Perhaps the enduring hard economic times for many Americans are having a less-than-desirable effect on insurers' claims departments. New research released today from the National Insurance Crime Bureau shows that the number of questionable claims (QC) rose sharply in the past year. The report examines six referral reason categories of claims: property, casualty, commercial, workers' compensation, vehicle and miscellaneous.   

Through Q3 2010, NICB reports that it received 70,295 QC referrals from its member insurance companies, compared to 62,929 in Q3 2009—a 12% increase.  NICB  defines questionable claims as claims that NICB member insurance companies refer to NICB for closer review and investigation based on one or more indicators of possible fraud.  A single claim may contain up to seven referral reasons. 

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