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

(A CASE STUDY OF INSURANCE COMPANY IN ENUGU )

By

ANOKWUNU KELECHI C. INS/N2003/005

Presented To

Department of Insurance

    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. Questa 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. Fround, 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  bodt the insurer and the insured will so into inspection before any risk could be selted moreso 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 princited 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.

TABLE OF CONTENTS

Title page                                        
Approval page                                     
Dedication                                         
Acknowledgment                                 
Abstract                                        
Table of content    
                                
CHAPTER ONE
Introduction                                 
1.1    Background of study                            
1.2    Statement of problem                             
1.3    Purpose / objection of study                         
1.4    Significance of the study                             
1.5    Scope and limitation of the study     
                

CHAPTER TWO
Literature Review                                     
2.1 What is insurance                                 
2.1.1 Classes of Insurance                             
2.1.2 The benefit of insurance                             
2.2 insurance claims                                 
2.2.1 Claim settlement procedure                         
2.2.2 Causes of delay in claim settlement                     
2.3 What is fraud?                                     
2.4 How claims fraud can arise                                       
2.5 Ways of detecting and checking claims fraud
                 
CHAPTER THREE
Research methodology                                
3.1 sources of date                                    
3.2 location of date                                  
3.3 Method of data collection     
                        
CHAPTER FOUR        
4.1 date presentation and analysis
                        
CHAPTER FIVE    
Summary of Findings, Conclusion and Recommendation             
5.1 Findings                                        
5.2 Conclusion                                    
5.3 Recommendation    
BIBLIOGRAPHY
 QUESTIONNAIRE