Questionable claims

According to the National Insurance Crime Bureau (NICB), questionable claims continue to rise each year, with a 56 percent increase between 2008 and 2012. Fraud can be a fabricated claim, a staged accident, or falsified information. Most insurers find fraud at the time of claim. But for this alarming trend to stop, insurers should strive to identify potential fraud at the time of quote — even before they write the policy. The most effective antifraud measures will likely be measures that use large stores of data with sophisticated analytics in real time. For most insurers, cost and speed to market make building their own systems unfeasible. They will need to look outside their organizations to obtain and deploy the best antifraud solutions.

questionable insurance claims chart

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