mercredi 13 août 2014

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.

Detecting this type of crime is quite an uphill task. It needs a person with an inquisitive mind and a sharp eye to details. That knack for details will enable the person undertaking the investigation trail and draw informed conclusion. That is why for a good insurance fraud investigator Philadelphia clients should approach the office of the attorney general, fraud section, or other established investigative firms.

The legislature of Pennsylvania considers these types of frauds to be serious crimes since 1990 and law have been set to cub the menace. The penalties to be charged for these offences are stipulated in the Pennsylvania Insurance Fraud Statute and vary with the sequence of crimes committed. For the first and second offense the civil penalties are $5,000 and $10,000 respectively and each subsequent offence attracts a $15,000 penalty.

It is the responsibility of every citizen, however, to report any sort of fraudulent dealing. Taking into consideration that premiums are increased whenever more investigation affairs are undertaken, one has a duty to report the crime in order to reduce costs of cases. At least a percentage of the premium is reserved for these investigations and less will be reserved if the crimes reduce and more citizens report it.

Indirectly, though, swindling of money may lead to increased cost of goods, services, health care and business expenses. This is cash that can be saved for other salient duties but, on the contrary, it is reserved to combat these unscrupulous deals. The appalling thing, however, is that this type of crime keeps on increasing and so do the premiums and other costs keep on escalating. It is therefore, necessary to report any criminal act of this sort immediately.

These frauds are rampant in all sectors of the insurance industry. At the same time, any person in the line of lodging claims can be guilty of the offence. It is, therefore, necessary for investigators to probe all and sundry involved in a claim. This include the law enforcers, doctors, the insured, lawyers, and staffs serving the company.

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 insurance policies are others that are marred with fraudulent deals. The doctors may overcharge the patients and may sometimes claim payment for services they did not provide. Basically, every field has inroads that fraudsters can use to get undeserved cash. It is a crazy world altogether and that's why the services of these investigators is so much needed.




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