Auto insurers get all the attention when it comes to fraud detection. It seems that no-fault states are the center of the fraud universe. But what about commercial claims?
The fraud problems faced by Workers' Compensation insurers are significant, and they, too, can use fraud analytics programs to help detect bogus injury claims, fraudulent medical providers, and premium avoidance scams with outstanding results.
While there does not appear to be any commonly agreed upon measurements regarding the impact of Workers' Compensation fraud, it is clear that the industry believes it to be a significant problem. A National Insurance Crime Bureau study indicates that Workers' Compensation fraud costs insurers as much as $7.2 billion annually. The Coalition Against Insurance Fraud has stated that "Workers' Comp fraud is a large crime in America today. Tens of billions of dollars in false claims and unpaid premiums are stolen every year."And 69% of Workers' Comp insurers expect a rise in scams.
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