Instant Insights / Insurance Fraud: Detection and prevention

Insurance fraud comes in many forms and can affect every area of the industry. These articles can help insurance professionals implement mitigation strategies and stop crime in its tracks.


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Man raising his hand and crossing his fingers behind his back. Deceptive people are quick to identify an investigator’s biases and use them against him. They will figure out what motivates the interrogator and use that information to their advantage. (Photo: Bigstock)

Everyone shares information both verbally and non-verbally whether we realize it or not. “When you enter a room, you are communicating,” said Joseph Koenig, owner of KMI Investigations, during a session on communication as part of the recent IASIU virtual conference. “Everything we communicate is the result of a decision. Hesitations and indecisions are the results of decisions, as are words and actions.”

For insurance adjusters, learning to recognize when a policyholder or claimant may not be completely truthful is an important aspect of the investigation. “The deceptive are slippery,” shared Koenig. “They consistently use imprecise, wiggly, and hard-to-pin-down language. Honest people want to make sure you understand them and will use clear concise language.”

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Patricia L. Harman

Patricia L. Harman is the editor-in-chief of Claims magazine, a contributing editor to PropertyCasualty360.com, and chairs the annual America's Claims Event (ACE), which focuses on providing claims professionals with cutting-edge education and networking opportunities. She covers auto, property & casualty, workers' compensation, fraud, risk and cybersecurity, and is a frequent speaker at insurance industry events. Contact her at [email protected]

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