June 15, 2015
The facts of the loss are not the only things that can indicate fraud. The behavior of the claimant can also indicate that the claim or parts of it could be falsified, exaggerated, or otherwise fraudulent. At times claimants and insureds may work together to perpetrate a fraud. The following checklist can help identify when actions of the claimant indicate that further investigation should be conducted. Three or more of these factors indicate that the claim should be referred to investigators for further research.
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