A STUDY OF THE DETECTION AND CHECKS OF CLAIMS FRAUD IN THE INSURANCE INDUSTRY A CASE STUDY OF INSURANCE COMPANY IN ENUGU STATE

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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. Questa with appropriate answers.

The insurer on the often hard inspect the paid of the insured before the insured could course for the seltment 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 settled 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

2.1.1Classes of Insurance

2.1.2The benefit of insurance

2.2 insurance claims

2.2.1Claim settlement procedure

2.2.2Causes 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

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A STUDY OF THE DETECTION AND CHECKS OF CLAIMS FRAUD IN THE INSURANCE INDUSTRY A CASE STUDY OF INSURANCE COMPANY IN ENUGU STATE

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