vendredi 15 août 2014

Claims Undertaken By Insurance Fraud Investigator Philadelphia

By Linda Ruiz


Tough economic times could be blamed for forcing several people to engage in dodgy deals but crime remains crime. After all, there is no known defense for crime; even ignorance is not. Insurance fraud is one of the white collar crimes that has become a major talking point in Philadelphia, PA. It has lead to duping of several companies, where successfully managed, and jailing of many people, where noticed in time.

It is important to note that many charlatans are not easy notice. They are cunning and they always come up with shrewd plans to hoodwink the company. This is why investigators must have a sharp mind too and have a intrusive mind to precisely question every detail. In fact, with a witty insurance fraud investigator Philadelphia companies can rest assured that fraudsters will not manage to swindle them. Established investigative entities and office of the attorney general can be of great help in this case.

Since 1990, the legislature in the state of Pennsylvania considered this fraud a serious crime and provided stiff penalties to be charged on the perpetrators. Offences to do with this type of hoodwinking carry varying civil penalties depending on several provisions of the Pennsylvania Insurance Fraud Statute. The first offence carries a penalty of $5,000, the second involves $10,000 and subsequent offenses will call for $15,000 each.

It is the responsibility of every citizen, however, to report any sort of fraudulent dealing. Taking into consideration that premiums are increased whenever more investigation affairs are undertaken, one has a duty to report the crime in order to reduce costs of cases. At least a percentage of the premium is reserved for these investigations and less will be reserved if the crimes reduce and more citizens report it.

Fraudulent deals also come back to haunt citizen since they indirectly influence the cost of services, goods, health care as well as business expenses in a negative way. After all, the reserved cash can be used or saved for other productive roles. Incredulously, this type of crime keeps on going up and up and this means that premium and other costs will also increase. It is for this reason that every person has to report the crime immediately it is noticed.

This sort of fraud is experienced is almost every field of insurance. It can also involve any person involved in lodging a claim. This is why is not uncommon to see an agent sued and convicted, a policeman involved, a staff in the company in the mix, doctors, lawyers and many others. The investigator should, therefore, investigate whether all parties were involved and report those culpable.

One of the widespread fields of insurance policies that are highly packed with fraudsters is automobile covers. In most cases fraudsters claim that their vehicle has being stolen knowing too well that they are involved in a give-up-scheme or has just abandoned in a non-suspecting hideout. Sometimes the owners collide with runners to fake an accident. Police and doctors then give a misleading report to dupe the company responsible for a commission.

For health insurance, failure of proper investigation can see payments being paid for services not provided by doctors or extra charges paid. Apparently, fraudsters take advantages of any weakness in every field of insurance policies. Therefore, investigators cannot be ignored.




About the Author:



Aucun commentaire:

Enregistrer un commentaire