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Restitution would be easier for consumers without the need to go to court and engage in litigation with a contractor.
When a roof is damaged and during repair it is discovered that the decking is worn, should the decking be covered as part of the loss?
At least five Florida roofing company employees have recently been arrested for defrauding insurance companies.
Courts recognize the importance of insureds being truthful and forthcoming to limit the risk of insurance fraud.
Insurers should weigh the time and cost of developing systems in-house vs. purchasing an established system.
A court suggests if insurers want to recover costs of investigating fraudulent claims, they need to maintain time logs.
Decentralized, fragmented policy responsibilities and exposures can complicate a company's D&O risk management efforts.
What can advanced analytics reveal that improves the efficiency of employees who investigate and monitor agent performance?
Using advanced analytics, it is now possible to adopt a predictive approach to insurance fraud detection.
It can be a balancing act to identify potentially fraudulent claims and still provide superior customer service for justified claims, a handful of factors can ensure success.
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