July 14 – CONCORD – State investigators have referred a record 22 cases of suspected insurance fraud for prosecution by state and federal authorities in the past year, state officials say.
“Our prosecution record shows that
“With the rising costs of auto repairs, for example, the threshold for an insurance fraud charge is very low,” he said.
This latest report includes two workers’ compensation claims, one home insurance claim, one disability insurance claim and 18 cases of alleged auto insurance fraud.
Each month, the fraud unit receives an average of 25 referrals, opening files on approximately 12% of them.
During the State fiscal year that ended on the last
Harris, a retiree
“One hundred percent of the cases we submitted were prosecuted. We don’t want the reputation of a unit that pursues and accuses fraud and then ends up with cases that didn’t materialize,” Harris said.
Harris said the most common form of insurance fraud here involves motorists obtaining insurance coverage after being in an accident and then claiming they were covered.
“We resolve almost 100% of these cases,” Harris said.
Unlike some law enforcement agencies, the
In 2020, Harris’ office broke the complicated case of
In seven years, Rush has obtained
Harris remembers having a document in his hands confirming that Rush had posted a false bond to a
“It doesn’t get any better than this when you have this piece of paper that nails the case you’ve been working on for months,” Harris said.
Masse was the business manager of her husband’s law firm and falsified her client’s legitimate medical records to file the claims.
Harris said the break in that case came when he called
Since COVID-19, Harris said the level of sophistication of these fraud claims has increased.
“People are working from home. They have more free time and access to software to create these amazing documents,” Harris said.
“I have never seen so many fake discs that look legitimate fall on my desk in the past year.”
What’s also changed since the pandemic is that many insurance companies don’t send their agents to review claims in person, but rely on paperwork sent to their offices, Harris said.
At the national level, insurance fraud (excluding health insurance) is a
About 75% of insurance industry professionals believe that 10% or more of all claims have an element of fraud, according to the 2020 Friss Insurance Fraud Report, a company that provides fraud and risk detection software to insurance companies. insurance.
Some industry professionals estimate that the number of claims with an element of fraud has nearly doubled since the COVID-19 pandemic.
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