Sanjeev Kumar is the head of the insurance practice at Saama Technologies, a business analytics services company.
Ten percent of the incurred losses and loss adjustment expenses each year in the property & casualty insurance industry are due to insurance fraud, according to an analysis by The Insurance Information Institute (III). Worse yet, the number of fraudulent claims are on the increase—statistics from the National Insurance Crime Bureau (NICB) show a 19 percent increase in questionable claims from 2009 to 2011.
However, most suspicious claims are paid by the insurers; it is estimated that today only one in five fraudulent claims are detected or denied by insurers. Thus insurance fraud costs insurers tens of billions of dollars each year in an industry where margins are thin, and as a result increases premiums for everyone.
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