Which of the Following Procedures Would Be Most Effective in Detecting

question 114

Multiple Choice

Which of the following procedures would be most effective in detecting fraud in electronically-submitted claims to insurance companies?

• A) Creating a monitoring program that detects unusual claims to be investigated by the claims department.
• B) Using generalized audit software to match the claimant identification number with a master list of valid policyholders.
• C) Testing the accuracy of processing by using integrated test facilities.
• D) Creating batch controls over all claims arriving from a particular organization and process those claims separately.

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Definitions:

Big Five Traits

The Big Five traits refer to five broad dimensions of personality that include openness, conscientiousness, extraversion, agreeableness, and neuroticism, widely used in psychology to describe human personality.

Agreeableness

This refers to a personality trait that encompasses qualities like kindness, affection, cooperation, and a willingness to help others.

Personality Factors

The fundamental traits and characteristics that consistently determine individuals' thoughts, feelings, and behaviors, making up their personality.

9 Factors

A reference that may require more context for a precise definition, as it could pertain to variables in various disciplines.NO.