How do insurance companies investigate fraud?

Insurance fraud is a serious problem that affects all insurance companies. In Maryland, insurance companies use several methods to investigate fraud. The first method an insurance company will use is to review the claims and information provided by the policy holder. The company will look for any discrepancies between the information provided and known facts. For example, if the policy holder provides an address that does not match the address on their driver’s license, that could be a sign of fraud. The second method an insurance company may use to investigate fraud is to use technology. Insurance companies now have access to databases that allow them to easily search for information related to fraud. For example, if a policy holder is accused of submitting multiple claims for the same incident, the insurance company may use a database to check if the same incident has been reported elsewhere. Thirdly, insurance companies may hire investigators to research potential fraud cases. These investigators can verify the facts provided by the policy holder and can contact witnesses and other persons involved in the claim. The investigators may also search court records, public databases, and other documents to corroborate the facts of the claimed incident. Lastly, insurance companies can also work with law enforcement agencies to investigate fraud cases. The company can provide useful information and documents to the authorities that can help them build a case against the policy holder. Overall, insurance companies have multiple methods to investigate fraud. By using a combination of claims review, technology, investigators, and law enforcement agencies, insurance companies can ensure that all claims are legitimate and that policy holders do not try to commit fraud.

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