Investigative & Forensics

Sponsored by

• 

  Fighting Fraud Offers Insurers Operational Improvements

  By Sanjeev Kumar  |  June 13, 2013

  Ten percent of the incurred losses and loss adjustment expenses each year in the property & casualty insurance industry are due to insurance fraud.

• 

  What ICD-10 Portends for Injury Claims Assessment

  By Michele Hibbert-Iacobacci  |  June 11, 2013

  ICD-10 enhances communication between physician and insurer, allowing both to better assess injury severity, causation and proper treatment.

• 

  Party Crashers: Vulnerable Vehicle Conversions

  By Peter R. Thom, William J. Woehrle  |  June 5, 2013

  Modified vehicles, whether they are vans for the disabled or stretched luxury limos, are vulnerable to litigation.

• Opinion: Doesn’t Matter How West Fertilizer Dangers Were Revealed

  By Chad Hemenway, PropertyCasualty360.com  |  June 1, 2013

  The explosion has revealed holes in insurance requirements, workplace safety, risk management, and land-use planning, but will poor oversight constitute a criminal act?

• 8 New Yorkers Indicted for Staging Accidents

  By Chad Hemenway, PropertyCasualty360.com  |  June 1, 2013

  Authorities nabbed 8 people with alleged ties to a staged accident ring that defrauded insurers out of millions.

• A Look Inside

  By Robert Regis Hyle, PropertyCasualty360.com  |  June 1, 2013

  It’s not true that insurance carriers are averse to paying claims, it’s just that many insurers hate paying claimants that don’t deserve the money—particularly those who file fraudulent claims that end up costing honest policyholders in the long run.

• Third of Five New Yorkers Sentenced in $1M Auto Scam

  By Christina Bramlet, PropertyCasualty360.com  |  May 30, 2013

  A man who copped to his role in a staged accident scam that defrauded five insurers out of more than $1 million may spend the next 15 years in prison.

• 

  10 Steps to Accurate Low-Impact Injury Assessments

  By Christopher Tidball  |  May 28, 2013

  Insurers will be able to conduct more consistent investigations and achieve accurate claims outcomes by following some relatively simple steps.

• Ohio Psychotherapist Bilked Workers’ Comp of $74,700; Settles Out of Court

  By Christina Bramlet, PropertyCasualty360.com  |  May 24, 2013

  When a psychiatrist billed for a suspiciously high volume of counseling sessions, the Ohio BWC took a closer look.

• 

  After the Storm: Analyzing Tornado Structural Damage

  By Christina Bramlet, PropertyCasualty360.com  |  May 22, 2013

  Will the property damage in Moore, Okla. be similar to the $2.8 billion devastation in Joplin 2 years ago?

• 

  U.S. Questionable Claims Referrals Up, Again

  By Chad Hemenway, PropertyCasualty360.com  |  May 17, 2013

  U.S. questionable claims increased 16 percent in 2012, according to the National Insurance Crime Bureau.

• 

  Cause of Fire at West Fertilizer Co. Remains Unknown; Scene Investigation Complete

  By Chad Hemenway, PropertyCasualty360.com  |  May 17, 2013

  After a month-long scene investigation, investigators still do not know what caused the fire that led to a massive explosion at the West Fertilizer Co. in Texas.

• N.Y. Senate Tries Again with Auto Fraud-Fighting Bills

  By Chad Hemenway, PropertyCasualty360.com  |  May 14, 2013

  The New York Senate has passed a number of measures meant to corral auto insurance fraud in the Empire State.

• 

  $45M Global Bank Heist Could Complicate Cyber-Liability Market; Impact Other Coverages

  By Anya Khalamayzer, PropertyCasualty360.com  |  May 13, 2013

  Experts say liability for the theft could fall on the processors of the debit cards used to perpetrate the crime, and make it difficult for other financial institutions to get cyber insurance coverage.

• 

  Authorities Launch Criminal Investigation of West Fertilizer Explosion

  By Chad Hemenway, PropertyCasualty360.com  |  May 10, 2013

  A criminal investigation has been launched into the West, Texas fertilizer plant that exploded last month.

• Maryland Law Slams Door on Shady Contractors

  By Christina Bramlet, PropertyCasualty360.com  |  May 3, 2013

  A new law signed by Gov. O'Malley forbids contractors from offering homeowners a rebate on insurance deductibles.