Stefanovski, Pero and Sinani, Feta and Sovreski, Zlatko and Aruci, Sedat and Joshevski, Zoran (2019) DILEMMA: SET-UP TRAFFIC ACCIDENT OR NOT. JOURNAL OF APPLIED SCIENSCES - SUT JAS-SUT, Vol.5 (9-10). pp. 64-72. ISSN 1857-9930

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Recognizing and proving of set-up traffic accidents, and with that fraud in insurance, represents a
relatively complex and extensive procedure in which an analysis of all material evidence that is available is
needed to properly determine the factual situation, i.e. to confirm whether the accident could have happened as
described, whether certain damages could have happened, etc. The confidentiality of the analysis made in terms
of confirming the reliability of the damaging event, as well as certain damages, depends on the quality of the
material evidence that is available and the evidence that could potentially be obtained. The case study contains a
specific example where during the initial phase of evidence processing, there were doubts that this was a set-up
accident, but after fully processing the evidence during the damages compensation procedure, it was determined
that it was in fact, a real traffic accident, which proves that damage estimation professionals in insurance
companies, as well as forensics, when laying out their findings and opinions, should possess an exceptionally
high level of knowledge and skills in order to correctly establish the actual situation.
Keywords: Insurance, analysis, damages, fraud, expertise, evidence, vehicles

Item Type: Article
Subjects: Scientific Fields (Frascati) > Engineering and Technology > Mechanical engineering
Scientific Fields (Frascati) > Engineering and Technology > Other engineering and technologies
Divisions: Faculty of Technical Sciences
Depositing User: Prof. d-r. Zlatko Sovreski
Date Deposited: 27 Sep 2020 17:28
Last Modified: 27 Sep 2020 17:28
URI: https://eprints.uklo.edu.mk/id/eprint/5786

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