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NICB 1Q Questionable ClaimsThose spearheading the fight against insurance fraud report that the past few years began with an influx of suspicious cases. During the first quarters of 2009-2011, the number of questionable claims (QC) referred to the National Insurance Crime Bureau (NICB) for further investigation increased 23 percent, with the most significant uptick in medical-related claims.

That’s according to the Des Plaines, Ill.-based organization’s first-quarter 2011 ForeCast report, which analyzes referrals submitted by its more than 1,100 property and casualty (P&C) insurers and self-insured member organizations. In the report, NICB showed that the first quarter of 2009 brought in a total of 19,967 QCs, compared with 24,497 received in the first quarter of 2011—for a 23 percent overall increase.

NICB categorizes suspicious claims as property, casualty, commercial, workers’ compensation, vehicle, and miscellaneous. The 1Q report findings indicated that property QCs were up 3 percent, while casualty and commercial QCs rose by 25 percent and 21 percent, respectively. Workers’ compensation QCs increased 24 percent, and there was a 25-percent swell in miscellaneous claims.

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