Personal Factors Indicating Possible Fraud in a Claims Case

There are multiple components that could send a claims case to the Special Investigation Unit of the insurance company to investigate possible fraud. A Bloomington back injury attorney lists some of the factors of which to be aware.

Identification and Address Evasiveness

Two obvious factors involve not being able to provide a solid or proper identification and being vague about a residence address, according to a Bloomington back injury lawyer. Being unable to show proper ID or refusing to show ID is a sign something suspicious may be up. Many times, a claimant seems to have no clear permanent address due to moving a lot and may use friends, relatives or post office boxes as an address.

Along these lines, a Bloomington back injury attorney says that when a claimant only has hand delivery of documents and avoids the U.S. mail, this too leads to suspicion as it may mean the claimant is aware of mail fraud laws.

Financial Indicators

Sometimes a claimant will file after experiencing financial difficulties or domestic problems. A Bloomington back injury lawyer says that these situations may be the motivation for filing a claim but it does catch the adjuster’s attention.

Inconsistencies in Lifestyle and Income

A Bloomington back injury attorney says if the apparent lifestyle does not seem consistent with the reported known income, this could be another “red flag” for adjusters. The lifestyle may seem more lavish than the reported income would imply. Adjusters would then wonder if there are other sources of unreported income or other past settlements or “sub-rosa” employment that would make the claimant’s allegations of physical limitations and disability questionable.

Insurance adjusters are skeptical and questioning by nature. For a consultation with a Bloomington back injury attorney to insure your case is being presented in a proper manner, call the office of McCarthy Rowden and Baker at 800-373-6050 today.