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Top 10 Roadblocks to Fighting Fraud

The scope of the insurance fraud problem can only be described as enormous. Here are the 10 roadbocks impairing the industry's fight.

By Anthony Roman | Updated on May 03, 2012

Our fight against fraud has improved, but the scope of the problem can only be described as enormous. The FBI reports that one in four claims has an element of fraud. Some of us can argue it is much higher. We have successfully formed fraud-fighting special investigation units (SIUs) that have had spectacular individual success. This is a result of talented and aggressive SIU investigators and claims personnel.

But the Coalition Against Insurance Fraud (CAIF) politely cites the foundation of the problem on its Web site: “Measuring insurance fraud is an elusive target. No single national agency gathers omnibus fraud statistics. Insurance fraud data thus are relatively piecemeal, making our understanding of insurance fraud an ongoing work in progress…”

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