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10/12/2011 - Questionable claims rise for past three years


Officials say they have seen an increase in questionable insurance claims.

The National Insurance Crime Bureau recently released its analysis regarding the number of questionable claims insurers received for the first half of 2009, 2010 and 2011.

NICB data found that for the three years, questionable claims increased in a progressive fashion, rising from 41,309 in 2009, to 46,766 in 2010 and 48,887 in 2011.

"Questionable claims" are defined by the NICB as claims referred to the investigative organization for further review due to one or multiple indications of potential fraud.

Of the six referral claims categories - property, casualty, commercial, workers' compensation, vehicle and miscellaneous - the most dramatic increase in questionable claims related to auto insurance, particularly those alleging damage caused by hail. Suspect claims under workers' compensation claims also rose, specifically for inflated medical billing and duplicate billing.

If you suspect insurance fraud, you can report it directly to Selective by calling our Fraud Hotline (877-862-2824). We will make every effort to maintain your confidentiality. You can also report insurance fraud to the National Insurance Crime Bureau (800-835-6422) or to the Coalition Against Insurance Fraud.

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