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Monday, 18 August 2014

Widespread Claims Undertaken By Insurance Fraud Investigator Philadelphia

By Linda Ruiz


There is no justification of crime. Whether a person is doing it in order to put food on their table or for any other sympathetic purpose, crime is always crime. Even when one commits it unknowingly, it remains a crime. Insurance fraud is that one white collar crime that has to be prosecuted and it has deep roots in Philadelphia, PA. Sometimes fraudsters get away with it but many are times when they do not manage it.

To decode if a transaction is fraudulent could be a hard nut to crack since some fraudsters are quite cunning. It is only a person who is good in people skills, meticulous to detail and has an inquisitive mind that can crackdown the unscrupulous deals. Such a person will follow the proceedings of the claim carefully and draw the right conclusion. Therefore, for a reliable insurance fraud investigator Philadelphia residents should seek the hand of staffs in the fraud section of the attorney general or renown investigative entities.

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.

Fraudsters find it easy to get away with automobile insurance claims. With the help of the corrupt policemen and doctors, it's so easy to file a successful claim if investigators are not involved. All one needs is to hide the car, lodge a claim for vehicle theft and sail through quite well is though investigation is not undertaken. It is also possible to stage manage an accident, call the police, get a report, bribe an unethical doctor and get away with a hefty amount if thorough investigation is not undertaken.

Health care insurance is the other policy that has not escaped the minds of fraudsters. In most cases, the doctors are held culpable of billing for services they did not undertake or overstating their bills. Generally, there is no any field of insurance policies that can escape the eye of fraudsters. They look for every opportunity to hoodwink the companies and that is the primary reason that calls for a fraud investigator.




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