Tag: fraudulent claims

Enservio Enhances Flagship Claim Management Solution with Real-time Fraud Detection

PR Article
claim management system

Claims adjusters working on the job have something unique they can add to their toolkit: A way to root out potential fraud as it happens. Enservio, Inc. today introduced a new option for its flagship ContentsExpress™ contents management solution that equips claims professionals with a fraud detection capability that identifies and scores fraudulent claim items while claim items are being recorded and processed. ContentsExpress, with this new fraud detection option, targets soft or opportunistic fraud for home contents claims relating exclusively to theft. The fraud detection technology is based on…

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Telematics Update: Free Webinar – Pinpoint the ROI of UBI in Order to Accelerate Mass Market Adoption

Guest Author
Telematics Insurance News

  Telematics Update has announced that free registration is now open for the exclusive webinar: ‘Pinpoint the ROI of UBI in Order to Accelerate Mass Market Adoption’. Telematics Update have brought together UBI experts from Progressive, Plymouth Rock and Towers Watson for a webinar to explore the financial and service benefits for insurers and consumers that UBI can yield. The free interactive event will be held on Thursday, May 9, 2013 at 11am (EST) and is open to the entire insurance community! Register here: http://www.telematicsupdate.com/insurance-telematics/webinar.php Top auto insurers Progressive, Allstate and…

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New York insurance regulators and federal authorities claim victory over insurance fraud syndicate

Marc

Auto insurance fraud has been a major problem in the state of New York. For years, regulators and lawmakers have been working to combat fraud throughout the state, but it has been a difficult challenge to overcome. This week, regulators have claimed a major victory as state and federal authorities dismantled a massive auto insurance fraud ring. Regulators are calling it the largest insurance fraud syndicate that focused almost exclusively on exploiting New York’s no-fault insurance laws. The crime ring is comprised of 36 people in total. Ten doctors and…

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The insurance company’s strategy for finding fraud

Nordstrom

Data from the Insurance Research Council has indicated that there is about $5 to $7 billion in inflated auto insurance claims made every year, though the overall cost that would occur if insurance companies in any sector did not make efforts to detect scams would be significantly higher. Every time fraudulent claims get past the insurers, the end result is that the cost will trickle down to the clients and lead to higher premiums. Therefore, insurance companies have put extensive efforts into place to help prevent scams from occurring in…

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Florida, Michigan, and California attempt to shrink auto insurance rates

Julie Campbell

Motorists in Florida, Michigan, and California are hopeful that the attempts being made by their states will be successful in lowering the rates that they pay for their auto insurance coverage. Both Florida and Michigan have no-fault-based auto insurance systems, and these two states have been vigilantly examining their programs throughout their current legislative sessions. Florida has especially been in the spotlight, as it attempts to tackle a car insurance fraud problem that is spiraling out of control. California insurance, on the other hand, is examining its own system based…

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New auto insurance modifications in Ontario impact coverage for rehabilitation

Drivers in Ontario, Canada, are discovering that due to changes in auto insurance, if their doctors prescribe rehab after a car accident, the associated costs may not be covered by their policies. The brain injury clinic director from St. Michael’s Hospital in Toronto, Dr. Donna Ouchterlony, explained that there have been a growing number of declined claims for treatment plans by insurance companies. She explained that this is having a very deep impact and that “They no longer have to have a doctor review [in order] to refuse [treatment].” She…

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Florida legislators feeling pressure to solve the fraud plaguing the state’s insurance industry

Florida Governor Rick Scott is pressuring lawmakers to make changes to some of the state’s auto and property insurance laws. The Governor claims that these laws are each costing consumers millions of dollars. Legislators have been trying to find a resolution for the issue for over a decade but have so far been unable to make any headway. Governor Scott is now pushing for a solution to be found quickly to prevent further financial stresses falling upon consumers. State law requires Floridian drivers to purchase personal injury protection. The issue…

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