The IRC has identified expensive diagnostic procedures as “major drivers of overall medical costs in auto injury claims.” These drivers can help fuel medical mill scams and make it difficult to differentiate between suspected fraud and suspected medical billing abuse. Scams such as these are putting pressure on legitimate providers to remain competitive. James Ruotolo has some advice for insurers and medical providers.
Today, analytics technologies that identify fraudulent activity are changing the way that fraud investigations are handled. Read what Allstate and CNA have to say about the future of fraud investigations.
The Insurance Information Institute estimates that 10 percent of all property and casualty claims are fraudulent. Investigating suspicious claims after they are paid makes it so much harder for insurers to stop the fraudsters. In this post, Rachel Alt-Simmons reports on a panel discussion between Allstate and CNA, insurers that are now using data-driven decision making to detect and prevent fraud.
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