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Journal of Foreign Life and Health Fraud Incorporating Travel Fraud

JOURNAL

 

 

JOURNAL OF FOREIGN LIFE AND HEALTH FRAUD

                                         Incorporating Travel Fraud

         ISSN 2324 9225  (Print)        Vol. 2, No. 1, 2016

 

 

Contents:

 

March 1, 2016

 

Editorial:

 

No. 1

 

Let’s begin the journey!

 

Life:

 

GLOBAL- Common life insurance fraud schemes

CPDP 2017

 

Health:

 

NIGERIA / UNITED STATES - The Greedy Fraudster:

Paid a check for US$24,000.00 but wanted

US$39,000.00 and lost all!

 

DOMINICAN REPUBLIC / UNITED STATES - The unsophisticated

or dumb fraudster (1): The ‘smart’ fraudster was outsmarted by the HMO!

CPDP 2017

 

Travel:

 

SYRIA / UNITED KINGDOM – The kick in the head in a soccer game

that allegedly cost GB₤220,000.00!

CPDP 2017

 

GLOBAL - Baggage, personal effects and money loss:

The current fraud trends!

CPDP 2017

 

 

 

 

Anti-fraud Training:

 

GLOBAL - Health insurance and Medical Expenses Claims Investigation:

Always speak with the No. 1 officer!

CPDP 2017

 

 

No. 2

March 5, 2016

 

Editorial

 

The challenges of combating foreign insurance fraud

 

Life:

 

CLOBAL - Some Red flags of fraudulent accidental death claims

 

Fraud Alert! WEST AFRICA / UNITED STATES:

The conniving pathologist!

CPDP 2017

 

Health:

 

Insights into fraud from Europe (1)

Insights into fraud from South America (1)

Insights into fraud from Asia (1)

Insights into fraud from Africa (1)

CPDP 2017

 

Travel:

 

CHINA / UNITED KINGDOM - The inebriated traveler! He drank away

GB₤1000+ with friends and filed it under money loss!

 

Anti-Fraud Training:

 

MEXICO / UNITED STATES - Investigating alleged hospitalization and treatment of the policyholder for abdominal pain and nausea and for hemorrhoidectomy.

 

This brief training program in the form of an article is to provide insights into factors taken into consideration by Investigators in drafting letters for physician providers, the psychological comportment of the Investigator when dealing with medical providers, and the supporting documentation to seek. It emphasizes the importance of seeking a Medical Consultant’s inputs in resolving knotty aspects of some claims.

CPDP 2017

 

 

No. 3

May 30, 2016

Editorial

 

What informs our choice of articles!

 

Life:

 

HAITI / UNITED STATES - Fake funeral service and empty coffin!

CPDP 2017

 

Health:

 

Insights into fraud from Europe (2)

Insights into fraud from South America (2)

CPDP 2017

 

Travel:

 

EGYPT / UNITED KINGDOM - Sham theft in Sharm-el-Sheikh, Egypt!

CPDP 2017

 

Anti-Fraud Training:

 

GLOBAL – Indications of fraudulent foreign health insurance claims:

What constitutes a private room in a hospital?

 

CPDP 2017