The results of the National Insurance Crime Bureau's (NICB) latest analysis of questionable claims (QC) referrals have arrived, and it will likely come as no surprise that nearly all categories posted increases.
Upon examining referrals for six categories—property, casualty, commercial, workers' compensation, vehicle and miscellaneous—for the third quarters of 2011, 2012, and 2013, the NICB observed a 24-percent uptick in the total number of QCs.
To put this information into perspective, QCs are claims that NICB member insurance companies refer to the Des Plaines, Ill. non-profit agency for closer review and investigation based on one or more indicators of possible fraud. A single claim may contain as many as seven referral reasons. The volume of QC referrals can increase or decrease over a given period of time and may be caused by a number of factors, including better reporting by the industry and fluctuations in fraudulent activity.
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