who do you report insurance fraud to?

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PostPosted: Wed Apr 23, 2008 1:42 am   Post subject: who do you report insurance fraud to?  

Insurance cancelled 2 weeks after it was put in force and after I had cancelled my other insurance.

They had all info ahead of time and could have found out anything by the next day as the insurance company I send with next. The I had the insurance only 24 days and had to pay for more than a months insurance with no explanation as to how they figured what I was getting back.

junettelogan
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PostPosted: Wed Apr 23, 2008 2:46 am   Post subject:   

Is this a question or just a statement?

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PostPosted: Wed Apr 23, 2008 6:48 am   Post subject:   

There are some state-sponsored fraud investigators towards checking frauds. So, what you need to do is to find out whether your state has a fraud bureau.

BTW, may I know which state you belong to?



Regards,

Plasticmind


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PostPosted: Wed Apr 23, 2008 6:54 am   Post subject:   

Hi,



Have you heard of the NICB?

The National Insurance Crime Bureau is all set to investigate & abolish all sorts of fraudulent attempts from the insurance industry. You may call them toll-free at hotline: 1-800-835-6422

Keep us updated..


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PostPosted: Wed Apr 23, 2008 12:12 pm   Post subject:   

HUH? Confused

Quote:
I had the insurance only 24 days
Quote:
Insurance cancelled 2 weeks after it was put in force
First off these two statements don't even come close to matching...and who do think committed fraud? Need to be more detailed in your discription, so we can 'try' and assist you.


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PostPosted: Mon Jun 15, 2009 6:05 am   Post subject: insurance fraud  

I just heard about a local woman that about 15 years ago checked her daughter into the hopsital and had knee surgery done. The mother used her other daughters insurance and name. The one daughter was in highschool and the daughter that had the surgery was out of highschool.



Is it too late to report it and to whom do you report it? What kind of punishment would they recieve and could I stay anamous?

Thanks for your time.


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PostPosted: Mon Jun 15, 2009 9:08 am   Post subject:   

Quote:
I just heard about a local woman that about 15 years ago checked her daughter into the hopsital and had knee surgery done.




Hey what to do, how did you come to know about the incident?
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PostPosted: Mon Jun 15, 2009 11:05 am   Post subject:   

Geeze...let that one go...15yrs is past the statute, I'm sure, in most states, and frankly why?



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PostPosted: Mon Jun 15, 2009 10:24 pm   Post subject:   

The girl was openly talking about it. She acted like it was no big deal. To me it is a big deal. I pay by insurance premiums and this is a classic case why premiums are so high. I don't feel that anyone should break the law in this manner, then to brag about it is insane!! I have looked it up and insurance companies want to know about this action without limitation. I will probably let it go as Lori suggested but next time you write a large check for your health insurance you might think about this kind of fraud and how it is impacting you. That is why I feel it matters.


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PostPosted: Tue Jun 16, 2009 4:33 am   Post subject:   

Hey what to do, I understand your frustration and I agree with the cause. It's true that insurance frauds are affecting all of us in terms of higher premium. But after fifteen years it'd be hard to investigate into the matter. May be there is no document left to prove a fraud was committed. However, you might still wish to check with the Insurance Fraud Bureau if anything can be done.



Just wondering.... is the girl only started bragging recently about the incident?

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PostPosted: Tue Jun 16, 2009 5:04 am   Post subject:   

Jeremyholter,

Thanks for your thoughts and a little understanding of my frustration. I will let it go. I do not need to be a do gooder. If I were to do anything like that, I would be caught right away. I'd probably tell on myself. HAHA!!!

I worked at Physicians Mutual home office in underwriting for five years. That may add to my passion/frustration of the matter.



Yeah, she recently started talking about it. We live in a small town of about 4000 people. I don't know why in the world she would ever say anything like that. You know, there is one in every crowd that thinks they are better than everyone else and just can't seem to keep their mouth shut. I think she probably feels like it's been long enough that it doesn't matter. It just really hit a nerve with me.



I really do appriciate your communication. It felt good to get it off my chest without telling anyone around here.


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PostPosted: Tue Jun 16, 2009 5:24 am   Post subject:   

Junettelogan-Was your policy in force or was it undergoing the underwriting process? From the time you fill out an application with an agent until the application is underwritten, you have the insurance. Maybe in the fine print you will see that on the copy of the application you filled out. (IDK) I believe typically companies return your money they collect at the time of application unless you have submitted a claim between the time you filled out the application and when the underwriting process is complete. Did you cancel your insurance beore you heard back from the new company and had a policy in hand?



Hope it works out for you.


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PostPosted: Tue Jun 16, 2009 9:39 am   Post subject:   

Quote:
Yeah, she recently started talking about it.
But you don't have enough evidence to pursue this one in the court of law.

I'm sure the last thing you'd want is to get over a defamation lawsuit...won't you??



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PostPosted: Tue Jun 16, 2009 10:29 am   Post subject:   

Quote:
Thanks for your thoughts and a little understanding of my frustration.




You are welcome, what to do. Very Happy
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PostPosted: Tue Jun 16, 2009 10:32 am   Post subject:   

what to do, Don't get me wrong, as a P&C claims adjuster for more years than I care to remember, I'm the first one in line to bust someone for fraud. Your first post, just made me wonder about your motivation, (I thought you had known about this for 15 yrs)...I seriously doubt there is anything that could be done.. However, being the 'occasional' smart mouth Wink if I heard her 'bragging' I'd probably tell her, she might want to 'tick a lock' and not openly discuss she and her mother commiting a felony..As there just 'might' be people that would turn them in, and really does she want to see her mother facing felony charges on this thing now? I know the type...but seriously the girl has to be just plain stupid to openly discuss such a thing...I'd throw a little fear her way, and let it go.. ........................ this time.. Wink



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