FIVE EMERGING STRATEGIES TO DETECT AND CONTROL FRAUD: MULTIPLE CASE STUDIES

Main Article Content

Ruchi Agarwal
Sanjiv Dwivedi
Ayushi Singh

Abstract

Abstract


Fraud continues to pose a significant threat to companies, particularly in digitally-driven, high-volume environments such as the insurance sector. This article examines five emerging strategies—reactive, proactive, preventive, curative, and deterrence—used to detect and control fraud in Indian insurance companies over the last decade. A qualitative multiple-case study methodology was employed, focusing on three leading insurers. Data were analyzed using Dynamic Capability theory, emphasizing absorptive, adaptive, and innovative capacities to understand how firms anticipate, respond to, and mitigate fraud risks. Findings reveal that reactive strategies facilitate post-incident investigations and learning, proactive strategies leverage analytics and field investigations to anticipate fraud, preventive strategies strengthen internal controls and due diligence, curative strategies address systemic weaknesses from prior incidents, and deterrence strategies employ sanctions, regulatory escalation, and industry-wide collaboration. Companies effectively integrate these strategies, using dynamic capabilities to enhance resilience, reduce losses, and build stakeholder trust. The study contributes to the literature by empirically demonstrating the application of multi-layered fraud management strategies in the insurance context, bridging gaps in operationalizing traditional fraud theories such as the Fraud Triangle, Diamond, and Pentagon. Practically, the article highlights how insurers can combine multiple strategies and leverage organizational capacities to mitigate risks efficiently. These insights are valuable for policymakers, regulators, and industry practitioners seeking to strengthen fraud governance frameworks in emerging markets.

Article Details

Section

Original Research Articles

Author Biographies

Ruchi Agarwal, Assistant Professor, MDI Gurgaon (India), Department of Strategic Management

Ruchi Agarwal is Assistant Professor at Management Development Institute (MDI), Gurugram, India. She pursued her PhD in ERM from the University of Edinburgh Business School, UK.  She is a Fellow of the Insurance Institute of India (FIII) and is certified with an Advanced Diploma from the Chartered Institute of Insurance (ACII), UK. She has been involved in consulting and business analysis with top MNCs in international markets over the last 15 years. Ruchi is currently undertaking research in fraud risk management, risk governance, and organizational strategy.

Sanjiv Dwivedi, Department of Commerce, Applied Economics and Business Management Barkatullah Vishwavidyalaya, Bhopal, (India)

Department of Commerce, Applied Economics and Business Management Barkatullah Vishwavidyalaya, Bhopal, (India)

Ayushi Singh, Teaching and Research Assistant, MDI Gurgaon (India)

Teaching and Research Assistant, MDI Gurgaon (India)

Email id: tra_ayushi_s@mdi.ac.in, Correspondence Address: Management Development Institute (MDI), Block C, Sukhrali, Sector 17, Gurugram, Haryana 122007

 

How to Cite

Agarwal, R., Dwivedi, S. ., & Singh, A. . (2025). FIVE EMERGING STRATEGIES TO DETECT AND CONTROL FRAUD: MULTIPLE CASE STUDIES. International Insurance Law Review, 33(S5), 57-71. https://doi.org/10.64526/iilr.33.S5.5

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