The National Insurance Crime Bureau (NICB) released its third-quarter questionable claims (QC) referral reason analysis for 2010. The report reviewed six categories of referrals related to property, casualty, workers' comp, commercial, auto, and miscellaneous.
The NICB received 70,295 QC referrals in all categories through the third quarter of 2010, up 12 percent from the same time period in 2009. Casualty referrals saw the most change, with a 21-percent increase in suspicious claims from 2009 to 2010. Referral reasons within that category ranged from staged accident to exaggerated injury. Excessive treatment topped the list, with 5,177 total referrals from the first to the third quarter of this year.
Questionable claim referrals in the property category saw an increase of 15 percent from the previous year, with a notable percent change in hail damage referrals. The analysis reported 487 hail damage referrals in 2009, and 897 referrals in 2010, or an 84-percent change between years.
Another significant increase in questionable claims was observed in the auto category, specifically in the auto glass fraud subset. NICB received 333 auto glass fraud referrals in 2009, a relatively small figure compared to the 2,036 QC referrals submitted this year for a stunning 511-percent increase year over year. While other subsets in this category decreased in 2010, the auto category still saw a total increase of six percent from 2009 figures.
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