Insurance Fraud Casebook

LAURA HYMES, CFE, is the Managing Editor of the ACFE's Research Department, where she oversees the editing of books, manuals and other publications related to the prevention, detection and investigation of fraud. She also collaborates with authors and speakers who are experts in the anti-fraud industry to produce high-quality educational material. She has a master's degree in publication management and years of experience in editing and publishing. DR. JOSEPH T. WELLS, CFE, CPA, spent nearly a decade as a U.S. FBI Special Agent and is the founder and Chairman of the Association of Certified Fraud Examiners (ACFE) as well as the author of twenty-one books. For his landmark research in fraud detection and deterrence, Dr. Wells has been inducted into the American Institute of Certified Public Accountants' Business and Industry Hall of Fame and named to Accounting Today's list of the 100 most influential people for nine years in a row. He holds a doctorate in commercial science from York College, The City University of New York.

• Preface ixInsurance Fraud Classification System xiiiChapter 1 Needles in a Paystack 1Charles PiperChapter 2 The Good Doctor and Insurance Consultant 11Michael KingChapter 3 Greasing the Wheels in the Oil Business 21Abdulrazaq Al-MorjanChapter 4 Living the Dream, Keeping Up the Lie 31Andries J. BrummerChapter 5 Extinguishing an Arson Fraud 39Barry ZalmaChapter 6 Weakest Link in the Chain 47Angela BisasorChapter 7 Everyone Gets Hurt: A Study in Workers’ Compensation Fraud 57Michael SputoChapter 8 The Hazards of Doing Business with Friends 67Bill MaloneyChapter 9 There’s Gold in Them Thar Malls! 75Carl KnudsonChapter 10 Damsel in Diamonds 83Michael SkrypekChapter 11 Operation Give and Go 93Edward P. ButtimoreChapter 12 An Inspection Is Worth a Thousand Photos 103Ed MadgeChapter 13 The Danger of Trusting Too Much 113Joe BonkChapter 14 The Twin Cities Machine 121Bob WeirChapter 15 With Friends Like These . . . 131John FifarekChapter 16 All the Buzz 139Dalene BartholomewChapter 17 Getting Rich from the Elderly 149John R. HolleyChapter 18 Transparent Greed 159Joseph LicandroChapter 19 Fault of Fortune 169Jyoti KhetarpalChapter 20 Going Blind to Fraud 179Karen WrightChapter 21 Going Against the Cartel 191Loftin C. WoodielChapter 22 Falling Prey to Online Charms 199Tina HancockChapter 23 Big Bills in Little Cuba 209Mark StarinskyChapter 24 Rushing an Insurance Claim 217Peter ParilloChapter 25 Ignorance Is Bliss, While It Lasts 229Rebecca BuschChapter 26 The Name Game 239William D. MeaderChapter 27 Woo, Wed, Insure, Murder 249William P. HightChapter 28 Mystery Shopping for Fraud 259Stephen PedneaultIndex 269