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Exposing Fraud in Workers' Compensation Claims

Proving workers' compensation claimant fraud in civil and criminal arenas is one of the toughest challenges within the claims community. Surveillance is a key fraud detection tactic.

By Stephen Cassell | Updated on July 15, 2009

According to the Insurance Information Institute, property and casualty insurance fraud now cost insurers an estimated $30 billion annually. Of this, workers’ compensation fraud accounts for approximately 25 percent or $7.2 billion a year, according to the National Insurance Crime Bureau (NICB). The problem is only getting worse. The NICB recently called workers’ compensation fraud the “fastest growing segment of insurance fraud” in the nation. The Insurance Research Council attributes the current fraud trend increases to:

? Sustained and growing economic pressures

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