Questionable claims referred to the National Insurance Crime Bureau have risen by 24 percent since 2008, driven by large percentage increases in auto glass fraud and inflated towing/storage bills.
That's according to the NICB's annual Forecast Report, which analyzes referral reasons made by its member companies that are suspicious of fraud in the following categories: Property, Casualty, Commercial, Workers' Compensation, Vehicle, and Miscellaneous.
According to the report, the number of questionable claims referred to NICB totaled almost 92,000 in 2010. That's an 8.7 percent increase from 2009's figures (84.407), and 24 percent higher than the total number reported in 2008 (74,146).
Property, Casualty, Vehicle, and Miscellaneous all showed an increase in referral reasons overall from 2009 to 2010.
Property-related referrals rose by 10 percent over 2009. The big gainers included hail damage (up 55 percent) and flood/water damage (21 percent). A decrease in fire/arson referrals was also found (-2 percent)
In casualty, there was an overall increase of referrals from 2009 of 19 percent. The largest increases involved excessive treatment (30 percent), inflated billing (27 percent), staged/caused accidents (26 percent), and billing for services not rendered (25 percent). In terms of decreases for this category, only slip-and-fall referrals dropped in number (-1 percent).
Vehicle referral reasons rose four percent over 2009 largely because of two categories. Suspected auto glass fraud referrals increased from 397 in 2009 to 2,182 in 2010, an increase of 450 percent, while referrals for suspected fraud involving towing and storage bills increased from 289 in 2009 to 624 in 2010, an increase of 116 percent.
Miscellaneous referrals rose by 18 percent over 2009, led by vendor fraud (84 percent), attorney activities (43 percent), organized group/ring activity (36 percent), and medical provider suspicions (30 percent). There were no decreases reported from 2009 in any category.
Commercial and workers' compensation categories both showed an overall decrease in total referrals made from 2009 to 2010. However, for commercial categories, the overall referrals dropped by just .2 percent. Increases over 2009 in this category were seen in cargo theft (40 percent) and farm loss (33 percent), while commercial auto theft dropped by 21 percent, and construction/farm/heavy equipment questionable claims (not theft) dropped by 20 percent.
In workers' comp, while overall referrals decreased by four percent, there were significant increases over 2009 in the categories of inflated medical billing (38 percent) and material misrepresentation on employment application (21 percent). Decreases in referrals over 2009 were seen in duplicate billing (-53 percent) and false loss of wages (-15 percent).
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