Insurance fraud occurs when individuals deceive an insurance company, agent or other person to try to obtain money to which they are not entitled. It happens when someone puts false information on an insurance application or important information is omitted in an insurance transaction or claim or someone actually fakes an injury or disability.
Insurance fraud is committed by individuals from all walks of life. Usually the cost of the fraud is passed on to the consumer in the form of higher premiums. Prices of goods at your department or grocery store keep rising when businesses pass higher costs of their health and commercial insurance onto customers. Businesses lose millions in income annually because fraud increases their costs for employee health coverage and business insurance.
Insurance fraud costs companies billions of dollars each year. SMCS Risk can assist companies in detecting insurance fraud by providing documentary and video/photographic evidence, excellent detailed written reports, and quick turnaround times ensure success.
Some of our past insurance investigations have uncovered; • False Workers Compensation claims • False Accident Claims • False Bodily Injury Claims • False Property Theft & Fire Claims and False Disability Claims.