book Synopsis Medical Malpractice Claims Investigation by : Nancy Acerbo-Kozuchowski

Download or read book Medical Malpractice Claims Investigation written by Nancy Acerbo-Kozuchowski and published by Jones & Bartlett Learning. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book is designed as a primer for claims investigators, health care managers, QA/QI personnel, in-house counsel, paralegals, personal injury attorneys, and others whose duties include the investigation of actual and potential medical malpractice lawsuits. It can be used as a desktop reference, self-study guide, or as part of a formal orientation program for risk managers and quality assurance personnel. The book contains a step-by-step description of the claims investigation. It also provides instruction on reviewing medical records; identifying adverse patient occurrences; selecting, locating and interviewing personnel involved in occurrences; analyzing investigative findings; and writing the investigation report.

Model Rules of Professional Conduct

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Publisher : American Bar Association
ISBN 13 : 9781590318737
Total Pages : 216 pages
Book Rating : 4.3/5 (187 download)

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Book Synopsis Model Rules of Professional Conduct by : American Bar Association. House of Delegates

Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Claim Investigation Text

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Publisher : Kaplan Publishing
ISBN 13 : 9781419537509
Total Pages : 160 pages
Book Rating : 4.5/5 (375 download)

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Book Synopsis Claim Investigation Text by : Kaplan Financial

Download or read book Claim Investigation Text written by Kaplan Financial and published by Kaplan Publishing. This book was released on 2006 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Claim Investigation covers basic procedures and relevant laws for property and casualty claim investigations. The course describes specific steps to follow when investigating auto liability, workers’ compensation, fire, and fall-down claims. Relevant case studies show how to use information from a loss report in the investigation procedure.

United States Attorneys' Manual

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (191 download)

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Book Synopsis United States Attorneys' Manual by : United States. Department of Justice

Download or read book United States Attorneys' Manual written by United States. Department of Justice and published by . This book was released on 1988 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Cold-Case Christianity

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Publisher : David C Cook
ISBN 13 : 1434705463
Total Pages : 224 pages
Book Rating : 4.4/5 (347 download)

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Book Synopsis Cold-Case Christianity by : J. Warner Wallace

Download or read book Cold-Case Christianity written by J. Warner Wallace and published by David C Cook. This book was released on 2013-01-01 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an L. A. County homicide detective and former atheist, Cold-Case Christianity examines the claims of the New Testament using the skills and strategies of a hard-to-convince criminal investigator. Christianity could be defined as a “cold case”: it makes a claim about an event from the distant past for which there is little forensic evidence. In Cold-Case Christianity, J. Warner Wallace uses his nationally recognized skills as a homicide detective to look at the evidence and eyewitnesses behind Christian beliefs. Including gripping stories from his career and the visual techniques he developed in the courtroom, Wallace uses illustration to examine the powerful evidence that validates the claims of Christianity. A unique apologetic that speaks to readers’ intense interest in detective stories, Cold-Case Christianity inspires readers to have confidence in Christ as it prepares them to articulate the case for Christianity.

Healthcare Fraud Investigation Guidebook

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Publisher : CRC Press
ISBN 13 : 1498752616
Total Pages : 230 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Healthcare Fraud Investigation Guidebook by : Charles E. Piper

Download or read book Healthcare Fraud Investigation Guidebook written by Charles E. Piper and published by CRC Press. This book was released on 2017-07-27 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some have estimated that healthcare fraud in the United States results in losses of approximately $80 billion a year. Although there are many books available that describe how to "detect" healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper‘s Healthcare Fraud Investigation Guidebook details n

The Claim Agent and His Work, Investigation and Settlement of Claims for Personal Injuries

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Publisher :
ISBN 13 :
Total Pages : 484 pages
Book Rating : 4.:/5 (89 download)

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Book Synopsis The Claim Agent and His Work, Investigation and Settlement of Claims for Personal Injuries by : Smith Rufus Brittingham

Download or read book The Claim Agent and His Work, Investigation and Settlement of Claims for Personal Injuries written by Smith Rufus Brittingham and published by . This book was released on 1927 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses

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Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses by : Walter Loane Clark

Download or read book The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses written by Walter Loane Clark and published by . This book was released on 1914 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Insurance Claims Investigation and Agency Practice

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Publisher :
ISBN 13 : 9781891247163
Total Pages : 201 pages
Book Rating : 4.2/5 (471 download)

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Book Synopsis Insurance Claims Investigation and Agency Practice by : William Merrell

Download or read book Insurance Claims Investigation and Agency Practice written by William Merrell and published by . This book was released on 1998-06-01 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Investigation of Freight Claims

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Author :
Publisher :
ISBN 13 :
Total Pages : 90 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Investigation of Freight Claims by : George Henry Hunt

Download or read book The Investigation of Freight Claims written by George Henry Hunt and published by . This book was released on 1920 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Criminal Investigation Process

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Publisher : Free Press
ISBN 13 :
Total Pages : 360 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis The Criminal Investigation Process by : Peter W. Greenwood

Download or read book The Criminal Investigation Process written by Peter W. Greenwood and published by Free Press. This book was released on 1977 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Freight Claim Investigation

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Publisher :
ISBN 13 :
Total Pages : 51 pages
Book Rating : 4.:/5 (443 download)

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Book Synopsis Freight Claim Investigation by :

Download or read book Freight Claim Investigation written by and published by . This book was released on 1958 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Investigation and Adjustment of an Automobile Injury Claim and a Personal Injury Insurance Claim

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Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (988 download)

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Book Synopsis The Investigation and Adjustment of an Automobile Injury Claim and a Personal Injury Insurance Claim by : Edward James Jr Monaghan

Download or read book The Investigation and Adjustment of an Automobile Injury Claim and a Personal Injury Insurance Claim written by Edward James Jr Monaghan and published by . This book was released on 1961 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Insurance Fraud Volume II

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Publisher :
ISBN 13 : 9781704294742
Total Pages : 460 pages
Book Rating : 4.2/5 (947 download)

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Book Synopsis Insurance Fraud Volume II by : Barry Zalma

Download or read book Insurance Fraud Volume II written by Barry Zalma and published by . This book was released on 2019-10-31 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insurance Fraud Is Epidemic Insurance fraud continually takes more money each year than it did the last from the insurance buying public. There is no certain number. Most attempts at insurance fraud succeed. Estimates of the extent of insurance fraud in the United States range from $87 billion to more than $300 billion every year.Insurers and government backed pseudo-insurers can only estimate the extent they lose to fraudulent claims. Lack of sufficient investigation and prosecution of insurance criminals is endemic. Most insurance fraud criminals are not detected. Those that are detected do so because they became greedy, sloppy and unprofessional so that the attempted fraud becomes so obvious it cannot be ignored.The National Insurance Crime Bureau (NICB) estimates that almost 25% of the bodily injury claims related to auto crashes are bogus. Property and casualty claims against auto insurance are not much better, coming in at around a 10% fraud rate.A person commits the offense of insurance fraud by knowingly and with the intent to defraud any insurer presents or causes to be presented to any insurer any statement forming a part of, or in support of, a claim that contains any false, incomplete or misleading information concerning any fact or thing material to the claim. [18 Pa.C.S.A. § 4117(a)(2).] A person acts "knowingly" when he or she is aware that it is practically certain that his or her conduct will cause such a result. Likewise, a person acts "intentionally" when "it is his or her conscious object to engage in conduct of that nature or to cause such a result.As the industry attempts to keep pace with fraudsters' varied, ever-shifting tactics, it must deploy more innovative, effective anti-fraud technologies or risk dire losses. Vendors and organizations include the Coalition Against Insurance Fraud (CAIF), CSC, Detica NetReveal, Equifax, Experian, FICO, IBM, Innovation Group, Insurance Bureau of Canada (IBC), ISO/Verisk, KPMG, LexisNexis, Mattersight, Mitchell, the National Insurance Crime Bureau (NICB), SAP, SAS, and TransUnion.Insurers must also generate a close relationship with the state insurance department's fraud division or fraud bureau, local police agencies, the FBI, the ATF, the Postal Investigation Service, the local fire department's arson unit, local prosecutors, and the local U.S. Attorneys if they are to have any chance to reduce the effect of insurance fraud. Insurers should also work to make the general public, state legislators, state governors, congress members and U.S. Senators, and the Attorney General of the United States aware of the effect insurance fraud has on the public at large and the insurance industry.Wherever insurance is written insurance fraud exists. It is an equal opportunity fraud committed by people of every race, religion or national origin. Insurers who do not exercise serious anti-fraud efforts often complain that the local district attorneys and police agencies give a low priority to the crime of insurance fraud. No matter how seriously the insurers work to prove fraud the authorities often ignore them. In response, police and prosecutors complain that the insurers do nothing that police and prosecutors can use to prosecute the crime of insurance fraud while insurers complain that prosecutors ignore them when they present evidence of a fraud. There is truth in both complaints. Insurers, although compelled by statute to investigate potential insurance fraud and to present the results of their investigations to prosecutors, they are not trained as police officers. This book is written to make it clear to insurers, police and prosecutors that it is necessary to stop complaining and start working together to reduce the extent of insurance fraud. If they do not work together the crime will continue to metastasize until it will be impossible to write insurance at a profit or for a price anyone can afford.

The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses

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Author :
Publisher : Theclassics.Us
ISBN 13 : 9781230373614
Total Pages : 26 pages
Book Rating : 4.3/5 (736 download)

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Book Synopsis The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses by : Walter Loane Clark

Download or read book The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses written by Walter Loane Clark and published by Theclassics.Us. This book was released on 2013-09 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 edition. Excerpt: ... Chapter VII. PHYSICIANS' LIABILITY INSURANCE PHYSICIANS' LIABILITY: Policies of this character have become a great necessity to all classes of physicians on account of the prevalence of suits for malpractice. Such actions are often brought to avoid payment for services rendered, sometimes for purposes of blackmail, and occasionally they are fostered through professional jealousy or enmity. The defense policy contemplates only the payment of counsel and witness fees and the management of the litigation, including investigation, advice and negotiations for settlement. The liability policy includes, in addition to such defense, the payment to the assured of the amount of any verdict, which he may be compelled to pay out on account of any alleged malpractice. The hazard insured against is the consequence of a civil suit for "malpractice" on account of bodily injuries, or death resulting from some alleged error on the part of the assured or his assistant. Prompt notice of all claims must be given so that a successful defense or favorable adjustment may be effected. Settlements may be made only with the consent of the assured, thus enabling him to insist upon a vindication if he deems it best. Ascertain whether the claim falls within the terms of the policy, particularly as to the date of the alleged treatment, the sobriety of the assured or his assistant, as well as compliance with the policy conditions. If suit has been instituted, arrangements should be made to prevent default until the investigation can be completed. No physician guarantees the success of his treatment, whether it be medical or surgical, and no presumption of carelessness arises from failure alone. Physicians are legally bound to place at the service of their patients a...