The insurance industry is fighting back against the old habit of paying bogus claims to avoid costly investigations, by implementing predictive analytics to forecast and prevent fraud in commercial lines.
Author Archives: Admin2
Creative Auto Insurance Fraud
You may not realize it, but insurance fraud is common. While this type of fraud may seem like an easy way of making a few extra bucks, people tend to ignore the long-term consequences. Since there are a few people out there who try to scam insurance companies, the negative effects are suffered by the masses. Many honest customers have their claims denied under suspicion of fraud. Fraud also contributes to an increase in premium rates.
Auto insurance bonanza
TORONTO – The Ontario Health Claims Database, August 2014 Report, was issued last month.
Fraud cartel lures and abuses crash victims
Dazed crash victims often suffered yet another car calamity: They were hijacked by personal-injury attorney Joseph Haddad.
http://www.ilstv.com/fraud-cartel-lures-and-abuses-crash-victims/
Auto insurance bomnanza – Not for car crash victims, but for the insurers’ doctors who examine them
It will be interesting to see how the insurance industry explains the inconvenient numbers and statistics disclosed in the Report.
Perhaps the most alarming statistic relates to the number and cost of insurer-initiated medical examinations (IMEs).
http://www.torontosun.com/2014/08/30/auto-insurance-bomnanza
Toronto City Council asks province to consider ‘limits’ on property insurance premium increases
“If you are in a specific postal code, it appears, according to the residents, that the (auto) insurance rate is vastly different,” Thompson said in an interview. “I had one situation where someone said they moved from Scarborough to North York and their rate dropped considerably — something like $300 to $400 less than they were actually paying — and it was not a very far distance that they moved. We have had those types of complaints from residents.”
Thompson added residents have had a variety of complaints about home insurance.
HCAI Data: Most Early Treatment Is Provided By Chiropractors and Physiotherapists
The IBC has now published the standard HCAI reports for the first half of 2014. The document provides over 75 pages of aggregate data collected by HCAI going back to 2011. HCAI was made mandatory on February 1, 2011.
http://williehandler.blogspot.ca/2014/08/hcai-data-most-early-treatment-is.html
Substance over Convenience
A 2014 ruling by the Court of Appeal for Ontario, which considers the province’s “pay first, dispute later” regime for insurance, demonstrates the importance of substance over convenience in determining what contracts fall within the ambit of this regime.
The Court of Appeal for Ontario’s recent decision, Zurich Insurance Company v. Chubb Insurance Company of Canada, addresses important questions of insurance law that will have implications beyond the specific facts of the case. Most notably, the case considered the breadth of Ontario’s “pay first, dispute later” regime for insurance.
Forget the silver bullet; use common sense
One broker wrote to Insurance Business that it is ironic underwriting is so strict, while driver testing still allows for a driver to go untested for decades and decades.
http://www.insurancebusiness.ca/news/forget-the-silver-bullet-use-common-sense-181537.aspx
PI bar warns of fallout if ABS comes
The Canadian Bar Association’s controversial call for regulators to permit law firms to be publicly traded in Canada has won praise from as far away as Scotland, but personal injury lawyers warn small firms would be gobbled up and clients’ choice of counsel reduced with the introduction of such alternate business structures (ABS).
http://www.lawyersweekly.ca/index.php?section=article&volume=34&number=15&article=2