Monthly archives for February, 2010

What Is No Fault Insurance And Do You Need it?

Feb16
2010 1 Comment

Even if you live in a state that requires no fault insurance, you may not completely understand what no fault insurance is, and how it differs from traditional, standard liability (torte) car insurance systems. And if you are relocating to a state that requires no fault insurance, you may even have more difficulty understanding the changes in liability.

Before you purchase a new no fault insurance policy, be sure you understand what no fault insurance is, and understand your state’s specific requirements and your personal needs.

What Is No Fault Insurance?

Currently, 10 U.S. states require no fault insurance (Florida, Hawaii, Kansas, Massachusetts, Michigan, Minnesota, New Jersey, New York, North Dakota and Utah). Three other regions allow you to select no fault insurance as an option: Washington, D.C., Kentucky and Pennsylvania.

Under the standard liability insurance system, the ability to recover damages is based upon “provable negligence” – the ability to prove who was at fault for your accident. However, under the no fault insurance system, your ability to recover damages from other drivers if an accident occurs is limited. To compensate for this limitation, you are required to purchase no fault insurance. In the event of an accident, your insurance company pays your damages (up to your policy limits), regardless of whom is at fault. Other drivers are covered by their insurance policies.

A pure no fault system would completely cover you in the event of an accident, as well as prohibit you from ever suing another driver. In the U.S., no state uses a pure no fault insurance system. Instead, no fault states use a combination of a no fault insurance and standard liability insurance systems. This means that under certain conditions, lawsuits are permitted.

In most no fault states, drivers can still be held financially responsible for an accident damages if injuries reach a predefined level of severity. For example, there may be a dollar amount threshold for medical bills that must be met before a lawsuit can be file. Or the law may verbally state a broad definition of what type of severe and serious injuries – like death, dismemberment and disfiguration – qualify for torte action.

That’s why it’s important to have liability coverage even if you live in a no fault insurance state.

About Your No Fault Insurance Policy: Personal Injury Protection

Personal injury protection (PIP) is the piece of your car insurance policy that pertains to no fault coverage. Due to state laws, the specifics of personal injury protection vary from state to state. PIP often covers expenses your medical insurance does not, such as co-pays and lost wages – and sometimes even replacement costs (your expense to do something you would normally do yourself). Keep in mind that PIP insurance is not designed to replace your personal medical insurance.

In addition, no fault insurance has no effect on the damages for the automobiles involved in your accident. The insurance companies will still determine liability. If you are at fault and do not have car insurance, both the no fault insurance company and medical insurer can file a lawsuit against you to recover damages. And if you are at fault and don’t have collision car insurance coverage, you’ll still be responsible for repairing your own car.

No fault insurance was designed to protect drivers by providing everyone with medical coverage, as well as reduce legal and administrative costs associated with insurance claims. Under the standard liability insurance system, victims can be left unable to obtain appropriate medical coverage, and physicians may be unable to recover their fees, while parties sort out liability. Ideally, this would reduce car insurance premiums. However, remaining liability issues often cause no fault insurance premiums to be higher than standard liability car insurance premiums.

Shopping for No Fault Insurance

Before you purchase a no fault insurance policy:

Understand your state’s specific rule, requirements and regulations.

Create a personal auto insurance profile – a list of the vehicles you own and their safety features, the driving records of anyone using them, where they are driven, and where you live, what you can afford in a premium, and the assets you need to protect

Compare rates. Talk to several agents to determine what policy offers you the best protection, as well as car insurance premium.

PIP insurance, or personal injury protection, is a part of a car insurance policy that pays up to 000 for medical bills and lost wages. Find out how PIP insurance works, regardless of fault, with help from a licensed insurance agent in this free video on insurance agents and insurance companies. Expert: Doug Leavy Contact: TampaBayInsurance.net Bio: Doug Leavy, of Strategic Insurance, has been in the insurance industry for nearly a decade. He’s licensed in property/casualty, life/health/annuity, mutual funds, and financial planning. Filmmaker: Christopher Rokosz
Video Rating: 5 / 5

Question by Indigo: PIP insurance income continuation benefits for for self-employed worker with a biz loss how income calculated?
If self – employed and showing a loss, how does this affect benefits if injured in car accident ?
Can benefits be denied if there is biz loss on profit loss statement?

Best answer:

Answer by mbrcatz
If you have no wages, then there ARE no lost wages for PIP to compensate you for.

Additionally, if the car accident was for a business related manner, PIP does not apply, due to the Workers Compensation issue, in most states. Even if you exempt yourself from workers comp, the injury is still workers comp payable, and the auto lost wages section doesn’t apply.

Give your answer to this question below!

Minneapolis, MN (PRWEB) December 11, 2004

During the week of December 13 through December 17, 2004, the National Arbitration ForumÂs dispute resolution professionals will facilitate voluntary settlement negotiations between parties in disputes involving medical reimbursement for injuries suffered in automobile accidents. The National Arbitration Forum is offering Settlement Week at no cost to the parties.

ÂEach year, there are more than 20,000 No-Fault PIP insurance arbitration cases filed in New Jersey,Â said Curtis Brown, NAFÂs General Counsel. ÂOur Settlement Week offers a chance for those parties to save time and money by resolving their disputes sooner rather than later with the help of experienced neutrals.Â

The New Jersey Department of Banking and Insurance awarded the National Arbitration Forum the contract to administer arbitrations for No-Fault Insurance PIP disputes in early 2004.

For more information regarding National Arbitration ForumÂs ÂPIP No Fault Settlement WeekÂ visit the National Arbitration ForumÂs website: http://www.arbitration-forum.com.

About the National Arbitration Forum:

The National Arbitration Forum is one of the worldÂs largest neutral administrators of arbitration and mediation services with a select panel of former judges and experienced senior attorneys providing dispute resolution worldwide. Founded in 1986, the National Arbitration Forum administers more than 50,000 cases annually with offices in New Jersey and Los Angeles in addition to its headquarters in Minneapolis. Access additional information at the National Arbitration ForumÂs website at http://www.arbitration-forum.com or on the NAF Blog at: http://arbitration-forum.blogspot.com

###

N.J. commissioner seeks PIP managed care bill. (New Jersey Banking and Insurance Commissioner Elizabeth Randall, personal injury protection): An article … & Casualty-Risk & Benefits Management

This digital document is an article from National Underwriter Property & Casualty-Risk & Benefits Management, published by The National Underwriter Company on September 23, 1996. The length of the article is 686 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

From the supplier: The New Jersey Department of Bank

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Posted in PIP Insurance - Tagged Fault, Insurance, Know, Need

The Best Inexpensive Medical Insurance Coverage?

Feb14
2010 6 Comments

by Third Way

Precisely what is medical insurance
Exactly why you desire an inexpensive medical insurance is to assist you to prepare yourself in case of surprising expensive emergency situations. The only method you are able to achieve this is to make a price comparison from the majority of top insurance agencies and also selecting a medical insurance plan that is best suited for you. During the times, finding an inexpensive medical insurance plan had been merely expensive. However these moments, men and women, little groups, family members and students can pick a medical insurance plan that’s ideal for them, e.g. such as obtaining a guide insurance plan that helps to ensure that anyone being affected by any kind of former medical problem isn’t excluded.

General medical insurance plan is completely an unhindered open market, therefore people who don’t yet possess a medical insurance plan should be thinking about getting a plan. For individuals who are trying to find perfect health care insurance plan, acquiring one is achievable with the support from special providers which focuses on offering medical care insurance for everyone as well as meeting their specifications and also remaining affordable.

Furthermore for you if you don’t want to utilize an agency, then you need to use the internet. One main alternative US citizens obtain medical insurance plan is usually via their particular companies. Numerous companies them obtain medical insurance protection because of their employees for a restricted period hence allowing them obtain medical insurance coverage. The online website offers an alternative to get a more affordable medical insurance. There are numerous firms that offer every type of medical insurance plans, allowing for yourself and your family to possess a certain affordable and inexpensive medical care insurance plan. Discovering what type of popularity the corporation has and exactly how lengthy the corporation has been doing business is a brilliant idea.

Possessing a type of perfect they’ve for you is recommended too ensuring that they’ve been qualified where you live, since it is of no use obtaining an insurance coverage with a form without any certificate and can’t obtain the precise medical insurance you need, a lot of providers can assist work tirelessly for you personally, which means you might have a reasonably priced medical insurance plan that you and your loved ones could deal with no great price. We all want the most effective medical insurance both for ourselves and for our family members, but just the greatest medical care insurance can perform this with low premiums and total protection.

Do you know the benefits of medical insurance?
Obtaining the proper and the ideal medical care insurance is hard. So as not to get baffled, you need to determine which the greatest is as simple as performing your analysis carefully. The starting point to take consists of looking at the qualifications as well as their previous activities of the very corporation you’re looking at. Just like on insurance costumes really does a track records checks of an individual before agreeing to proposals, you need to furthermore evaluate the financial condition such as the client support services of the insurance provider, by so doing; you have the opportunity to learn which medical insurance provider’s right for you. One important method to find ratings of these firms just like A.M best or Moody’s is to use the greater business agency. Numerous companies use the medical insurance plan either to entice or perhaps keep their excellent employers. The medical insurance plan could be an individual scheme or a collection scheme structured and backed by the employers for employers who do the job among 20-29 hours weekly.
Corporations also don’t include expense of edge advantages together with medical insurance, to the cost of their item and services. In the last many years, the price of medical insurance has grown greatly, surpassing the overall price of rising cost of living in many previous years.
The various types of medical health insurance includes person medical health insurance, inexpensive employee health insurance which is also referred to as team medical health insurance, affordable loved ones health insurance, affordable business medical health insurance and so on, your monthly insurance coverage is determined by particular numerous different things. For example, most rates depending on or based on how old you are. So your medical health insurance rates changes appropriately with the kind of wellness policy you’ve. If your medical health insurance is actually for yourselves or your whole family, the procedures should certainly have an impact on any quote you’re young or even sophisticated in grow older, self-employed receiving health insurance companies may adjust your high quality based upon how old you are and this will also impact the cost of your wellbeing insurance.

Do you know the Disadvantages associated with medical health insurance?
Because unforeseen incidences might occur whenever, you will don’t know whenever any sort of accident will probably occur, be it the requirement to end up being accepted within the medical center with regard to stitches or perhaps a damaged bone, you might be within the position to get help rapidly with no be concerned associated with finding a large expenses, unlike when you do not have any adverse health insurance coverage your credit rating ales all of the cost. But you can avoid all of these problems through happening as well as safeguarding your credits for your health financially. Helping the quantity of your health insurance coverage deductions is another manner in which you are able to help to make certain your insurance costs tend to be lowered. This particular greater monthly fees are essential for anyone who has an existing health problem that requires a comprehensive medical treatment obtaining variety of estimates from insurance companies which meets for your health insurance and finances standards, is really a smart decision whenever choice a good medical health insurance. Looking can be done on the internet and this will have preserved serious cash too.

Various persons believe they’re wholesome enough, so that they don’t need health insurance because they have not had any kind of major health care problems but one thing to notice from thepossible medical health insurance may be the safety from the possible health condition that could occur in future. It might occur to a person particularly or any member of your family, so why wouldn’t you plan on having an inexpensive medical health insurance strategy today. VISIT Health Plans for more usefull information.

What Were The Top New York Insurance Fraud Reports?

Feb08
2010 12 Comments

by blacque_jacques

New York Insurance fraud is a broad term that includes numerous acts the law considers illegal. And yes, all of them are related to stealing from insurance companies. Insurance fraud in New York and virtually all other states are probably the most commonly prosecuted white collar crime.

Recent legislation and general policy of insurance fraud crackdown changes released state and local prosecutors and investigators after unexpecting (and expecting) insurance fraudsters. Insurance fraud prosecutions and indictments statewide have dramatically increased as the result. Unfortunately, many individuals accused of insurance fraud in New York are not even aware what it is they’ve done wrong. This article provides some basic information on what is New York insurance fraud.

New York insurance fraud lawyers are busy defending people against charges of health insurance fraud, auto insurance fraud, Medicaid fraud, unemployment benefits fraud, and welfare fraud. So, what is fraud? In short, under section 176.05 of the New York Penal Code, a fraudulent insurance act is intentional and deliberate submission of an insurance application to an insurance carrier or its agents. Fraudulent means either submitting false information or concealing, for the purpose of misleading, information concerning any material fact.

There are several degrees of New York Insurance fraud. A default New York insurance fraud charge is insurance fraud in the fifth degree, a class A misdemeanor. All subsequent degrees vary as following. If in addition to the generic act of insurance fraud the person wrongfully obtains property with a value of more than ,000, it is insurance fraud in the fourth degree is a class E felony. ,000 makes it insurance fraud in the third degree is a class D felony. ,000 means insurance fraud in the second degree is a class C felony, and, finally, stealing a million dollars will make one guilty of insurance fraud in the first degree, a class B felony.

A person who commits a fraudulent insurance act, and has been previously convicted within the preceding five years of any insurance fraud crime is automatically guilty of aggravated insurance fraud in the fourth degree is a class D felony.

Insurance fraud investigation normally takes time. Police rarely arrest people suspected of insurance fraud without warrant and some investigation. When an investigation is underway, the suspect will receive a letter or a telephone call from an investigator. The person’s actions at that point may determine the outcome of the case. The worst that can be done is voluntary submission of any information to the investigators who are trained in gathering incriminating information and building cases against suspects. The better way is to talk to an attorney immediately and protect your rights. Investigators will not question persons who wish to consult an attorney. An experienced New York insurance fraud lawyer, if timely retained, may mitigate future damages and in some cases even convince prosecutors not to proceed with the case.

PBU-SIFE participated in “Making a Dent in Insurance Fraud,” an ethics case study competition hosted by Centenary College SIFE. Our team learned about the evils of insurance fraud and took action to expose them. Through our teaching, we hope to empower others with the knowledge necessary to avoid being a victim of this crime. PBU-SIFE was awarded the first place award for their presentation.
Video Rating: 4 / 5

Who Has The Best and Least Expensive Small Business Health Insurance?

Feb06
2010 30 Comments

Through the debate on reforming health insurance for small businesses, an important piece of information was missing: Policymakers had little data on why only some young companies offer their employees health insurance. Common sense and much research indicate that cost plays a big role in business owners’ health insurance decisions. Why do some entrepreneurs choose to incur this cost while others do not?

Back in March, Congress passed the Affordable Care Act, which in 2014 will require all Americans to have health insurance or pay a penalty. Although many people would now like to put discussion of employer health insurance behind them, the question of why only some founders of small businesses offer insurance remains an important one. Its answer will influence how much of a role government will play in providing employee health insurance for years to come.

One part of the new law is a set of tax credits and penalties designed to encourage employers to provide insurance.The problem is that for most young small businesses, it won’t work.That’s the conclusion I reached, based on research I conducted with Alicia Robb of the Ewing Marion Kauffman Foundation.We examined the decisions of founders of young companies on whether or not to offer health insurance, using information from the Kauffman Firm Survey, which tracks a cohort of nearly 5,000 new businesses started in 2004.

The data show that very few new businesses offer employee health insurance. Nearly two-thirds of companies with employees did not offer employee health insurance at any time during their first five years of operation. Moreover, only one in five offered insurance to their workers in all of the years.
insurance: no performance benefits

The few young small businesses that offered health insurance differed dramatically from those that didn’t: They tended to be larger and higher-paying, structured as partnerships and corporations, and they offered their employees a wide variety of benefits. Most young businesses don’t fit this profile. The majority are sole proprietorships with few, modestly paid employees. Only a handful of young companies grow dramatically. A minority shift from sole proprietorships to other legal structures. Few ever add a lot of benefits. This means that only a small portion of young small businesses are health-insurance-providing types. Most are not.

One argument that’s often made to justify giving employees health insurance is that doing so helps companies perform better. Those that offer employee health insurance, the argument goes, get better and harder-working employees. We examined whether the provision of employee health insurance provides any performance benefits to young companies. We found that it does not.

Controlling for a variety of other firm and founder characteristics, we saw no significant effect from providing employee health insurance on firm survival, growth in assets, growth in sales, growth in profits, or growth in employment during the first five years of operation. Stated differently, offering employee health insurance doesn’t appear to do anything to improve the performances of young companies, despite what some observers argue. We shouldn’t claim that the new law will benefit small business owners by making their companies more successful.
low-paying, sole proprietorships

The data offer three key takeaways for policymakers. First, only a minority of new businesses offer health insurance to employees, even by age five. Fewer still move from not offering insurance to providing it. When thinking about how to manage small business health insurance, policymakers need to keep in mind that offering insurance isn’t something that young companies naturally evolve to do as they mature. Consequently, most of the employees at new businesses that don’t offer health insurance will need to be covered by government programs and state exchanges.

Second, new companies that don’t offer insurance tend to be smaller, lower-paying, sole proprietorships with a large share of part-time workers. These offer employees limited benefits. Policy makers need to recognize that offering employee health insurance is something that fits certain kinds of new companies and not others. Small business owners who don’t offer employee health insurance aren’t being heartless. They are responding to the economics of the industries they are in and the business models they are pursuing.

Third, offering employee health insurance doesn’t improve the financial performance of new companies. Policymakers need to understand that despite the many reasons why they want the founders of all businesses to offer health insurance to employees, requiring that entrepreneurs provide such insurance won’t benefit many of the business owners.

Hundreds of thousands of new businesses with employees are founded in the U.S. every year. Few of these companies are large enough, pay enough, or are structured in a way that would lead them to offer employee health insurance. Moreover, few will turn into businesses that provide health care coverage to their workers. As a consequence, most of the several million workers hired by young businesses annually will be getting their insurance from government programs and state exchanges for years to come.

In this special edition of West Wing Week, look back over the last year, watch the President sign a law getting those loud TV ads under control, and find out the answers to a couple burning questions from the mailbag.

The Latest New Jersey Insurance Fraud Reports

Feb02
2010 34 Comments

by blacque_jacques

When we mention crime, even white-collar crime, insurance fraud is not what immediately comes to mind. Yet, insurance fraud has lately become one of the front-runners among the most often prosecuted white-collar crimes in New Jersey.

In fact, New Jersey has the toughest criminal insurance fraud statutes in the country. The Health Care Claims Fraud statute, N.J.S.A. 21-4.3 and the Insurance Fraud statute, N.J.S.A. 2C:21-4.6, make many acts of insurance fraud second-degree crimes. For starters, a second-degree crime in New Jersey carries with it a prison term of up to ten years and fines of up to 0,000.

The vast majority of insurance fraud cases in New Jersey are investigated and prosecuted by the Office of Insurance Fraud Prosecutor (OIFP) and these cases involve all thinkable areas of insurance fraud, including health, life, disability, auto, homeowners’ or commercial insurance coverages.

According the 2007 OIFP report, there was “a 10% increase in criminal sentences over last year’s figure and sent defendants to prison for a combined total of 147 years”. The report exemplifies the wide array of individuals who found themselves in trouble for insurance fraud: ” In 2007, OIFP recorded OIFP won convictions of four former police officers, two of whom will serve a total of 12 years in State prison. Four licensed health care providers received State prison sentences totaling 12 years. A licensed insurance agent was sentenced to a five-year State prison term. An auto body shop owner and his accomplice were sent to State prison for a total of nine years. The sentences imposed on several members of vehicle theft rings totaled 77 years in State prison, over .8 million in restitution, and ,500 in civil insurance fraud fines”. The list goes on.

So, what is “insurance fraud” made of? One large area of Insurance fraud in New Jersey is Automobile Insurance Fraud. The most popular crime here is auto theft and “give up schemes”, where the owner or lessee of a car abandons the car or gives it up to a someone who agrees to dispose of the car. Next come staged accidents and fraudulent Personal Injury Protection Claims and criminal use of “runners”. These types of cases normally involve organized rings of “runners”, medical providers, and lawyers. Vehicle Insurance policies in New Jersey provide medical benefits for persons injured in car accidents as part of Personal Injury Protection (PIP) coverage. PIP insurance typically covers diagnostic testing and treatment for persons injured in automobile accidents. In many cases, uninjured passengers involved in accidents are contacted by “runners” who convince them to file claims for “soft tissue” injuries, such as “whiplash”. Such injuries are not easily verifiable by x-rays and MRI. In the end, “runners” receive their illegal commissions, medical and chiropractic mills provide unnecessary medical services, including fake diagnostic and treatment, for which they bill, and lawyers file unwarranted lawsuits.

Other case involving New Jersey Automobile Insurance Fraud are selling and buying fake insurance ID cards and insurance agent fraud where licensed agents steal insurance premiums or are engaged in fraudulent premium financing schemes.

Another large area that pays bills for New Jersey insurance fraud criminal defense attorneys is Health Care insurance fraud. Most such cases involve submitting fraudulent claims for payment for health care services that were never provided and received. The most often targeted individuals here are New Jersey doctors, dentists, chiropractors, nurses, physical therapists, pharmacists, and social workers.

The most widely used tool in New Jersey heal care insurance fraud prosecutions is the Health Care Claims Fraud status, N.J.S.A. 2C:21-4.3 that makes it a crime for any health care provider just to submit a false claim to insurance companies, no matter what the amount is. A non-provider only needs to submit a false claim for ,000 to have committed a second-degree crime. Other criminal charges used in prosecutions of New Jersey health care insurance fraud cases are usually charges of theft, conspiracy, and falsifying records.

Another area of New Jersey insurance fraud is life and disability insurance fraud, both governed by the Insurance Fraud Statute, N.J.S.A. 2C:21-4.6. Life insurance fraud offense is submitting a claim that falsely represents death of a claimant or otherwise misrepresenting important facts concerning the claim. Disability fraud involves faking a non-existing condition in order to receive benefits or knowingly failing to disclose new income.

Probably the largest single area of New Jersey Insurance Fraud is Medicaid fraud, which is investigated and prosecuted by the OIFP’s Medicaid Fraud Section. New Jersey Medicaid Fraud can be committed by any health care provider that participates in the Medicaid program. New Jersey physicians, dentists, clinics, chiropractors, pharmacists, laboratories, nursing homes, etc. are routinely prosecuted for New Jersey Medicaid fraud.

The basic New Jersey Medicaid fraud crime involves billing the Medicaid program for services that were never provided or might not be provided by the billing provider, or when the amount billed exceeds the costs of services performed (over billing). Other Medicaid fraud charges in New Jersey may be associated with charges of patient abuse and criminal neglect.

Another related New Jersey Medicaid fraud area is Medicaid prescription and drug diversion fraud. This involves pharmacies billing Medicaid for drugs that were not actually dispensed. Doctors, who sometimes form “partnerships” with pharmacies to engage in this fraud, are understandably find themselves in deep trouble as well.

Home health care fraud is the last largely prosecuted New Jersey Medicaid fraud crime. Medicaid pays for personal care provided for eligible beneficiaries by certified home care assistants, aides, and nurses, all of whom must be certified and licensed by the State to participate in the program. Criminal activities in this are involve billing for services that were not provided, employing non-certified providers, and lying in the certification process.

New Jersey insurance fraud is a wide area and persons facing any of the insurance fraud charges should seek legal counsel as soon as they discover that they are under investigation. A consultation with a competent New Jersey fraud defense attorney is absolutely indispensable.

Insurance fraud caught on tape. I know you need money, but what dumbass do you have to first film your crime and then manage to lose the damn tape?! For more funny stuff, please visit ahsoon.net
Video Rating: 4 / 5

Question by Sarah: Insurance Fraud?
Is it considered insurance fraud if someone files a car insurance claim and uses the money for something other than fixing the car?
I don’t plan on doing it. I’ve just heard other people talk about it and started wondering.
those who are saying no: do you know for a fact? I know they don’t want you using the money for other things, just wanna know for sure

Best answer:

Answer by Lesley
i dont think so, but then again I could be very wrong…

good question though

Give your answer to this question below!

CHARLOTTE, N.C. (PRWEB) September 20, 2006

ECS Reporting Solutions has announced the availability of online services, designed to help the insurance industry to identify and prevent fraud.

Property and casualty insurance fraud is estimated to cost the insurance industry as much as $ 30 billion per year. Attempted check fraud at the nation’s banks rose to $ 5.5 billion according to the 2004 American Bankers Association Deposit Account Fraud Survey Report. Fraud prevention is a major concern for banks, financial institutions, insurance companies, and government organizations.

The ECS gateway system can be used to create customized reports, notifications and digital dashboards designed to identify and prevent fraud. This enables users to extract information such as claimant profile data, previous loss history data, and almost any other information that can be used to identify possible red flags of fraud.

ECS has virtually unlimited public records databases, and partnerships with leading business intelligence software providers, to provide cutting-edge data mining capabilities, according to information from the company web site at http://www.ecsbi.com.

ECS Reporting Solutions also provides affordable consulting and training services for organizations that require additional assistance in developing their reporting solutions. They have a staff of insurance and reporting professionals that can provide expert advice on how to proactively identify and prevent fraud.

Organizations that need help to implement these solutions can get assistance through the consulting and training services provided by ECS. Advice and instructions on how to proactively identify and prevent fraud are included.

“We have been able to create a suite of services that are available to assist insurance organizations to expand their business intelligence capabilities. Using the latest technologies combined with our public records gateway service, we are able to make these services effective, convenient, and far more affordable than other solutions,” explained Sara Morrison of ECS.

While insurance fraud is recognized as a growing problem, insurers are caught between many competing and potentially conflicting needs. Insurers face the challenge of processing claims quickly to comply with government regulations, and also identifying possible fraud.

“It is critical for insurers to minimize claim settlement and payment costs through early fraud detection. ECS can assist organizations with integrating the results of customizable analytics to detect fraud early in the claims process. Claims with high fraud scores are routed to investigators for further analysis. This allows insurers to efficiently manage investigative resources so investigators are focused on the claims that are most likely to be fraudulent. We help insurers to decrease set up and maintenance costs by avoiding high risk customers,” explained Morrison.

About ECS Reporting Solutions:

ECS Reporting Solutions offers strategic business intelligence services for the insurance industry. Clients receive customized reporting services that include custom reports and digital dashboards aimed at detecting and preventing fraud.

Press Contact:

Sara Morrison

800-353-1417

Press release services provided by http://www.ThatPRGuy.com.

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Insult to Injury: Insurance, Fraud, and the Big Business of Bad Faith

Joan Hangarter bought a disability policy in 1990 to protect her in case of serious illness. When she did become disabled a decade later, she ended up homeless and on welfare when the company refused to pay. With the help of her attorney, Ray Bourhis, she fought back, winning a .7 million verdict against the company. In Insult to Injury, Bourhis walks readers through this case study in bad faith double-dealing by insurance providers. Bourhis, a national champion of policy-holder rights, use

List Price: $ 24.95

Price:

Posted in Insurance Fraud - Tagged Crimes, Defense, Eyes, Fraud, Insurance, Jersey, Lawyer, Through

Monthly archives for February, 2010

What Is No Fault Insurance And Do You Need it?

N.J. commissioner seeks PIP managed care bill. (New Jersey Banking and Insurance Commissioner Elizabeth Randall, personal injury protection): An article … & Casualty-Risk & Benefits Management

The Best Inexpensive Medical Insurance Coverage?

What Were The Top New York Insurance Fraud Reports?

Who Has The Best and Least Expensive Small Business Health Insurance?

The Latest New Jersey Insurance Fraud Reports

Insult to Injury: Insurance, Fraud, and the Big Business of Bad Faith

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