Roger Morris, NICB

One of the biggest concerns for insurance companies today is medical fraud, tied to the medical component of an auto policy.  Roger Morris from the National Insurance Crime Bureau, says common approached to fraud include staged accidents, victim recruitment, and billing fraudulent claims through health clinics, particularly in No Fault States like New York, Florida and Michigan. He says “there is a blank check to write fraud in these States.

The NICB has set up Medical Fraud Task Forces around the United States, and is working with law enforcement and State Insurance Departments to focus on fraudulent claims. Mr. Morris says these operations are run by gangs and are very sophisticated, using chiropractors, doctor and lawyers.  If law enforcement begins to watch a suspicious clinic, organizers will shut it down and move on after billing millions of dollars.  State regulations require expeditious payment of medical claims, which makes it difficult to assess fraud. The NICB is trying to chase the criminals BEFORE insurers pay them.

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