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You say you want a resolution . . .

resolveLet’s make 2009 the year we finally turn the corner on insurance fraud and truly make a difference in curbing this crime — and in the process, helping to keep insurance affordable and making the insurance system fairer for everyone.

To that end, here are a few New Year’s resolutions for the fraud-fighting community:

Insurers: Resolve to adopt a zero-tolerance attitude towards fraud. Provide adequate resources to your SIUs and recognize that a down economy is exactly the wrong time to cut back on anti-fraud activities;

Fraud bureaus: Resolve to become more efficient and adopt more strategies to deter fraud, including publicizing arrests and convictions;

Regulators: Resolve to seek greater uniformity in anti-fraud regulations from state to state, and ensure all insurers comply with anti-fraud requirements;

Prosecutors: Resolve to find creative ways to accept more fraud cases, especially the difficult ones.

State legislators: Resolve to give fraud-fighters more tools by enacting needed fraud legislation, and that goes double for lawmakers in Oregon, Virginia and Alabama, the last states that lack even a basic insurance fraud statutue;

President-elect Obama and Congress: Resolve to include strong anti-fraud provisions in any new healthcare initiatives;

Consumers: Resolve to resist the temptation to inflate insurance claims; encourage your friends, family and co-workers to stay honest.

And lastly, the coalition: Resolve to strengthen partnerships with all constituents groups, including other anti-fraud organizations, and to have a measurable impact on reducing insurance fraud.

May you stick to all of your resolutions and have a successful 2009!

2 thoughts on “You say you want a resolution . . .

  1. From the carrier standpoint, it is a very powerful message when the entrepeneur/Business Owner/ Insured understands that his Insurance company will go toe to toe with the bad guy. In my opinion, this is the most important message we can send, to let them understand we are managing their loss costs aggressively.

  2. Be sure, as well, that the anti-fraud efforts do not stop with third parties. It is far easier to proceed against, for example, a services provider that is billing the carrier, or an unrelated claimant, than it is against an insured given market conditions and fears of alienating business or getting a reputation for being vexatious. If carriers are united in the effort to redress insurance fraud- in whatever form it may take- then those efforts will work. If only a few carriers are undertaking the effort, it will not work because the problem will just relocate and become other organizations’ issue.

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