American insurance fraud costs $US30 billion
After an extensive two-year review of anti-fraud efforts, the US general insurance industry is taking action on insurance fraud which costs it an estimated $US30 billion ($36 billion) a year. It has been estimated by some insurance studies that fraud adds up to $US300 ($360) to average annual insurance costs for families.
The National Insurance Crime Bureau (NICB) says individual insurers continue to refine their anti-fraud processes and expand them into claims-handling procedures, but today’s sophisticated criminals present a special challenge.
It says the industry’s approach to fraud has been fragmented and inadequate. There are isolated examples of effective anti-fraud programs, but a nationwide co-ordinated effort on multiple fronts is necessary.
It identified five “pillars” as critical components in an effective anti-fraud structure: public awareness, legislative advocacy, training, data analysis and investigation.
The NICB has been asked to develop an integrated business plan for a new fraud-fighting organisation incorporating the five pillars, and Chairman Mark Russell welcomes the industry request. “With a co-ordinated assault on fraud, we have an excellent opportunity to have an impact upon this perennial problem,” he said.
The National Insurance Crime Bureau (NICB) says individual insurers continue to refine their anti-fraud processes and expand them into claims-handling procedures, but today’s sophisticated criminals present a special challenge.
It says the industry’s approach to fraud has been fragmented and inadequate. There are isolated examples of effective anti-fraud programs, but a nationwide co-ordinated effort on multiple fronts is necessary.
It identified five “pillars” as critical components in an effective anti-fraud structure: public awareness, legislative advocacy, training, data analysis and investigation.
The NICB has been asked to develop an integrated business plan for a new fraud-fighting organisation incorporating the five pillars, and Chairman Mark Russell welcomes the industry request. “With a co-ordinated assault on fraud, we have an excellent opportunity to have an impact upon this perennial problem,” he said.