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.
From January to June of this year, 48,887 QCs were logged, compared to 46,766 for the first half of 2010. For the same period in 2009, the number of suspicious claims requiring investigation totaled 41,309. This translates to a 4.5-percent increase between 2011 and 2010, and a two-year increase of 18.3 percent.
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