It remains important to have proven strategies in place to assist you in detecting and also preventing insurance fraud. For insurers to protect their livelihoods, they need to have the power to catch and avoid payouts to deceitful claimants. There are a few crucial aspects to consider the instant a claim is made.
First, you will want to do an evaluation of the risk probability. Each claim has unique threats and some will pose higher fraud risks than others. For example the risk of fraud involvement when handling minor car repairs is minimal compared to the risk of getting swindled when handling jewelry theft. It remains crucial to focus your fraud detection resources on claims that typically pose higher scam risks.
It remains imperative to have a sure fraud detection process. This means that you should remain on guard all through, instead of getting on toes only when dealing with claims that appear fishy. Current day fraudsters are smart and they are able to make fake claims seem fairly legitimate. You are therefore likely to get conned a thousand times before you notice and out rightly fishy claim.
It is important for all claims to go through a basic framework that can give warnings when anything fishy is detected. For example, you want to automate criminal histories and get notified to take extra precautions when dealing with certain cases. Such a system will also point out areas where it makes sense to dedicate your fraud detection expenses.
Finally, you need to outsource investigations. This will be an important thing to do, especially when handling cases where it is necessary to dig deeper to find out whether a claimant is genuine or fraudulent. A competent private investigator will save you time by quickly and effectively sorting out fraudsters from legitimate claimants.
Even fraudsters will do their part of the homework before making a claim. What you should know is that unscrupulous individuals will often shy away from attempting to swindle an insurer who takes matters of fraud detection seriously. On the other hand, you will be a soft target for all kinds of fraudsters if you allow even a single fraud issue to go undetected.
In some cases, it is important for policyholders to also protect themselves from fraud. If you have a workers compensation policy, for instance, then need to ensure that only genuine claims are made should not be underestimated. Your premiums are bound to rise the instant you are perceived as a high-risk client. Again, a PI can offer invaluable assistance whenever you need to investigate a specific accident.
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