Auto insurers in the Empire State have even more of an incentive these days to hone fraud-detection capabilities, as no-fault claim costs have risen 56 percent since 2004. According to a recent analysis by the Insurance Information Institute (I.I.I.), auto insurers' typical no-fault payment for the medical care of accident victims was $8,748 per claim in the second quarter of 2009. This represents a noticeable leap from late 2004, when the average no-fault payment stood at $5,615 per claim.
When asked about precipitating factors to the hike, Dr. Robert Hartwig, economist and I.I.I. president, pointed to loopholes in the no-fault system. In a recent press release, he added that the system is particularly vulnerable to fraud and abuse by a "no-fault industry" of corrupt medical professionals, attorneys, and street-level criminals who work on their behalf.
"The costs of fraud and abuse of the state's no-fault system ultimately are borne by New York's honest policyholders," Dr. Hartwig said. "New York's no-fault claim costs are now the second highest in the country, and are 111 percent higher than the U.S. average of $4,152."
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