Questionable Insurance Claims on the Rise in TX
Questionable insurance claims rose by 38 percent in TX from 2010 through 2012, the National Insurance Crime Bureau (NICB) reports.
Questionable claims (hereby referred as QC) are those claims that NICB member insurance companies refer to NICB for closer review and investigation based on one or more indicators of possible fraud. A single claim may contain up to seven referral reasons.
This report analyzes QCs by loss city, core-based statistical area (CBSA), policy type, loss type, policy and loss type combined and referral reasons.
In 2010, there were 7,520 Texas QCs referred to NICB from its member insurance companies. In 2011, the number increased to 8,016 and rose again in 2012 to 10,368 — a 38 percent increase over 2010′s figure.
The top 5 loss types were: