Insurance 101 – Chapter 15 – Volume 51 – Investigating Fraud

Investigating Fraud

The purpose of an insurance fraud investigation is to gather evidence sufficient to establish that a suspected fraudulent claim is legitimate or is a case of attempted fraud. If the facts reveal the claim is legitimate, the fraud investigation stops and the claim is paid quickly and fairly. If the facts support the suspicion of fraud, further investigation is required to gather evidence that convinces the insurer that a preponderance of available evidence reveals a fraud is being attempted. The insurer can, with such evidence, successfully deny the claim and refuse to pay.

The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library

Legal Disclaimer

The author and publisher disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this blog. The information provided is not a substitute for the advice of a competent insurance, legal, or other professional. The Information provided at this site should not be relied on as legal advice. Legal advice cannot be given without full consideration of all relevant information relating to an individual situation.

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