2015 Annual Training Conference & Anti-Fraud Expo

Sessions Speakers Exhibitors Show Specials Floor Plan Buzz

Member & Agent Fraud Schemes in Supplemental Insurance (Room Coronado A)

18 Nov 15
2:15 PM - 3:15 PM

Tracks: Disability, Workers' Compensation & Supplemental Insurance Product

The presenters will review and discuss in detail current member and agent fraud schemes experienced in supplemental insurance. This will include claim fraud and application fraud. In addition to explaining the fraud schemes and the impact to the supplemental insurance carrier, the presenters will also discuss how these schemes impact health insurance carriers. As an example, an individual who is attempting to prolong a disability or accident claim may continue to treat with a provider. While the supplemental carrier is paying the disability/accident, the health carrier is incurring costs of the unnecessary medical treatment.