Brokerage Insurance Fraud

The wealth management or financial planning professions provide financial planning services and investment advice to clients for high net profit. The essential goal of any financial profession is to sustain and increase the long-term wealth of their clients. Since they manage huge amount of money for other people, they must also be ethical, trustworthy and free of any criminal record involving robbery, fraud or intentional mismanagement. Thus, they should understand complex financial documents, financial regulations and legal restrictions, not only good command of investments and financial planning.

Their daily business is directly working with other people's money, or doing other things that affect the public's investment decisions, and if they are unethical people, their clients, and the public, are at high risk for being cheated. Finance workers are entitled to reasonable fees for their services, but they are not entitled to engage in investment activity solely to generate more commissions for them, or engage in any other self-dealing while they are doing their jobs on behalf of their clients. And they have to exercise reasonable care when doing their jobs.

As we all know medical fraud and insurance fraud is both a crime, however that does not stop individuals from committing it. Back in 2015 the FBI arrested 46 doctors and nurses across the country. Which was also the largest Medicare fraud bust ever. The individuals billed Medicare for $712 million worth of patient care that was never given. Most of the doctors was ordering durable medical equipment and sending them across the country to patients that did not request nor need them. Since 2007 The DOJ’S Medicare Fraud Strike Force team has gotten over 2,300 people who committed fraud for more than $7 billion dollars. Thanks to the Affordable Care Act there donation has happen catch more individuals .

Among the biggest issues of theft that will cost a business money is that of workers' compensation fraud. Sometimes an employee is faking an injury, while at other times an employee may be exaggerating an injury. It is also the case that the injury is real, but it simply occurred while away from work. An employee may also have been injured on the job, but because of the circumstances of the injury, he or she is not entitled to workers' compensation. No matter the circumstances, if the claim is fraudulent, it will cost you money in the form of higher premiums. The following are three tips to protect your business from insurance fraud.

Thank you for your response. You make a great point about the multitude of ethical dilemmas that are present throughout health care. Insurance fraud is a major issue throughout the nation. According to the National Health Care Anti-Fraud Association [NHCAA] (2016), there are several types of fraud that occur such as billing for services never rendered, providing unnecessary services, and up-coding. Unfortunately, this is only increasing our health care spending in the United States (NHCAA, 2016). However, the financial burden of health care fraud is only the tip of the iceberg. Fraud leads to increase in premiums, decreases in coverage, and patients that are undergoing unnecessary procedures (NHCAA, 2016). Making health care fraud,

We should focus on treatment, not punishment… OIG report suggests prescribers are not checking the databases, or databases lack current data. What’s their training?

The health insurance company Premera Blue Cross was hacked back in March when 11 million people had their accounts leaked and taken. Six of the eleven million that had their information stolen were employees and customers of major technology companies like Amazon and Microsoft. Some of them even work for Star Bucks, all of these people lived in Washington. The other five million were scattered across the United States but the majority were from Washington. As far as we know the leaked client information hasn’t been used for anything.

An insurance policy is a contract between two parties: you and the insurance company. Both of you have obligations that are laid out in the insurance policy. While many insurers often act like they can do what they want when it comes to paying claims, insurance companies still have contractual obligations laid out in the policy.

““The name of the game, moving money from your clients pocket to your pocket”, Mark stated. “But if you can make your clients money at the same time it’s advantageous to everyone, correct?” “No, Mark replied…Okay, first rule of Wall Street-nobody and I don’t care if you are Warren Buffet or Jimmy Buffet- knows if a stock is going up, down or sideways, least of all stock brokers. But we have to pretend we know.”” (8)

This paper introduces Bernard L. Madoff a fraudster who orchestrated a multi-billion dollar Ponzi scheme. The paper discusses elements that make up a Ponzi scheme and explains what a Ponzi scheme is. The paper goes on to introduce some of the victim’s and examines some reasons why someone might fall victim to a Ponzi scheme. The paper describes the three elements making up the fraud triangle and how they relate to the fraud and the fraudster. This paper covers Bernard Madoff’s background and history and how he committed the fraud analyzing the fraud triangle. The paper describes ways to correct the issue, accounting principles violated, and recommendations for a fix. Finally, the paper looks at internal and external controls violated and ends with a conclusion.

If there is one thing to avoid while being a stockbroker it is fraud! Fraud is simply the deliberate trickery of deceit in order to obtain a profit or dishonest advantage over someone. In each brokerage firm there are a select few of individuals that operate under the Securities and Exchange Commission (SEC) to oversee the legal and illegal activities of a corporation. Jordan Belfort was responsible for training his employees to intentionally lie to clients as a means of earning substantial amounts of money. For

Both Blunt and Mathas knew this would be an uphill battle, however. Historically, investment advisors preferred to actively manage their clients’ funds, whereas an immediate annuity represented an irrevocable one-time transaction. In addition, most advisors favored a fee-based business model rather than one in which they would receive only a one-time commission. Complicating matters, research suggested that consumers were almost completely unaware of the existence or benefits of immediate annuities. Yet Mathas had faced doubts about this product before, and he genuinely believed that, in the ever-changing landscape of retirement planning, immediate annuities offered great benefits for those in or approaching their retirement years.

Today's insurance market competitions in Malaysia is at a high level. Refers to the annual report of life insurance in Malaysia as prepared by Life Insurance Association of Malaysia stated that life insurance industry recorded growth in 2015 which it provide the insurance coverage amounting to RM1.24 trillion which this amount is 6.2% much higher than the RM1.17 trillion in 2014

The U.S. Securities and Exchange Commission (“Commission”) position is that as a registered investment adviser under the U.S. Investment Advisers Act of 1940 should adopt written policies and procedures designed reasonably to ensure that the adviser satisfies the best execution for client trades.

As we have mentioned before, financial advising today is much different than what it used to be. The questions asked by advisors back in the day were ones that were centered around yielding large gains, but those questions were rarely answered with consistency. These questions are still debated throughout the media to this day, questions like: