How Does an Insurance Investigator Fight Fraud?

Based on recent surveys, property fraud come to $34 billion per year between 2011 and 2015. Healthcare fraud alone reached $259 billion in the year of 2010.

Fraudulent insurance claims are getting all time highs as people false insurance claims. Fraudulent says can range from forging times on a say form to faking a personal injury.

Luckily, there are insurance investigators who consider these says to ensure they’re legitimate. But how?
An insurance investigator can look at your past claims
An insurance investigator will proceed through your former claims to look for any warning flag. They will take a look at how often you data file claims and the type of the promises.

Insurance Investigations will also look for habits to see if specific folks have more probability than others to commit scam.

They use data analysis to track patterns for all their customers. So any red flags will be found immediately.

They check off a set of suspicious loss signals
There is a list of suspicious loss indicators that was made by the The National Insurance Crime Bureau (NICB). Actually, in 2013 the NICB released a news release stating they have seen a 26% climb in questionable remarks since 2010.

When insurance investigators take a look at statements, they take a look at this list to be sure there’s little or nothing questionable about the say.

A few of these indicators include:

Handwritten receipts whenever a repair has been done in damaged property
An increase in home or automobile insurance immediately in front of you submitted claim
Significant financial debt with respect to the claimant
Insufficient police reports following the supposed accident
While these indicators do not always prove fraud, they are doing force investigators to look deeper into the claim.

They turn to computers for help
Because of technology, software applications exists to discover fraudulent billing and charges.

Investigators use this software to draw billing details for fraudulent activity. And it doesn’t matter the insurance type. The pcs use data and tendencies to research the legitimacy of the cases. For promises such as health boasts, these software applications programs look for multiple surgeries on one state for the same body part.

But they can ultimately identify any fraud on any kind of insurance, including automobile insurance.

They’ll check out social media
Not absolutely all insurances will take a look at your social media web pages. But if they think suspicious claims, they’ll take to social media for more information.

They will execute a little digging to see if the claimant is actually injured, or if their house is truly damaged. Social media marketing often provides them the information they otherwise might not have found anywhere else.

Conclusion
As the information show, fraud is becoming prevalent across all insurance industries. From home alive insurance, investigators are going for a closer go through the claims which come through.

While most claims are reliable, it’s always in their finest interest to have a second check out suspicious claims.

If you’re looking for insurance investigators for your solid, contact us for more information.