Like HowStuffWorks on Facebook!

10 Ways Insurance Agents Spot Fraudulent Claims


7
Look for Evidence of Personal Injury Mills
Certain medical providers or lawyers may involve you in insurance fraud scams.
Certain medical providers or lawyers may involve you in insurance fraud scams.
©iStockphoto.com/tap10

One of the more popular insurance fraud scams involves vehicle crashes that result in both legitimate and fake/exaggerated injuries. The scam can work in many ways. Say you're in a car crash and your back hurts. You go to the chiropractor, who improperly bills the insurer for nonexistent injuries. Then, maybe lawyers swoop in and persuade you to let them start negotiations for a settlement based on your "extensive" injuries. You end up being part of the scam, but unwittingly. Other times, accident victims are asked to participate in such a scam in return for a cut of the profits.

Typically, those involved in such practices -- certain medical providers or lawyers -- will perform the same scam over and over. If insurers notice a particular provider submitting numerous claims over time for accident victims that coincidentally receive a similar treatment regimen, that's a big red flag [source: Barrett].


More to Explore