Department/School

Accounting

Date of this version

4-2011

Document Type

Article

Keywords

forensic accounting, insurance fraud, unexplained financial relationships

Abstract

This is the case of Dr. Albert Sterling, a fictitious surgeon who has submitted a disability income claim to Guardian Protection Insurance Corporation, a fictitious insurance company. Students can practice forensic accounting techniques in the specific context of disability insurance, as they assume the role of an insurance investigator assessing the validity of the claim. The case is divided into two phases. Phase 1 contains the majority of the information and analysis and can stand alone. The optional Phase 2 presents additional sources of evidence relevant to the determination. The case contains background information on disability insurance and financial, personal and professional details about Dr. Sterling. Students will find several “red flags of fraud” to investigate further and can request and consider additional evidence in their determination. This case is designed for students in an undergraduate or graduate forensic accounting course, or in an advanced auditing course.

Published in

Journal of Forensic & Investigative Accounting

Citation/Other Information

Matson, D. M., and Wen, Y. (2011). “Dr. Sterling’s Disability Insurance Claim: A Case Study.” Journal of Forensic & Investigative Accounting. Vol. 3, No. 2, Special Issue. 417-439.