Progressive Outlines Extremes People Visit in Undertaking Insurance Fraud

November 15, 2004

People may think they’re being clever when they try to cheat insurance companies, but often they end up making mistakes that get them caught, injured and sometimes even killed.

The Progressive group of insurance companies said while the escapades of people who commit fraud can be amusing, insurance fraud is a serious crime that costs consumers a lot of money. The National Insurance Crime Bureau estimates that property and casualty insurers pay more than $30 billion a year in bogus claims – costs which are generally passed on to consumers in the form of higher premiums.

“People think of insurance fraud as a victimless crime when, in fact, honest policyholders end up being victimized,” said Ray Albertini, Progressive’s national director of special investigations. “Most insurance companies base their rates on the cost of doing business. When costs go up because of fraudulent claims, other customers end up paying the price. People need to be aware of fraud and be willing to report it when they suspect it.”

Albertini says it can be tough to catch the offenders, but sometimes they make it very easy, such as in these cases:

— You never know who might be listening. One fairly common type of fraud people commit is buying coverage after their car’s been damaged. What’s less common is when they buy it from the scene of the accident. Take the case of the motorcyclist who wiped out and, while reportedly lying on the side of the road with a ruptured spleen, had the presence of mind to call 1-800-PROGRESSIVE to buy coverage. What he didn’t know was that a witness who saw the accident also heard him make the call. In another case, a couple’s car caught on fire. While the husband was on the phone with Progressive buying a policy, his wife was reportedly overheard yelling in the background that the car was about to explode.

— When you play with fire, expect to get burned. Some people figure the easiest and quickest way to collect insurance money is to destroy their car by setting it on fire. Not necessarily. Consider the case of two brothers who were hired to set a car on fire. They reportedly doused it with gasoline, and to make sure the vehicle would be completely destroyed, they decided to throw in a pipe bomb. The bomb exploded, setting one of the men on fire. He was likely killed instantly from the explosion, but his brother, not realizing that, rushed to extinguish the flames and ended up catching on fire. He ran toward a nearby highway for help and flagged down a state trooper who had come to investigate the black cloud of smoke. The man told the trooper what he and his brother had done and then, like his brother, passed away from his injuries.

— What’s wrong with this picture? A customer said some parts were stolen from his car, and to support his claim, he reportedly submitted what appeared to be phony invoices along with Polaroid photos. At first blush the photos looked pretty good, but something seemed a little odd about them. On closer inspection, investigators realized the guy had taken extreme close-ups of a toy car that was the same color and make of his actual car. The customer eventually admitted he took photos of the toy car in an attempt to get his claim paid.

— Miracle cure? A passenger riding in a customer’s car was injured in a crash and needed chiropractic treatment. No problem. The customer’s insurance covered it. However, sometime before completing the prescribed series of doctor visits, the passenger died of unrelated, natural causes. Now, you’d think that a person who is deceased would no longer benefit from a doctor’s care, but evidently, the chiropractor thought otherwise. He reportedly continued to bill for treatment for a full month after the patient’s death.

— That’s gonna leave a mark. A woman decided to take her boyfriend’s motorcycle for a ride. Unfortunately, she didn’t know how to drive and crashed it. Luckily, she wasn’t injured. The man, however – afraid his insurance wouldn’t cover the damage to his motorcycle because his girlfriend wasn’t listed as a driver on his policy – decided to pretend that he had crashed the motorcycle. He figured he needed some injuries to make his story credible, so he reportedly tied himself to the back of a truck and asked a friend to drag him around a little bit to produce the road rash he would have gotten from the wreck. Well, he got the injuries he wanted, but they didn’t do him any good. His girlfriend told investigators that in fact it was she who crashed the motorcycle.

“People may laugh at some of these incidents, but what they need to realize is that people who commit fraud are taking money out of everyone else’s pockets,” said Albertini.

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