subject: The Importance of Insurance Fraud Surveillance [print this page] The Importance of Insurance Fraud Surveillance
Insurance premiums have increased due to false or exaggerated personal injury fraud claims, covering home, motor and business accident policies. In some cases claimants would suffer a genuine accident, but then exaggerating the injuries or the time of recovery amounts to an insurance fraud.
Functions of Insurance Fraud Surveillance Specialist:
As an Investigator and surveillance specialist the insurance fraud surveillance officer should validate these claims.
It is foremost duty of insurance fraud surveillance to see that genuine claimants do not suffer at the same time ensuring that cheats are found out and punished.
As surveillance specialists who regularly conduct observations on claimants a true account of the claimants day to day activities are reported and at no time should it be advantageous or disadvantageous to the client or the subject.
Also during an investigation he should not create any circumstances which may encourage or enforce any person's subject of an enquiry to engage in any activity which may be harmful to their interests and at all times he should perform his duties in a lawful and ethical manner.
It is imperative that he takes help of at least one more investigator when conducting mobile surveillance.
When operations are conducted with the purpose of assessing the capabilities of the subject it is vital that these are carried out in a discreet manner and by taking cognizance of the relevant legislation.
Frauds are destined to happen anytime, if someone purposefully lies to gain some advantage to which they are not eligible. Even when a person knowingly denies some gain that is due and to which someone is entitled it is a fraud. With regards to the particular issues involved, an alleged wrongful act may be treated as an administrative action by the Scam Division and it is treated as a criminal matter.
Due to recession many business owners and shady brokers might be seen as encouraging a insurance fraud. Instances like staged auto accidents, arson or slip-and-fall incidents in the local mall, insurance scam of all types is thriving in the economic downturn and consumers are paying the price in higher monthly premiums.
Insurance fraudulence is a crime, for which either way truthful consumers or organizations pay the price. For example the medical health insurance fraud is committed by false or deceptive information provided to a health insurance organization so as to have them pay out unauthorized benefits to the policy holder. Such offences are committed by the covered individual or the supplier of health companies too. Some common frauds include "padding," or inflating actual claims; misrepresenting details on an insurance application; submitting claims for injuries or damage that never occurred; and also "staging" accidents.
All the insurance crimes are directed towards gaining financial profit. Proper investigation and surveillance can help us avoid insurance frauds. Services of an expert in this field would definitely relieve and reduce the insurance frauds. For more information please contact Briggs Security online at www.briggssi.com. The Briggs Security & Investigations aims at providing confidentiality and convenience to the clients by being a "One Stop Shop" for all your security needs.
If you are interested to know more about Insurance Fraud, please search our site for more in-depth information and resources.
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