Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India


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The evidence should be sufficient to ultimately prove the identity of the fraudster s , the mechanics of the fraud scheme, and the amount of financial loss suffered. It is important that the investigating team is skilled in collecting evidence that can be used in a court case, and in keeping a clear chain of custody until the evidence is presented in court. If any evidence is inconclusive or there are gaps in the chain of custody, then the evidence may be challenged in court, or even become inadmissible.

Investigators must be alert to documents being falsified, damaged or destroyed by the suspect s. Evidence can be gathered using various techniques, such as:. The ultimate goal of the forensic investigation team is to obtain a confession by the fraudster, if a fraud did actually occur. For this reason, the investigators are likely to avoid deliberately confronting the alleged fraudster s until they have gathered sufficient evidence to extract a confession. The interview with the suspect is a crucial part of evidence gathered during the investigation.

Reporting The client will expect a report containing the findings of the investigation, including a summary of evidence and a conclusion as to the amount of loss suffered as a result of the fraud. The report will also discuss how the fraudster set up the fraud scheme, and which controls, if any, were circumvented. It is also likely that the investigative team will recommend improvements to controls within the organisation to prevent any similar frauds occurring in the future.

Court proceedings The investigation is likely to lead to legal proceedings against the suspect, and members of the investigative team will probably be involved in any resultant court case. The evidence gathered during the investigation will be presented at court, and team members may be called to court to describe the evidence they have gathered and to explain how the suspect was identified. It is imperative that the members of the investigative team called to court can present their evidence clearly and professionally, as they may have to simplify complex accounting issues so that non-accountants involved in the court case can understand the evidence and its implications.


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There are numerous different types of fraud that a forensic accountant could be asked to investigate. The investigation is likely to ultimately lead to legal proceedings against one or several suspects, and members of the investigative team must be comfortable with appearing in court to explain how the investigation was conducted, and how the evidence has been gathered. Forensic accountants must therefore receive specialist training in such matters to ensure that their credibility and professionalism cannot be undermined during the legal process.

Forensic auditing. In a conflict of interest fraud, the fraudster exerts their influence to achieve a personal gain which detrimentally affects the company. The fraudster may not benefit financially, but rather receives an undisclosed personal benefit as a result of the situation. For example, a manager may approve the expenses of an employee who is also a personal friend in order to maintain that friendship, even if the expenses are inaccurate.

Forensic auditing | P7 Advanced Audit and Assurance | ACCA Qualification | Students | ACCA Global

Bribery is when money or something else of value is offered in order to influence a situation. Extortion is the opposite of bribery, and happens when money is demanded rather than offered in order to secure a particular outcome.


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  • The common feature is the theft of cash or other assets from the company, for example: Cash theft — the stealing of physical cash, for example petty cash, from the premises of a company. Fraudulent disbursements — company funds being used to make fraudulent payments. Inventory frauds — the theft of inventory from the company. Misuse of assets — employees using company assets for their own personal interest. The objectives of the investigation will include: identifying the type of fraud that has been operating, how long it has been operating for, and how the fraud has been concealed identifying the fraudster s involved quantifying the financial loss suffered by the client gathering evidence to be used in court proceedings providing advice to prevent the reoccurrence of the fraud.

    Evidence can be gathered using various techniques, such as: testing controls to gather evidence which identifies the weaknesses, which allowed the fraud to be perpetrated using analytical procedures to compare trends over time or to provide comparatives between different segments of the business applying computer assisted audit techniques, for example to identify the timing and location of relevant details being altered in the computer system discussions and interviews with employees substantive techniques such as reconciliations, cash counts and reviews of documentation.

    Written by a member of the Paper P7 examining team. Based on the deployment model, the market is divided into cloud and on-premises models.

    How the Insurance frauds research was conducted

    Fraud analytics accounted for the substantial fraud detection and prevention market share of around Further, the Fraud analytics segment is expected to generate the highest CAGR during the forecast period, owing to increase in implementation of various government regulations related to security for different industries to safeguard their user data. The professional services segment dominated the fraud detection and prevention market in , accounting for around In addition, growth in popularity of mobile devices present unique challenges to business and government organizations, enforcing them to implement effective solutions that would defend, identify, and respond to evolving threats.

    Asia-Pacific exhibited prominent fraud detection and prevention market growth, and is expected to maintain this trend in future as well, growing further at a CAGR of This is due to growth in penetration of Internet, and increase in usage of mobile data for various applications such as social media and mobile banking, which indirectly boosts fraud detection and prevention market growth. Top Impacting Factors. Increase in fraudulent activities globally is expected to have a significant impact on the growth of the global fraud detection and prevention market.

    This is because cloud infrastructure provides remote server access on the Internet and enables organizations to manage all the applications. However, high initial cost of these solutions restrains the growth of this market.

    Get the insights that Matter.

    In-depth analysis of the global fraud detection and prevention market along with its dynamics is provided to understand the market scenario. Quantitative analysis of the current trends and future estimations from to is provided to assist strategists and stakeholders to capitalize on prevailing opportunities. A detailed analysis of the geographical segments enables identification of profitable segments for fraud detection and prevention market players.

    Comprehensive analysis of the trends, sub-segments, and key revenue pockets are provided in the report. Detailed analysis of the key players and their business strategies are anticipated to assist stakeholders to take informed business decisions. Profile analysis of leading players that operate in the market are provided in the report, which highlight the major developmental strategies.

    Key Players.

    Key points

    Secondary research 1. Primary research 1. Analyst tools and models. Top impacting factors 3.

    Top winning strategies 3. Top investment pockets. Bargaining power of suppliers 3. Bargaining power of buyers 3. Threat of substitutes 3. Threat of new entrants 3. Intensity of competitive rivalry. Emergence of big data analytics 3. Growing demand for cloud-based security solutions 3. Rapid increase in mobile banking.

    High cost of fraud detection and prevention solutions. Need for strong authentication methods. Market size and forecast. Key market trends 4. Key drivers and opportunities 4. Predictive analytics 4.

    Why Allied Market Research?

    Customer analytics 4. Social media analytics 4. Big data analytics 4. Behavioral analytics. Single factor authentication 4.

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    Multi factor authentication. Key market trends 5. Key drivers and opportunities 5. Key market trends 6. Key drivers and opportunities 6. Key market trends 7. Key drivers and opportunities 7.

    FORENSIC ACCOUNTING AND CLAIMS SERVICES

    Key market trends 8. Key drivers and opportunities 8. Key market trends 9. Key drivers and opportunities 9. Canada 9. Germany 9. France 9. Russia 9. Rest of Europe.

    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India
    Insurance Sector Frauds: Research on Quantification of Insurance Frauds in India

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