Insurance expert witness Barry Zalma and principal of Zalma Insurance Consultants writes that It is Necessary to Know Insurance to Fight Insurance Fraud.
According to the Coalition Against Insurance Fraud: “When it comes to insurance fraud, the United States is a world leader. We arguably have the most severe problem on the planet. But we also have the most sophisticated means of combating fraud. Our systems for detecting and investigating fraud are mature and much more robust than those in other developed nations.”
Although I agree with the Coalition that the ability to detect and investigate fraud is as useful as an arrest without a conviction. Detecting and investigating fraud is merely the beginning of the process. If the fraud investigators are not sufficiently trained about insurance, insurance contract interpretation, and civil defenses to attempts at insurance fraud it does not matter how robust and mature the ability to investigate and detect fraud. The mature and robust talents must be joined with civil defenses to fraud and the criminal prosecution of the perpetrators.
More to come from Zalma Insurance Consultants.