Insurance Blog

Six from Naples Charged with bilking insurance companies

Six from Naples charged with bilking insurance companies

5:29 PM, Aug 14, 2015

The owners of a handful of Naples-area chiropractic clinics are accused of fraudulently billing car insurance companies for services that weren’t medically necessary and treatments that weren’t rendered, in some cases paying people to participate in fake car crashes.


Why Home Inventories aren't Just for the Rich

By Katherine Ross | August 6, 2015

Wild weather has become more common with climate change, the experts say, and homeowners can prepare for natural disasters by making home inventories — detailed lists of household belongings and their approximate value.

Making a home inventory can be easy; there are inexpensive or free services, apps and software.

“The format is not nearly as important as just having some kind of list,” said Jeanne Salvatore of the New York-based Insurance Information Institute, a non-profit that helps educate the public about insurance.

“Just going around your home with a pen and paper taking notes, or making a video with your smartphone of yourself walking around your home and describing the things around you can make a world of difference when you need to make a claim.”

And home inventories aren’t just for the rich.

“Regular people, whether they’re homeowners or renters, need home inventories way more than the wealthy, because they need the money more,” Salvatore said. “People always say they don’t have a lot of stuff. But if you add up the cost of your bed, with your mattress, mattress cover, bed frame and maybe a few suits hanging in your closet, some high-tech items or small appliances, and your bike or golf clubs, it easily adds up to thousands of dollars. And you’re going to really depend on that money to get up and running again after a disaster.”

The industry estimates that less than 40 percent of households have a detailed inventory of their belongings, and that having one may halve the time it takes to process a claim, or even mean the difference between being reimbursed for a loss or not.

Adequate Coverage

Inventories also can help insureds determine whether they have enough insurance coverage. If they find their insurance doesn’t cover everything, a home inventory can facilitate applying for aid or deducting unreimbursed losses from their taxes in the event of a disaster, Salvatore said.

To put together a basic home inventory, experts recommend that homeowners just make a list of  their belongings and their estimated value and store it in a safe place.

They advise getting in the habit of taking photos and saving receipts when buying valuable items. If there isn’t a  receipt, a copy of a credit card bill is helpful, as are serial numbers and photos, or even notes about where an item was purchased.

Once their list is made, owners should make two copies: They should put one in a safety deposit box or other secure, off-site place, and send the other to a trusted friend in another part of the country.

Professional Firms

While software programs are plentiful and free or inexpensive, there are advantages to hiring a home inventory company to get the job done — and the cost (generally between $500 and $800) can save thousands of dollars in potential losses.

“The benefit of a having an experienced third party do the inventory is there’s no dispute of claim. There’s so much fraud out there, and having a third party eliminates that burden of proof that it’s not fraud,” said Carrie Mitchell, founder of the Colorado-based TWS Home Inventory, with offices in New York and Florida.

She started her company after volunteering to help fire victims in Colorado Springs.

Know Your Stuff is a free phone application put out by the Insurance Information Institute, and a wide range of software and services is also available from insurance companies and independent home inventory companies.

It’s helpful for homeowners to include their insurance policy numbers and insurance agent’s phone number on the list, but this it isn’t necessary to send the list to an insurance company unless checking to be sure one’s insurance coverage is adequate.

Inventories do take time to put together, but the whole family can get involved. Kids can do their own rooms, for example, photographing their computers, electronic devices, sporting goods and other belongings, Salvatore said.

“Most insurance companies don’t require receipts so much as just knowing you had a leather couch, what kind it was and what sort of condition it was in,” said Scott Spencer, worldwide appraisal manager for the Warren, New Jersey-based Chubb Personal Insurance company.

Update Inventories

Home inventories should be updated annually, he said: “If you do it at the same time every year, it’s easy to remember. I usually update mine around my birthday.”

The most challenging areas are usually attics, basements, closets and other storage areas where things are stashed in boxes.

“Take a look at your garage and ask yourself what you’d want to claim if it went up in smoke. It might be as simple as detailing and photographing gardening and sporting equipment,” said Salvatore.

The most commonly underestimated area is the wardrobe, Spencer said. Most people wear the same few outfits over and over again, but the value of everything in their closet can add up to a lot.

Also, consumers are advised to be sure to include sentimental or irreplaceable items, like art, Spencer said. “Even if you can’t replace that $500 painting on your wall, documenting it will allow you to replace it with another $500 painting, as opposed to a poster. There are way more things than diamonds that have real value.”


Florida Fraud Case to be Featured on A&E Series

July 9, 2015

The Florida Division of Insurance Fraud will be featured on tonight’s episode of A&E’s newest series, American Takedown, at 10pm EST. According to producers, American Takedown goes behind the scenes of America’s biggest criminal cases. The episode follows the breakdown of a large-scale PIP fraud case, and allows viewers an in-depth look at the inner workings of complex criminal investigations, according to the Department of Financial Services.

The featured case, known as “Operation Cold Call,” uncovered a network of attorneys, doctors and clinic employees who were engaged in recruiting, paying and treating “patients” for treatments that did not exist following staged car accidents in October 2014. For more than a year, insurance fraud investigators worked undercover, embedded into the clinics that were accepting patients who were illegally solicited.

Florida Chief Financial Officer Jeff Atwater said at the time five arrests were made in Martin, Miami-Dade and Palm Beach counties, following the investigation by the Florida Department of Financial Services’ Division of Insurance Fraud. Additional warrants were issued for two people.

Source: Florida Department of Financial Services.