Investigative & Forensics

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  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.

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  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.

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  $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.

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  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.

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  A Look Inside Fraud Detection

  By Robert Regis Hyle, PropertyCasualty360.com  |  May 2, 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.

• IRC Report: Public Less Tolerant of Insurance Fraud

  By Christina Bramlet, PropertyCasualty360.com  |  May 1, 2013

  For years, poor public relations have hindered insurers’ fight against fraud, but that could be changing. One need only look to a recent public opinion survey for some encouragement.

• Product Liability and Property Claims

  By Christina Bramlet, PropertyCasualty360.com  |  May 1, 2013

  Certain products in the home can catastrophically fail, leading to property loss. Some simple, yet crucial investigative steps will help insurers maximize recovery in such cases.

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  Using ERM Techniques To Mitigate Fraud

  By Denise Tessier  |  April 26, 2013

  Employing certain ERM techniques will enable insurers to better mitigate internal and external fraud risks. Here's how.

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  Reassessing Fraud Risk, Part 1

  By Denise Tessier  |  April 25, 2013

  The first in a two-part series examines the fraud epidemic, from claims risks to employee crime.

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  Product Failures and Property Claims: Maximizing Subrogation Recoveries

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

  Certain products in the home can catastrophically fail, leading to property loss. Some simple, yet crucial investigative steps will help insurers maximize recovery in such cases.

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  Former Giants LB Charged With Workers' Comp Fraud

  By Christina Bramlet, PropertyCasualty360.com  |  April 23, 2013

  A former NFL linebacker allegedly conspired with a claims adjuster to bilk an insurer out of $1.5 million.

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  Florida Fraud: Getting to the Root of the Problem

  By Christopher Tidball  |  April 19, 2013

  Prior attempts to “fix” Florida’s broken system has failed, as many shortsighted solutions do not address the underlying problem of insurance fraud.

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  Forensic Accounting in Catastrophic Business Interruption Claims

  By Robbye Mohn, CPA, CFE  |  April 19, 2013

  Consulting these forensic experts early on will help set policyholder expectations while preparing them for the best possible claims outcome.

• Career Cop Turned Criminal? N.J. Man Indicted On Fraud, Arson Charges

  By Christina Bramlet, PropertyCasualty360.com  |  April 18, 2013

  Did a Newark, N.J. police officer torch his SUV for some quick cash?