How a Car Accident Claims Adjuster Investigates Fraud

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Car insurance fraud is a growing problem in the country. It costs the insurance industry and its consumers millions of dollars every year. This kind of insurance fraud comes in different kinds but the most common cases that fraud car accident insurance adjusters are on the lookout for are the fake car accident and staged car theft. With the growing number of these cases nowadays, car insurance companies have devised ways to investigate and detect auto insurance fraud more efficiently.

Statistical Analysis

Insurance companies keep a record of claims payments submitted in the past. The insurance adjuster makes use of this historical data every time a new claim is made to analyze claim trends and compare discrepancy. In the method of statistical detection, adjusters have been trained to identify and recognize factors that have been associated with false insurance claims.

Historical Data

Car accident insurance adjusters also look at the insured’s personal history. If the insured has a record of making fraudulent or suspicious claims in the past, the case is given a more thorough investigation.

Leads and Witnesses

Insurance adjusters seek out leads and tips from people involved in the car accident including law enforcers and witnesses. They also take time to interview family members and neighbors of the insured to gather clues that may help determine if it is fraud or not. For example, a family member may unknowingly disclose that the insured is knee-deep in debts and this may hint about the insured’s urgent need for money. Moreover, the insurance adjuster studies and examines the police reports for any other clues that will help the insurance company make a wise decision regarding the case.

Regulation

In many states, regulatory agencies have been established to work with the car insurance companies in detecting different kinds of insurance fraud. It is a requirement for the insurance companies to submit a notification to the regulatory agency for any case of suspected fraud. The records kept by the agency are intended to be used in the future to probe suspicious insurance claims.

Getting Legal Help

Car insurance fraud is not only illegal, it is also extremely dangerous especially if it involves performing a fake car accident. If you have been victimized by a car accident staged by criminal, be sure to consult your lawyer immediately.

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