Search
 

Forging a New Culture in Fraud Investigation

"Insurance fraud is a continuous game of cat-and-mouse, explains James Quiggle, director of communications for the Coalition Against Insurance Fraud (CAIF). Investigators build a mouse trap, but then swindlers build a better mouse. The industrys best defense is amassing field intelligence and analysis and then throwing that up against a...

By Christina Bramlet | Updated on April 05, 2012

“Insurance fraud is a continuous game of cat-and-mouse,” explains James Quiggle, director of communications for the Coalition Against Insurance Fraud (CAIF). “Investigators build a mouse trap, but then swindlers build a better mouse. The industry’s best defense is amassing field intelligence and analysis and then throwing that up against a ring.”

While detection and investigation have become far more scientific, the technology and methods are only as effective as those utilizing them. Staff must be apprised of proper data-mining techniques, and the insurer must be willing to cultivate a system-wide awareness of fraud at all levels of the company and programs for identifying and disseminating clues to the special investigative unit (SIU).

Want to continue reading?
Become a Free
PropertyCasualty360 Digital Reader.

INCLUDED IN A DIGITAL MEMBERSHIP:

  • All PropertyCasualty360.com news coverage, best practices, and in-depth analysis.
  • Educational webcasts, resources from industry leaders, and informative newsletters.
  • Other award-winning websites including BenefitsPRO.com and ThinkAdvisor.com.

Already have an account?

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Recommended Stories

PropertyCasualty360

Join PropertyCasualty360

Don’t miss crucial news and insights you need to make informed decisions for your P&C insurance business. Join PropertyCasualty360.com now!

  • Unlimited access to PropertyCasualty360.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including BenefitsPRO.com, ThinkAdvisor.com and Law.com
  • Exclusive discounts on PropertyCasualty360, National Underwriter, Claims and ALM events

Already have an account? Sign In Now
Join PropertyCasualty360

Copyright © 2024 ALM Global, LLC. All Rights Reserved.