Filed Under:Claims, Investigative & Forensics

Uptick in Medical-Related and Vehicle Hail Damage Referrals

The number of questionable claims (QCs) filed during the first half of 2011 increased 4.5 percent when compared to the previous year, according to the NICB’s findings released last month.

This particular yearly report takes into account a total of six referral reason categories—property, casualty, commercial, workers’ compensation, vehicle, and miscellaneous—for the first half of 2009, 2010, and 2011. The “QC” terminology denotes claims that NICB member insurers submit to the Des Plaines, Ill.-based not-for-profit organization for closer review and investigation based on one or more indicators of possible fraud. One claim may contain as many as seven different referral reasons.

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