Effects of Fraud Risk Management Practices on Net Incurred Claims

The book attempts to establish the effects of fraud risk management practices on insurance fraud levels. The author employed standard framework of fraud risk management which encompasses corporate governance fraud prevention practices fraud detection practices and fraud response & monitoring practices. Primary data on the fraud risk management practices from medical insurance providers was collected. Further secondary data on net incurred claims ratios as well as industry benchmarks were sought from Insurance Regulator. The data collected aided in the determination of possible correlation between independent variables (corporate governance fraud preventive practices fraud detective practices fraud response & monitoring and market share) and dependent variable net incurred claim ratio through the Pearson correlation test and regression analysis.