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Insurers Use New, Enhanced Tools to Gain Ground in Fight Against Fraud

The economy is down, and fraud is upalong with consumer acceptance of fraudulent behavior. A best-practices approach requires using new and established tools and building a reputation for being aggressive in the fight against fraud. Four insurers reveal how theyre waging war against fraudsters.

By Michael P. Voelker | Updated on April 05, 2012
It’s tough to find much to be optimistic about when considering insurance-fraud statistics.

The National Insurance Crime Bureau (NICB) reports a record number of questionable claims in 2011. Consumer tolerance of fraud is also increasing, with the Coalition Against Insurance Fraud (CAIF) reporting that over the past 10 years, fewer Americans think it is unethical to inflate claims or misrepresent facts to gain coverage.

But even while insurers lose ground on the battlefield, they know they have to keep up the fight against fraud. Human investigation is indispensable to the effort, but a best-practices approach demands technology as well.

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