TwinTurbo.NET: Nissan 300ZX forum - They do some pretty in-depth research in claim fraud.
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Subject They do some pretty in-depth research in claim fraud.
     
Posted by Kenny on December 28, 2007 at 6:47 PM
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In Reply To How do they factor in the fraudlent claims? posted by Evan(CA) on December 28, 2007 at 04:34 PM
     
Message Google about, there's lots of information on how they compile fraud information and statistics.

That being said, they don't need to know if a paid claim is fraudulent of not after the fact - it's still an expense. They don't have to factor anything in; insurance companies know their total expenses. Fraudulent claims are a subset of the total set of claims. All expenses are passed onto the customer base in the form of higher rates - it's that simple.

The insurance company doesn't identify a paid claim as fraudulent, and then increase rates to get a refund. They increase rates with respect to total expenses. Overhead goes up? Rates go up. Total number of claims goes up? Rates go up. These are obvious corollaries given the simplified formulas posted earlier.

Recursively Yours,
Kenny...

PETZ Member #5



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