Texas Mutual Fraud Investigations Recover $4.1M in 2008

Texas Mutual Insurance Company reported that it saved or recovered $4.1 million through its workers’ compensation fraud investigations in 2008.

According to the company, the $4.1 million includes: claimant fraud future savings of $2,185,170; restitution of $39,374 from claimants; restitution of $1,569,873 in premium fraud; and prevention of $301,467 in health care provider fraud and abusive billing.

Nationally, fraud across all lines of insurance costs consumers about $150 billion per year, according to the Texas Department of Insurance.

During the past three years, Texas Mutual has secured 48 convictions and saved or recovered $26 million through the company’s zero tolerance for fraud program. The program offers potential cash rewards that lead to arrests or indictments.

Source: Texas Mutual Insurance Company, www.texasmutual.com