ISSN: 2222-6990
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This review paper aims to determine the factors influencing the attitudes of consumers towards insurance claim fraud. In this research, data review was conducted on 60 articles associated with this study’s objectives according to experts’ views and researchers’ experience. It was shown in this research’s primary finding that economic issues, moral hazard, and perceived fairness are the elements which will result in insurance claim fraud. This has validated the influence posed by consumer behaviour on insurance claim fraud. However, the estimated insurance claim fraud data provided by Bank Negara Malaysia (BNM) rather than the actual data, along with the obstacles of acquiring data from consumers were the limitations in this research.
Akomea-Frimpong, I., Andoh, C., & Ofosu-Hene, E. D. (2016). Causes, effects and deterrence of insurance fraud: evidence from Ghana. Journal of Financial Crime, 23(4), 678-699.
Baldock, J. (1997). Social care in old age: more than a funding problem. Social policy & administration, 31(1), 73-89.
Bashir, I., & Madhavaiah, C. (2014). Determinants of young consumers’ intention to use Internet banking services in India. Vision, 18(3), 153-163.
Bolino, M. C., Klotz, A. C., Turnley, W. H., & Harvey, J. (2013). Exploring the dark side of organizational citizenship behavior. Journal of Organizational Behavior, 34(4), 542-559.
Brinkmann, J. (2005). Understanding insurance customer dishonesty: Outline of a situational approach. Journal of Business Ethics, 61(2), 183-197.
Browne, M. J., & Doerpinghaus, H. I. (1993). Information asymmetries and adverse selection in the market for individual medical expense insurance. Journal of Risk and Insurance, 300-312.
Burhan, N. A. S., Salleh, F., & Burhan, N. M. G. (2015). National intelligence and private health expenditure: Do high IQ societies spend more on health insurance? Intelligence, 52, 1-8.
Burhan, N. A. S., Razak, R. C., Salleh, F., & Tovar, M. E. L. (2017). The higher intelligence of the ‘creative minority’provides the infrastructure for entrepreneurial innovation. Intelligence, 65, 93-106.
Carris, R., & Colin, M. A. (1997). Insurance fraud and the industry response. Cpcu Journal, 50, 92-103.
Chiappori, P. A., & Salanie, B. (2000). Testing for asymmetric information in insurance markets. Journal of political Economy, 108(1), 56-78.
Clare, S. K., Jenson, W. R., Kehle, T. J., & Bray, M. A. (2000). Self?modeling as a treatment for increasing on?task behavior. Psychology in the Schools, 37(6), 517-522.
Dean, D. H. (2004). Perceptions of the ethicality of consumer insurance claim fraud. Journal of Business Ethics, 54(1), 67-79.
Derrig, R. A., & Krauss, L. K. (1994). First steps to fight workers' compensation fraud. Journal of Insurance Regulation, 12(3), 390.
Dionne, G. (Ed.). (2000). Handbook of insurance (pp. 155-183). Boston: Kluwer Academic Publishers.
Dionne, G., & St-Michel, P. (1991). Workers' compensation and moral hazard. The Review of Economics and Statistics, 236-244.
Gepp, A., Wilson, J. H., Kumar, K., & Bhattacharya, S. (2012). A comparative analysis of decision trees vis-a-vis other computational data mining techniques in automotive insurance fraud detection. Journal of data science, 10(3), 537.
Huppertz J, Arenson S, Evans R. An application of equity theory to buyer–seller exchange situations. J Mark Res 1978;15:250–60 May.
Lamb, R. B. (1999). Ethics in financial services. Business and Society Review, 104(1), 13-17.
Mommaerts, C. (2015). Long-term care insurance and the family. unpublished, November.
Niemi, H. (1995). Insurance fraud. European Journal on Criminal Policy and Research, 3(1), 48-71.
O’Fallon, M. J., & Butterfield, K. D. (2005). A review of the empirical ethical decision-making literature: 1996–2003. Journal of business ethics, 59(4), 375-413.
Okura, M. (2013). The relationship between moral hazard and insurance fraud. The Journal of Risk Finance, 14(2), 120-128.
Shavell, S. (1979). On moral hazard and insurance. In Foundations of Insurance Economics (pp. 280-301). Springer, Dordrecht.
Stiglitz, J. E. (2009). The current economic crisis and lessons for economic theory. Eastern Economic Journal, 35(3), 281-296.
Tennyson, S. (1997). Economic institutions and individual ethics: A study of consumer attitudes toward insurance fraud. Journal of Economic Behavior & Organization, 32(2), 247-265.
Trevino, F. M., Moyer, M. E., Valdez, R. B., & Stroup-Benham, C. A. (1991). Health insurance coverage and utilization of health services by Mexican Americans, mainland Puerto Ricans, and Cuban Americans. Jama, 265(2), 233-237.
Tseng, L. M., & Kang, Y. M. (2014). The influences of sales compensations, management stringency and ethical evaluations on product r
In-Text Citation: (Salleh, Kassim, Yazid, & Rashid, 2018)
To Cite this Article: Salleh, F., Kassim, D. N. H. A., Yazid, A. S., & Rashid, N. (2018). Consumer Behaviour and Insurance Claim Fraud in Malaysia. International Journal of Academic Research in Business and Social Sciences, 8(12), 586–598.
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