questionable claims News

Pennsylvania Family Accused of $20M Fraud Amid Mansion Fires, Theft Claim

A family’s luxurious suburban lifestyle has been financed by more than $20 million in fraudulent insurance claims amid a series of mansion fires and repeated reports of jewelry theft, authorities said Thursday. An investigation began after a 2013 fire at …

Florida’s No-Fault Reform Leads to Downward Trend in Suspicious Claims

A new report by the National Insurance Crime Bureau reveals a decline in Florida’s personal injury protection (PIP) questionable claims (QCs). In 2013, Florida PIP QCs declined by 7.6 percent from 2012. Meanwhile, for the period 2010 through 2013, Florida …

Questionable Insurance Claims on the Rise in Texas: Report

Questionable insurance claims rose by 38 percent in Texas from 2010 through 2012, the National Insurance Crime Bureau (NICB) reports. Questionable claims (QC) are those claims that NICB member insurance companies refer to NICB for closer review and investigation based …

Colorado Posts 6% Increase in Questionable Claims Since 2010: NICB

In 2010, there were 1,566 Colorado questionable claims referred to the National Insurance Crime Bureau (NICB) from its member insurance companies. In 2011, the number dropped to 1,403, but rose in 2012 to 1,663—an increase of 6 percent from 2010’s …

Questionable Workers’ Compensation Claims Increase: NICB

While the total number of workers’ compensation (WC) claims has decreased, the percentage deemed “questionable” is rising, according to the National Insurance Crime Bureau’s analysis of WC questionable claims (QC) referrals submitted from January 1, 2011 through June 30, 2013. …

2012 Questionable Claim Referrals Reach All-Time High: NICB

There was a 26.7 percent increase in questionable claims (QC) referred to National Insurance Crime Bureau (NICB) between 2010 and 2012, going from 91,797 in 2010 to 116,268 in 2012—a new record. In 2011, the total was 100,450, according to …

Durable Medical Equipment Fraud on the Rise: NICB

Durable medical equipment (DME) fraud could fall between $1.5 and $5 billion in a single year, according to a new report by the National Insurance Crime Bureau (NICB). The report examines questionable claims (QC) referred to the NICB during the …

NICB Reports 7 Percent Rise in Third Quarter 2011 Questionable Claims

There was a 7 percent increase in questionable claims (QCs) reported through the third quarter of 2011 as compared to the same period in 2010, according to the National Insurance Crime Bureau (NICB). A 20 percent increase was reported over …

The Top States, Cities for Questionable Insurance Claims

Five states—California, Florida, Texas, New York and Michigan—generate almost half of all suspicious claims to property/casualty insurance companies, a new report says. These states account for 49 percent of all “questionable claims” as tabulated by the National Insurance Crime Bureau …

NICB Sees 119% Rise in Florida Suspicious Accident Claims

The number of staged accident questionable claims in Florida increased 119 percent during the time period of January 1, 2008 through December 31, 2010, according to a National Insurance Crime Bureau (NICB) report. In 2008, a total of 1,268 Florida …