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Understanding what insurance fraud looks like

On Behalf of | Nov 4, 2019 | Federal/White Collar Crimes

Insurance can prove just as frustrating as it is useful for residents of Orlando. With the amount some spend on premiums, some policyholders may feel tempted to commit even minor insurance fraud.

Pennsylvania Insurance Fraud Prevention Authority provides examples of insurance fraud. Knowing what fraud looks like can keep policyholders on the right side of the law and know when they may need legal assistance.

Overstating and outright lying on claims 

While it may be true that someone stole from a home or vehicle during a break-in or burglary, the policy owner may purposefully overstate the worth of the stolen items. Additionally, the policyholder may lie about how or when the break-in occurred or where the crime happened.

Faking a crime 

It is not unheard of for people to stage vehicle break-ins or home burglaries and make a false insurance claim. Taking the misdeed a step further, the perpetrator may stage property damage and theft.

Past posting 

According to KansasMoney.gov, past posting is a type of fraud wherein a person tries to convince an insurance carrier to honor a claim when the inciting incident happened when the policy was not in effect. Policies cover specific circumstances and situations, and a policyholder may fabricate a story in an attempt to prove the loss occurred when she or he had coverage.

Fake supporting evidence 

Sometimes, professionals like plumbers, contractors, insurance adjustors and auto mechanics may join in on illicit claims. This happens when a policyholder fabricates fake receipts, estimates or bills to support a claim.

Staged injuries 

Franchise owners and small business owners may become targets for staged injuries. Opportunistic perpetrators claim to have sustained an injury on the business owner’s property and want to sue, even if the owner has no recorded footage of the injury or was never approached by the alleged victim about the injury.

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