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Identifying and Preventing Provider Fraud in Workers Comp Cases

Risk Management Monitor

In these cases, a worker may intentionally fake an injury (claimant fraud) or a business owner may misrepresent their employee headcount or incorrectly classify employees to obtain lower insurance premiums. Now, a lesser-known type is occurring with greater frequency: provider fraud.

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The Colonial Pipeline Hack: Failure in Risk Management

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For example, a forensic finding made during an evaluation of Colonial Pipeline noted numerous known and preventable vulnerabilities, such as unpatched and outdated systems, that likely led to the security breach. The less prepared you are when responding to an incident, the more likely you’ll be forced into paying ransom.

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What Does a Compliance Management System Look Like?

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The Federal Deposit Insurance Corp. In June 2020, the OCC warned banks about compliance risks related to the COVID-19 pandemic. It typically covers everything, from evaluation and prevention to cooperation and enforcement. Risk Evaluation. FDIC), a primary U.S. Let’s look at several examples. ” CFPB.

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Risk Assessment vs Risk Analysis

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Risk can be affected by numerous external factors, including natural disasters, global pandemics, raw material prices, increased levels of competition, or changes to current government regulations. A risk assessment evaluates all the potential risks to your organization’s ability to do business. What Is a Risk Assessment?

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The Difference Between Strategic and Operational Risk

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External events, such as natural disasters or pandemics. They might evaluate the threat from, say, certain IT systems going off-line, or certain physical locations suddenly not available. For instance, emergency services or healthcare professionals may employ dynamic risk evaluations. System failures and downtime. Cybersecurity.

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Why Buying SaaS GRC Software Is a Smart Investment

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Cloud-based solutions also make sense for GRC – especially in the context of the COVID-19 pandemic. More than 50 percent of organizations moved their workloads to the cloud in 2020, according to the Flexera Cloud Computing Trends: 2021 State of the Cloud Report.