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ACFE CFE-Fraud-Schemes-and-Financial-Crimes Exam - Topic 4 Question 11 Discussion

Posted by Brigette on Oct 21, 2026 at 02:27 PM

Which of the following is a red flag that might indicate that someone is attempting to commit insurance fraud?

Suggested Answer: A

Rationale for Correct Answer:

Filing a claim shortly after a policy begins is a classic red flag of potential insurance fraud, as it may indicate the loss occurred before coverage or is fabricated.

Analysis of Incorrect Options:

B . One prior claim in five years -- Not unusual by itself.

C . Small electronics/jewelry -- Common theft items, not automatically suspicious.

D . Recently purchased items with receipts -- Strong documentation actually supports legitimacy.

Key Concept: Insurance fraud red flags.


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1 comments · newest first
BR
Brynn 2 days ago
I remember discussing how claims made right after a policy starts can be suspicious, so I think A might be a red flag.
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