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Types of Fraud

Insurance fraud comes in many forms. The insurance industry typically categorizes each case as a “hard” or “soft” fraud. A hard fraud is basically a staged situation that causes damage for the purpose of submitting an inflated claim to the insurance company. Examples include intentional fender-benders or submitting a claim as a hit-and-run when it was really a one-car accident and you were at fault.

Soft fraud usually involves a legitimate claim that is illegally altered. This is often done through padding of the claim. Examples including getting a repair shop to give you an inflated estimate on repair costs or including damage previously done to your car on a current claim involving an accident that did additional damage to your vehicle.

Impact on Auto Insurance Customers

Claim fraud is more prevalent than most people realize. Bureau reports suggest that nearly 25% of injury claims and 10% of damage claims are fraudulent. These are paid claims. So the number is actually higher when you consider those claims suspected to be fraudulent but were dismissed or dropped. The cost to the insurance industry is significant. And insurance companies freely pass those costs on to customers.

Insurance companies have to pay claims, both legitimate and otherwise. They do this through the pooled premium rates paid by all customers. As the number of claims paid increases, so too do insurance rates.

Minimize Consequences

You can do your part by submitting correctly documented claims. Understand that any deliberate misinformation provided during a claim process is technically fraud. You face real penalties including possible jail time. And you can lose your auto insurance coverage as a result of misleading your insurance company. If you are involved in an accident that you believe may be an instance of hard fraud, share your suspicions with your insurance provider.

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