When we think about insurance fraud we should be including activities like making a false claim which is more than the original damages, false dates presented on an insurance claim, mixing lies with the truth on the basis of how the accident really happened etc. A person committing this fraud would think that it’s not such a big deal, since he’s kind of stealing from a big insurance company. However, that is far from the truth.
Each of the above mentioned scenarios legally qualify as an insurance fraud. This fraud can take multiple forms. But, it doesn’t matter, what’s the type, as either ways it causes big losses to the insurers. Therefore, the investigation of such matters becomes a serious issue for the companies who suffer. An insurance fraud investigator Dallas is usually the one to the rescue.
A little more about insurance fraud before we dive in!
Typically, an insurance industry will recognize 2 kinds of fraud as insurance fraud, namely hard and soft. When a person knowingly fabricates a claim, it is said to be a hard one. On the other hand, when someone has added just an element of fraud, to a legitimate claim, it is said to be a soft one.
How is insurance fraud detected by the companies?
The thing to keep in mind is that there are some types of insurance frauds which would be harder to detect as compared to others. But, no insurance fraud has ever been impossible to detect. For starters, there are computer fraud detection programs to help this issue.
This is why a lot of larger insurance companies are already using such programs that help in fraud detection. However, such programs do not eliminate the need of a human to actually investigate the fraud post its detection.
This is where a professional insurance fraud investigator in Dallas, would play his role. One who has experience and has dealt with such cases before is the best choice to make. He will know what the evidences might indicate once he finds them.
One this skilled private investigator finds strong evidence of fraud in a company the company will have a few options to move forward with the case. For example, they can try settling with the person who is called the insured. This generally means dropping the policy or even rejecting the claim.
When it comes to much more serious cases, the state, federal, or local enforcement could also be involved in the matter.
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