Combating Insurance Fraud: A Shared Responsibility by Frank Sztuk

Insurance companies have a legal and ethical obligation to combat insurance fraud in order to protect their policyholders.  This commitment can be viewed as a three-part mission:

•           Identification of potentially fraudulent actions

•           Investigation of highlighted actions

•           Resolution of identified and investigated fraudulent actions

Of these, identification is the most important aspect, primarily in claims and policies.  A highly informed front line, including adjusters, underwriters, agents and producers, as well as inspectors and auditors, plays a pivotal role in controlling insurance fraud.  

Comprehensive training for these front-line professionals is not only vitally important, but in many states required by regulation.  Empowering employees to recognize and understand the leverage points in fraud detection leads to referrals for investigation, an impact on both a company’s bottom line and the company’s reputation.  Fraudsters are well aware of which companies are tough on fraud and tend to avoid those companies with strong detection and prevention programs.

At Delta Group, we take great pride in the training and education programs we develop and deliver to our partners.  Our programs are designed to:

·     Keep employees informed on the elements and effects of insurance fraud

·     Ensure compliance with state-specific anti-fraud training requirements.

By fostering awareness and accountability, we help our partners build a culture that stands firm against fraud, protecting both their customers and their reputation.

Want to learn more about how Delta Group can support your fraud prevention efforts?

Our experienced team is ready to discuss customized training solutions, cutting-edge investigation services, and our proprietary eRemote® surveillance technology. Contact us today to discover how we can help protect your organization and strengthen your defense against insurance fraud.

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