Claims Undertaken By Insurance Fraud Investigator Philadelphia

By Linda Ruiz


Tough economic times could be blamed for forcing several people to engage in dodgy deals but crime remains crime. After all, there is no known defense for crime; even ignorance is not. Insurance fraud is one of the white collar crimes that has become a major talking point in Philadelphia, PA. It has lead to duping of several companies, where successfully managed, and jailing of many people, where noticed in time.

Detecting this type of crime is quite an uphill task. It needs a person with an inquisitive mind and a sharp eye to details. That knack for details will enable the person undertaking the investigation trail and draw informed conclusion. That is why for a good insurance fraud investigator Philadelphia clients should approach the office of the attorney general, fraud section, or other established investigative firms.

The increase in fraudsters saw the Pennsylvania legislature in 1990 come up with a statute that declared this crime a serious one. With the strength of the provisions stated in the Pennsylvania Insurance Fraud Statute, it is now possible to charge the fraudsters and claim some penalties from them. $ 5,000 is charged for first offence while $10,000 is charged for the second. From the third offence and any that follows, $15,000 is claimed.

Being convicted or fined is the rightful penalty for fraudsters, one might say. However, it is important for everyone to take it upon themselves to report fraudsters to the investigative department. This is because the offense is not only committed against the company but also affects every citizen. Simply because, premiums have to be overcharged in order to provide enough cash for the fraud section to operate properly.

At the same time, if the fraudulent deals decrease, the cost of health care, goods, services and business expenses will decrease too. In addition, the money can be used for doing important things rather than reserving it to deal with crooked affairs. Recent reports show that the corrupt dealings are on the increase and so the premiums may be increased. To curb the increase, swindlers must be reported immediately.

This sort of fraud is experienced is almost every field of insurance. It can also involve any person involved in lodging a claim. This is why is not uncommon to see an agent sued and convicted, a policeman involved, a staff in the company in the mix, doctors, lawyers and many others. The investigator should, therefore, investigate whether all parties were involved and report those culpable.

One of the widespread fields of insurance policies that are highly packed with fraudsters is automobile covers. In most cases fraudsters claim that their vehicle has being stolen knowing too well that they are involved in a give-up-scheme or has just abandoned in a non-suspecting hideout. Sometimes the owners collide with runners to fake an accident. Police and doctors then give a misleading report to dupe the company responsible for a commission.

Health insurance policies are others that are marred with fraudulent deals. The doctors may overcharge the patients and may sometimes claim payment for services they did not provide. Basically, every field has inroads that fraudsters can use to get undeserved cash. It is a crazy world altogether and that's why the services of these investigators is so much needed.




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