Select Currency
Translate this page

STUDY OF THE DETECTION AND CHECKS OF CLAIMS FRAUD IN THE INSURANCE INDUSTRY

Format: MS WORD  |  Chapter: 1-5  |  Pages: 75  |  792 Users found this project useful  |  Price NGN3,000

GET THE COMPLETE PROJECT

STUDY OF THE DETECTION AND CHECKS OF CLAIMS FRAUD IN THE INSURANCE INDUSTRY

 

ABSTRACT

A study of the detection and checks of claims fraud operation starts from the propose insured who offers a business contract to the insurer by completing the proposal form questions with appropriate answers. 
The insurer on the often hard inspect the paid of the insured before the insured could course for the settlement of claims and the policy holder should come for the claim, immediately the loss has been sustained.
The insured will notify and clear his mind from fraudulent company in other to enter for a legal contract with the insurance company. The other hand of the detection body the insurer and the insured will so into inspection before any risk could be settled more so the policy evidence of contract between the insured and the insurer and it is well established in law that general wile of contention and interpretation shall apply to insurance contracts as well as to other contacts. Checking operation the insured show his responsibilities in enlightening the insured how a risk or peril should be avoided and rather imp wired the policy holders risks. 
The objectives of this project is to study the detection and checks of claims fraud most especially in Nigeria because of the ill educated people in Nigeria who could not enter into insurance policy because they be live that God will insure them conclusion all the insurance companies should take steps in ensuring the wording of the policy are bodily written so that one would not need to strain the eyes before being able to read through the lines of printed words and they should consider the use of simple and understandable English language while drafting the policy. Ambiguous terms should not be used. Appropriate sales production scheme or advertising channel must be taken. 

CHAPTER ONE

INTRODUCTION 
1.1 BACKGROUND OF STUDY 

The study of the detection and checks of claims fraud in the Nigerian insurance firm or institution and the causes also the solution. Insurance claim arise when a loss occurred. In the occurrence of loss. He insured is expected notify the insurer immediately the loss occurred. The insurance should then forward a claim form to the Clurman the insurance also open a file end register, carefully investigation are carried out on the issue of the loss before the claims could be settled. It can either be by cash, repaint replacement or reinstatement depending on the method providing for as agreed at the method providing for as agreed at the inception of the contract 
Fraud is also as defecation. It is means the act of making some entries in other to misappropriate some goods or money, such approach may be performed by an individual or group of individuals without the knowledge of the management committee with the intention to of defrauding the insurance company.
It can curse when claim fraud is detected from fictitious payment in the cashbook or stock records, in the case of goods. It has increased in size and used in obtaining great sophisticated by the day.
Currently with the introduction of modem insurance method automatic electronic gadget communication system and computer into the insurance industry frauds have already taken a different shape and some involved increase rapidly in an obstacle to growth of insurance industry. It was discovered during investigation, broker now take extra care before clearing claim due to rampant cases of fraud and forgery in which or insurance company Bose placed on the head in Nigeria. Fraud has become sophisticated as to make forged claim so that insurance company will agree to compensate the insured. 
In a bid to reduce the occurrence and size of fraud in Enugu state insurance company. The insurance workers now take adequate measures before settling or indemnifying a claim. These measures bring into causes of delay in claim settlement.
The reason for this researcher work is to identify the study of the detection and checks of claims fraud in insurance companies in Enugu state, Nigeria have recommended more important or vital measures that will help in the controlling of frauds in insurance company.

1.2 STATEMENT OF THE PROBLEM 
Insurance company has played a special role to the society but there are many problems facing the company.
i) Ill educated people in the society due to the high illiteracy in our society makes the insurance to have difficult problem enlightening them how to improve their risk 
ii) Government not looking into insurance company problems and providing them with adequate facilities for the detecting of fraud. 
iii) The police insured and claim investigator working in hand to defraud the insurance company.
iv) The insurance officials refuse to give enough information due to bias mind to defraud the insurance company.

1.3 OBJECTIVES OF THE STUDY
The researcher having successfully indicated the numerous problems obtained on insurance claim fraud in insurance institution will now state the purpose of carrying research work.
i) To eliminate various types of claims fraud. 
ii) To determine the causes of fraud in insurance industry.
iii) To observe if there legal loopholes. In Nigeria legal system that encourage frauds.
iv) Determination of control measure and strategies against fraud and making of vital recommendation.

1.4 SIGNIFICANCE OF THE STUDY 
The system used in checking these fraud and insurance claim acquire greater sophistication by the day. As insurance company in Enugu state are busy finding the way of controlling fraud and settling claims, the fraudsters in connection with some dishonest insurer device new system of doping or robbing the company.
In addition, it should be noted that the results of these ugly cases are damaging 
i) Fraud brings about unwanted losses for an insurance company and equally put the management on a confused state of mind while spending hard-neared resources on fraud control.
Any case of insurance company clips off a bit of public trust in financial institution and well so down the development of banking habits.
Moreover, it can easily be noticed that if nothing is done to control these ugly incidence fraud could lead to the total collapse of the economy.
Thus researcher tend to look into this research work the major of the detection and checks of claims have with intention to provide suitable recommendation that will help in fraud control and insurance claims.

1.5 SCOPE AND LIMITATION OF THE STUDY 
This work entitle the detection and checks of claims fraud, but for the purpose of this research work, it has been shorten down to contain only the miscuing of claims and fraud also it could be checked the problems encountered by the insurance company when carrying out the work of the study of the detection of claims fraud. The objectives of the detection and checks of claim fraud. The firm also cover the areas of raising defrauding claims and checks in an insurance institution in Enugu state.

LIMITATION 
These use factors that limit or affect the research during the research work. Some of them are on follows.
1. Time factor
2. lack of fund 
3. Weather condition 
4. lack of good network of wad 
5. lack of power 
6. lack of data 
Time factor: during the work there was no enough time to conduct the study in order to make the topic researchable.
Lack of fund: This acted as obstacle during the project work, during the time of the research there were no enough fund to visit some place for data collection
WEATHER CONDITION: Due to the fact that we are on rainy season. It was not all that possible to go to many places for data collection.
LACK OF GIXID NETWORK OF ROAD: The roads are not well linked up and most of them are bad that one not drive through daring data collection. 

GET THE COMPLETE PROJECT

Not What You Are Looking For?



For QUICK Help Call Us Now!

+234 813 2926 373

+234 701 5050 881


Here's what our amazing customers are saying

Emmanuel Essential
Kogi state University
I actually took the risk,you know first time stuff But i was suprised i received as requested. I love you guys 🌟 🌟 🌟 🌟
Very Good
Azeez Abiodun
Moshood Abiola polytechnic
I actually googled and saw about iproject master, copied the number and contacted them through WhatsApp to ask for the availability of the material and to my luck they have it. So there was a delay with the project due to the covid19 pandemic. I was really scared before making the payment cause I’ve been scammed twice, they attended so well to me and that made me trust the process and made the payment and provided them with proof, I got my material in less than 10minutes
Very Good
Gbadamosi Solomon Oluwabunmi
Lasu
Swift delivery within 9 minutes of payment. Thank you project master
Excellent
JONNAH EHIS
Ajayi Crowther University, Oyo
I was scared at first when I saw your website but I decided to risk my last 3k and surprisingly I got my complete project in my email box instantly. This is so nice!!!
Excellent
MATTHEW NGBEDE
Ahmadu Bello University
I wish I knew you guys when I wrote my first degree project, it took so much time and effort then. Now, with just a click of a button, I got my complete project in less than 15 minutes. You guys are too amazing!
Excellent
Temitayo Ayodele
Obafemi Awolowo University
My friend told me about iprojectmaster website, I doubted her until I saw her download her full project instantly, I tried mine too and got it instantly, right now, am telling everyone in my school about iprojectmaster.com, no one has to suffer any more writing their project. Thank you for making life easy for me and my fellow students... Keep up the good work
Very Good
Stancy M
Abia State University, Uturu
I did not see my project topic on your website so I decided to call your customer care number, the attention I got was epic! I got help from the beginning to the end of my project in just 3 days, they even taught me how to defend my project and I got a 'B' at the end. Thank you so much iprojectmaster, infact, I owe my graduating well today to you guys...
Excellent
Ibrahim Muhammad Muhammad
Usmanu danfodiyo university, sokoto
It's a site that give researcher student's to gain access work,easier,affordable and understandable. I appreciate the iproject master teams for making my project work fast and available .I will surely,recommend this site to my friends.thanks a lot..!
Excellent
Dau Mohammed Kabiru
Kaduna State College of Education Gidan Waya
This is my first time..Your service is superb. But because I was pressed for time, I became jittery when I did not receive feedbackd. I will do more business with you and I will recommend you to my friends. Thank you.
Very Good
Joseph M. Yohanna
Thanks a lot, am really grateful and will surely tell my friends about your website.
Excellent

HOW TO GET YOUR COMPLETE PROJECT INSTANTLY

  • Select 3 Project Topics of your choice from your Department.
  • Submit the 3 topics to your Supervisor for Approval.
  • Call Our Instant Help Desk on 0813-292-6373 and Get Your Complete Project Material Instantly.
  • All project materials on this website are well researched by professionals with high level of professionalism.

FREQUENTLY ASKED QUESTIONS

How do i choose a Project Topic?

Look for your department and select any topic of your choice

I have a fresh topic that is not on your website. How do I go about it?

How fast can i get a complete project from your website?

Within 15 minutes if the exact project topic is on our website

Is it a complete research project or just materials?

It is a Complete Research Project i.e Chapters 1-5, Abstract, Table of Contents, Full References, Questionnaires / Secondary Data

One of your topics suites my project, but the case study is different. What do i do?

Call Our Instant Help Desk Now: (+234) 813-292-6373 and you will be responded to immediately

How do i get my complete project?

Your Complete Project Material will be sent to your Email Address in Ms Word document format

Can I get my Complete Project through WhatsApp?

Yes! We can send your Complete Research Project to your WhatsApp Number

What if my Project Supervisor made some changes to a topic i picked from your website?

Call Our Instant Help Desk Now: (+234) 813-292-6373 and you will be responded to immediately

Do you assist students with Assignment and Project Proposal?

Yes! Call Our Instant Help Desk Now: (+234) 813-292-6373 and you will be responded to immediately

What if i do not have any project topic idea at all?

Smiles! We've Got You Covered. Chat with us on WhatsApp Now to Get Instant Help: (+234) 813-292-6373

How can i trust this site?

We are well aware of fraudulent activities that have been happening on the internet. It is regrettable, but hopefully declining. However, we wish to reinstate to our esteemed clients that we are genuine and duly registered with the Corporate Affairs Commission as "PRIMEDGE TECHNOLOGY". This site runs on Secure Sockets Layer (SSL), therefore all transactions on this site are HIGHLY secure and safe!