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Does Auto Insurance Fraud Impact My Rates?

Insurance fraud has become a big issue in the insurance industry, raising auto insurance premiums for all consumers, including you. Consumers are guilty of fraud, but so are insurance agents and brokers, attorneys, car repair shops and dealerships, and others. To see how much you can save, enter your zip code below for a free quote!

What Is Auto Insurance Fraud?

When people lie about their driving records, the people who operate their vehicles, where they live, their average mileage, etc., their auto insurance policies are written on falsified information that may bring down their insurance rates initially but can result in the denial of insurance claims later on and the possible cancellation on non-renewal of their policies. Unfortunately, there are still people who get away with misrepresenting their situations, in addition to those who exacerbate claim situations and repair costs to gain more money from their insurance companies. The fault doesn't fall on just policyholders but on insurance agents and brokers who misrepresent risks to write more policies and car repair shops looking to make more money on repairs after an accident. Because of this, insurance fraud costs insurance companies and their consumers billions of dollars. Insurance companies consistently raise their rates on all consumers to keep up with the output of claim dollars they pay out to people looking to get more than what is fair from their car insurance company.

Types of Insurance Fraud

  • Hard Fraud: when someone deliberately damages or destroys their property to collect money from their car insurance carrier. An example of hard insurance fraud is someone who reports their vehicle as stolen and not recoverable when they have orchestrated the theft themselves.

  • Soft Fraud: when a driver misrepresents a past insurance claim or lies about their auto insurance application information to gain a lower insurance premium. This type of fraud can also result from an insurance agent or broker falsifying information about a potential customer to fit them into a more preferred policy than they should actually qualify for.

  • Claim Fraud: Policyholders, insurance agents, or brokers may inflate a vehicle's damages so that the policyholder can recover more money to fix or replace their damaged vehicle. In addition, the cost of bodily injury coverage, in particular, has been hard hit by fraud when someone claims to be more severely injured than they were in an accident.

Premium Diversion Fraud: occurs when an insurance agent or broker collects premiums for auto insurance policies they have issued without submitting them to the insurance company.

Fraud-Related Impacts on Car Insurance Premiums

According to estimates from the National Insurance Crime Bureau, the average family spends an extra $200-$300 per year on their car insurance premiums. Your auto policy isn't the only place consumers will feel the impact of insurance fraud. Fraud Bureaus have confirmed that exaggerated claims, falsified details, staged accidents, false theft reports, and agent fraud create higher insurance premiums for all consumers, those who are honest and those who are not, and staged accidents, in particular, can put innocent people in danger of being injured or financially devastated.

Insurance companies spread the cost of risk over all of their policyholders, not just those who submit fraudulent information when applying for a policy or file fraudulent insurance claims. When fraudulent claims contribute to the total amount the carriers have to pay out, they charge higher premiums for everyone to mitigate their losses and ensure that they have enough money on hand to pay future claims.

How Insurance Companies Respond to Fraud

Car insurance companies have created special investigation units made up of specially trained professionals who investigate potentially fraudulent insurance claims and work with law enforcement agencies, state governments, and insurance commissioners to track down and prosecute people guilty of insurance fraud. The National Insurance Crime Bureau (NICB) was created to identify, combat, and prevent insurance crime.

Insurance companies use digital anti-fraud technology, including artificial intelligence, to detect possible insurance fraud in several ways, such as scanning claims for duplicates or alerting the insurer information they have gathered from an individual's social media platforms indicating they are trying to scam an insurer for additional claim dollars. For example, if a person claims to have incurred serious pain and suffering from a car accident but posts a picture of themselves rock-climbing or running a marathon, an investigation will ensue.

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The Consequences of Insurance Fraud

Penalties for insurance fraud may include criminal charges, fines, prison time, and a conviction on your permanent record. More often than not, insurance fraud leads to denial of auto insurance claims and policy termination. When you purchase an auto policy, you provide information about yourself and your situation. You are participating in insurance fraud when you file false claims or exaggerated claims against your car insurance policy. Examples of insurance fraud include:

  • You claim to be the only driver of the vehicles on your car. Still, suppose another driver with regular access to your vehicle causes an auto accident. In that case, your insurer can deny coverage for the claim, leaving you on the financial hook for the damages and injuries you caused in the accident.

  • You claim one of your vehicles is garaged in a lower-rated town, but your car is stolen from a location far from home.

  • You collect money from your insurance company for damages to your car and pocket the money instead of having the repairs done to the vehicle.

Inevitably, misrepresenting the insurance on your car insurance application or submitting fraudulent claims to your insurance company will almost always result in the cancellation or non-renewal of your car insurance policy. When you commit insurance fraud, and this type of black mark shows up on your insurance history, you will be hard-pressed to find an insurance company that will agree to write a new policy for you and pay much higher premiums than before.

Preventing Insurance Fraud

Consumers can avoid being victims of fraud and prevent insurance fraud. Be suspicious of common insurance scams, such as staged accidents and runners. A staged accident is when a person causes an accident to gain an insurance payout—for example, a person who steps in front of a moving vehicle on purpose. "Runners" are people involved in an accident like that who have an arrangement with a lawyer or medical provider to create a claim situation from which they all financially benefit.

Carefully review subsequent repair estimates and claims. Don’t let high-pressure salesmanship persuade you to sign up for a policy or coverage you’re not sure you need, and don't let auto body repair shops or car dealerships overcharge for your car's repairs.

Fully review your auto insurance application before signing it to ensure the information on the application is accurate.

Importance of Reporting Suspected Insurance Fraud to the Authorities

Report suspected insurance fraud to authorities, such as the National Insurance Crime Bureau or your state’s fraud bureau, to help reduce fraud and minimize its impact. Being complacent when you suspect a fraud scheme can cost you and other consumers more in the long run through increased premiums on your car insurance.

Car Insurance Fraud FAQs

Q: How much more is my family paying for car insurance because of fraud?

A: The average family pays $200-$300 or more per year for insurance fraud because insurance companies spread out the cost of fraudulent claims among all of their policyholders, not just those committing fraud.

Q: Who can I contact if I think I have been a victim of insurance fraud?

A: Victims of potential insurance fraud can contact their state's insurance department or insurance department and/or report the fraud directly to the National Insurance Crime Bureau.

Q: What will happen to me if I file a fraudulent insurance claim?

A: If you file a fraudulent insurance claim or falsify the information on your auto insurance application, you could face potential fines, criminal charges, and even jail time. In addition, your insurance policy will more than likely be canceled or non-renewed, and you will face much higher premiums when seeking a new car insurance policy.

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