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Insurance Fraud

According to the Coalition Against Insurance Fraud, an estimated $80 billion is paid out annually in fraudulent insurance claims. This affects every American, as these false insurance claims cost the average household more than $950 each year in higher premiums. Plus, false insurance claims can mean that you are held liable in a staged accident and increase your risk of being sued. The high instance of insurance fraud has meant that insurance companies are far more cautious when paying claims, which may mean that you need professional help to make your claim.

Reasons for conducting an Insurance Fraud investigation:

  • Workers compensation fraud investigation, Insurance investigators work to find evidence who workers who claim compensation when not as injured as they claim.

    Insurance company investigation, Investigators also work to uncover evidence of bad business practices at insurance companies. If an insurance company takes your money but does not compensate you as promised, a professional investigator can help you make your case in court.
     

     

     

     

     

     

     

     

     

     

     

False workers compensation claims

 
How fake claims work

Hurt off the job. Workers get injured off the job, but say they're hurt at work so their workers comp policy covers the medical bills. A person might hurt his neck lifting a heavy box while cleaning the attic. Or maybe sprains an ankle during a softball game. Then he pretends the injury happened at the loading dock at work.

Inflated injuries. A worker has a fairly minor job injury - maybe a slight twinge in her lower back but insists her back is seriously sprained. This lets the worker collect more workers comp money and stay off the job longer.

Fake injuries. Some workers simply invent injuries. Soft-tissue injuries such as muscle problems with the back and neck are popular scams. They're hard to disprove, and thus are easier to get away with.

Old injury. Sometimes a worker with an old injury that never quite healed will claim he just got hurt on the job. A damaged knee or shoulder, for instance.

Malingering. Basically, this is goldbricking. Staying at home longer by pretending you're still disabled, even though you've healed enough to return to work.