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Claims covers many aspects of fraudulent claims - how they are perpetrated, red flags to look for in a claim, provides examples of fraudulent claims and the consequences for the perpetrators, and highlights the most egregious fraudsters in our annual Hall of Shame feature.
Flexibility remains a critical aspect of quickly responding to changing fraud patterns. It is crucial to dynamically expose new patterns of fraud without having to re-program, re-train, or re-invent the underlying systems.
In November 2004, Robert L. Whiteside submitted a receipt to State Farm Fire and Casualty Company, claiming that his chrome rims and tires had been stolen from his residence during a burglary.
The Illinois Department of Insurance (IDOI) announced today that it has fined an insurer $200,000 for repeated claim-handling violations.
A proposal by Governor Schwarzenegger to downgrade various crimes from felony to misdemeanor status is drawing heavy scrutiny.
"I've never been in so much pain in my life." When the claim adjuster hears these famous words but the trauma that led to the claim was minor, believability becomes the issue.
Rate evasion costs personal lines auto carriers more than $16 billion each year. But insurers can still bolster profitability and identify risks by employing various detection tools and resources.
Unfortunately for patrons of one California car shop, using Choice Auto Body was definitely the wrong choice.
The lengths that some are willing to go to commit insurance fraud are astounding. One North Carolina resident is a case in point.
There are three types of product liability claims. Strict liability is the most problematic because of its unique standard of proof.
Bonding between a father and son often involves a football game, fishing, or maybe a weekend golf trip, but rarely does father/son jail time come into play.
From TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom TruStage
Discover who is driving the demand for life insurance today and how you can effectively engage these key segments with tailored strategies.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom TruStage
Discover who is driving the demand for life insurance today and how you can effectively engage these key segments with tailored strategies.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
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