Claim Investigation

Author : Mario S. Pecoraro
Publisher : iUniverse
ISBN 13 : 1491774150
Total Pages : 104 pages
Book Rating : 4.51/5 ( download)

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Download or read book The Claim Game written by Mario S. Pecoraro and published by iUniverse. This book was released on 2015-10-08 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organizations that fail to identify and eliminate fraud are losing hundreds of thousands of dollarsand many dont even know it! Many claims professionals dont have the time or resources to spot the red flags that indicate a fraudulent workers compensation claim, and even if they stumble upon one by chance, they fail to conduct a comprehensive investigation. Mario S. Pecoraro, CEO of Alliance Worldwide Investigative Group, provides proactive strategies that will save you resources, money, and time investigating claims. The twenty best practices he explores will help you: hire the type of employee who wont file a claim in the first place; engage in preventative maintenance throughout the life of a claim; determine who should conduct an investigation when a claim is filed; carry out the investigative process using a variety of tools. Filled with case studies demonstrating where investigations went wrong (and where they went right), youll be equipped to apply best practices and avoid common mistakes. Start saving money, and get the right team in place with The Claim Game.

Author : American Bar Association. House of Delegates
Publisher : American Bar Association
ISBN 13 : 9781590318737
Total Pages : 216 pages
Book Rating : 4.30/5 ( download)

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Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Author : Hector Quiroga
Publisher : Lulu.com
ISBN 13 : 0615203604
Total Pages : 187 pages
Book Rating : 4.07/5 ( download)

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Download or read book The Auto Policy and The Claim Investigation Process written by Hector Quiroga and published by Lulu.com. This book was released on with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Nancy Acerbo-Kozuchowski
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834208605
Total Pages : 298 pages
Book Rating : 4.01/5 ( download)

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Download or read book Medical Malpractice Claims Investigation written by Nancy Acerbo-Kozuchowski and published by Jones & Bartlett Learning. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book is designed as a primer for claims investigators, health care managers, QA/QI personnel, in-house counsel, paralegals, personal injury attorneys, and others whose duties include the investigation of actual and potential medical malpractice lawsuits. It can be used as a desktop reference, self-study guide, or as part of a formal orientation program for risk managers and quality assurance personnel. The book contains a step-by-step description of the claims investigation. It also provides instruction on reviewing medical records; identifying adverse patient occurrences; selecting, locating and interviewing personnel involved in occurrences; analyzing investigative findings; and writing the investigation report.

Author : Kaplan Financial
Publisher : Kaplan Publishing
ISBN 13 : 9781419537509
Total Pages : 160 pages
Book Rating : 4.04/5 ( download)

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Download or read book Claim Investigation Text written by Kaplan Financial and published by Kaplan Publishing. This book was released on 2006 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Claim Investigation covers basic procedures and relevant laws for property and casualty claim investigations. The course describes specific steps to follow when investigating auto liability, workers’ compensation, fire, and fall-down claims. Relevant case studies show how to use information from a loss report in the investigation procedure.

Author : George Henry Hunt
Publisher :
ISBN 13 :
Total Pages : 90 pages
Book Rating : 4.29/5 ( download)

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Download or read book The Investigation of Freight Claims written by George Henry Hunt and published by . This book was released on 1920 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Charles E. Piper
Publisher : Taylor & Francis
ISBN 13 : 1040081797
Total Pages : 172 pages
Book Rating : 4.92/5 ( download)

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Download or read book Healthcare Fraud Investigation Guidebook written by Charles E. Piper and published by Taylor & Francis. This book was released on 2017-07-27 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some have estimated that healthcare fraud in the United States results in losses of approximately $80 billion a year. Although there are many books available that describe how to detect healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper‘s Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to investigate and prove the wrongdoing to increase the likelihood of successful prosecution in court.The book starts by covering the history of healthcare insurance and the various types of fraud schemes. It presents Charles Piper‘s unique approach to investigating (The Piper Method) which allows readers to conduct as many as 10 simultaneous investigations for each case. It emphasizes the importance of simultaneously searching for waste and abuse as well as systemic weaknesses and deficiencies that caused or contributed to the problem or wrongdoing under investigation and then make recommendations for improvement. It also provides:Questions to ask whistleblowers, complainants, employers, employees, and healthcare providers who are suspectsTips on investigative case planning, goals, and strategiesSample visual aids for use when briefing others about your investigative findingsGuidance on presenting information obtained from healthcare investigations and on how to testify in courtTechniques for uncovering previously undetected fraudThe book includes a sample case study that walks readers through a mock case from the time the case is received through the end. The case study demonstrates how to initiate, plan, and conduct a thorough and complete healthcare fraud investigation while incorporating Piper‘s proven methodology.Sharing insights gained through Charles Piper‘s decades o

Author : Smith Rufus Brittingham
Publisher :
ISBN 13 :
Total Pages : 484 pages
Book Rating : 4.41/5 ( download)

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Download or read book The Claim Agent and His Work, Investigation and Settlement of Claims for Personal Injuries written by Smith Rufus Brittingham and published by . This book was released on 1927 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Walter Loane Clark
Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.CM/5 ( download)

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Download or read book The Investigation and Adjustment of Liability Insurance Claims and Workmen's Compensation Losses written by Walter Loane Clark and published by . This book was released on 1914 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Peter W. Greenwood
Publisher : Free Press
ISBN 13 :
Total Pages : 360 pages
Book Rating : 4.95/5 ( download)

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Download or read book The Criminal Investigation Process written by Peter W. Greenwood and published by Free Press. This book was released on 1977 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: