White Paper
The Human Cost of Insurance Claim Fraud
White Paper Summary
Picture someone injured in an accident that wasn’t their fault: a slip and fall, a car crash, an incident on someone else’s property. The injury is real, the pain is real, and their need for care is real. But, when seeking medical treatment, they encounter a medical provider who intentionally recommends unnecessary surgery to inflate the value of the claim. Months later, the person — now a “claimant” in the system — hasn’t recovered and may be worse off, both physically and financially.
Insurance fraud is usually framed in terms of numbers — inflated claims, fraudulent billing, dollars lost. But behind those numbers, there are real victims, and in this case the fraud costs a person their recovery.
So how do we stop this? Insurance carriers can be a key line of defense between a fraudulent provider and the claimant they’re targeting.
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