How the detection of insurance fraud succeeds and fails

Psychology, Crime and Law

Volumn 12, Issue 2, 2006, Pages 163-180

  Morley, Nicola J ^a   Ball, Linden J ^a,b   Ormerod, Thomas C ^a  

^a LANCASTER UNIVERSITY   (United Kingdom)

^b LANCASTER UNIVERSITY   (United Kingdom)

Author keywords

Ethnography; Fraud detection; Insurance fraud

Indexed keywords

EID: 33745751934     PISSN: 1068316X     EISSN: 14772744     Source Type: Journal    
DOI: 10.1080/10683160512331316325     Document Type: Article

References (27)

1. Anon (n.d.). Fraudscope - What is it? Retrieved 8 October 2003 from http://www.fraudscope.co.uk/uk/ fraudfolder/fraudhtml/whatf.html.
2. Association of British Insurers (2001). News release 18 October 2001. www.abi.org.uk/newsreleases.
3. Anderson, R. J. (1994). Representations and requirements: The value of ethnography in system design. Human-Computer Interaction, 9, 151-182.
4. Ball, L. J., & Ormerod, T. C. (2000a). Applying ethnography in the analysis and support of expertise in engineering design. Design Studies, 21, 403-421.
5. Ball, L. J., & Ormerod, T. C. (2000b). Putting ethnography to work: The case for a cognitive ethnography of design. International Journal of Human-Computer Studies, 53, 147-168.
6. Bentley, R., Hughes, J. A., Randall, D., Rodden, T., Sawyer, P., Shapiro, D., et al. (1992). Ethnographically-informed systems design for air-traffic control. In Proceedings of the Fourth ACM Conference on Computer-Supported Cooperative Work - CSCW '92 (pp. 123-129). New York: ACM Press.
7. Clarke, M. (1989). Insurance fraud. British Journal of Criminology, 29, 1-20.
8. Clarke, M. (1990). The control of insurance fraud: A comparative view. British Journal of Criminology, 30, 1-23.
9. Crime and Fraud Prevention Bureau (2000). Annual report. Association of British Insurers, www.abi.org.uk
10. Dodd, N. J. (1998). Insurance claims fraud: Applying psychology to the reduction of insurance claims fraud. Insurance Trends, 18, 11-16.
11. Doig, A., Jones, B., & Wait, B. (1999). The insurance industry response to fraud. Security Journal, 12, 19-30.
12. Dunham, M. H. (2003). Data mining: Introductory and advanced topics. Harlow, UK: Prentice Hall.
13. Forsythe, D. E. (1995). Using ethnography in the design of an explanation system. Expert Systems with Applications, 8, 403-417.
14. Gill, K. M., Woolley, K. A., & Gill, M. (1994). Insurance fraud: The business as a victim. In M. Gill (Ed.), Crime at work, Vol 1. Leicester: Perpetuity Press.
15. Horvath, F. (1982). Detecting deception: The promise and the reality of voice stress analysis. Journal of Forensic Sciences, 27, 340-351.
16. Hughes, J. A., King, V., Rodden, T., & Andersen, H. (1994). Moving out from the control room: Ethnography in system design. In Transcending boundaries: Proceedings of the Fifth ACM Conference on Computer Supported Cooperative Work - CSCW '94 (pp. 429-439). New York: ACM Press.
17. Hughes, J. A., O'Brien, J., Rodden, T., & Rouncefield, M. (1997). Designing with ethnography: A presentation framework for design. In Proceedings of the ACM Symposium on Designing Interactive Systems - DIS '97 (pp. 147-159). New York: ACM Press.
18. Hughes, J. A., Sommerville, I., & Bentley, R. (1993). Designing with ethnography: Making work visible. Interacting with Computers, 5, 239-253.
19. Hunter Product Information (n.d.). Retrieved 8 October 2003 from http://www.mclsoftware.co.uk/details.html.
20. Kebbell, M. R., Milne, R., & Wagstaff, G. F. (1998). The cognitive interview: A survey of its forensic effectiveness. Psychology, Crime & Law, 5, 101-115.
21. Litton, R. (1990). Fraud and the insurance industry: Why don't they do something about it, then? International Journal of Risk Security and Crime Prevention, 3, 193-205.
22. Litton, R. (1998). Fraud and the insurance industry: Why don't they do something about it, then? International Journal of Risk Security and Crime Prevention, 3, 193-205.
23. Ormerod. T. C., Morley, N. J., Ball, L. J., Langley, C., & Spencer C. (2003). Using ethnography to design a Mass Detection Tool (MDT) for the early discovery of insurance fraud. Paper presented at CHI 2003, Fort Lauderdale, Florida, USA.
24. Schneiderman, B. (1998). Designing the user interface: Strategies for effective human-computer interaction, 3rd edn. Harlow, UK: Addison-Wesley.
25. Steed, A. (2003). Insurers to trial lie test for fraud. The Daily Telegraph, 15 August 2003.
26. Suchman, L. A. (1987). Plans and situated action: The problem of human-machine communication. Cambridge: Cambridge University Press.
27. Viller, S., & Sommerville, I. (2000). Ethnographically informed analysis of software engineers. International Journal of Human-Computer Studies, 53, 169-196.