A Contract of Convenience
Robert B. Walsh · 2012
This chapter presents a detailed case study of a fraud case at Superior Insurance Company. It also discusses several lessons learned and recommendation to avoid any future reoccurrence of any fraud. Chris Brown's expertise provided the investigation team with reliable and convincing proof of overpayments on each claim re-inspected. It is suggested that all staff authorized to add vendors to the system should be segregated from issuing claims checks. The task of adding vendors is now performed by a department outside the claims department. It is recommended that management should create and enforce strict controls over the distribution of claim checks. Using staff to perform certain management security functions should be forbidden.