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An Empirical Study on the Development of Behavior Model of Insurance Fraud  

Lee, Myung-Jin (숭실대학교 대학원 경영학과)
Gim, Gwang-Yong (숭실대학교 경영학부)
Publication Information
Journal of Information Technology Services / v.6, no.2, 2007 , pp. 1-18 More about this Journal
Abstract
Many researches have been done in insurance fraud as the amount and frequency of insurance fraud have been increasing continuously. In particular, the development of insurance fraud detection system using large database management techniques including data mining or link analysis based on visual method have been the main research topic in insurance fraud. However, this kinds of detection system were very ineffective to find unintentional insurance fraud happened by accident even though it was so good to find intentional and organized crime insurance fraud. Therefore, this research suggests insurance fraud as an ethical decision making and applies TPB(Theory of Planned Behavior) for the finding of reasons and prevention strategies of unintentional insurance fraud happened by accident. The results of research show that TPB is very appropriate model to explain the behavior of insurance fraud and that insurance agents force to do insurance fraud as affecting perceived behavior control. Therefore, education and pubic relations for insurance fraud are very effective for preventing insurance fraud and developing insurance service industry.
Keywords
Insurance Faud; Theory of Planned Behavior; Insurance Fraud Detection System;
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