THE “F” WORD IS FRAUD A RISK? CHRISTOPHER R. DUNN DUTTON BROCK LLP.
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Transcript of THE “F” WORD IS FRAUD A RISK? CHRISTOPHER R. DUNN DUTTON BROCK LLP.
1
THE “F” WORD IS FRAUD A RISK?
CHRISTOPHER R. DUNN
DUTTON BROCK LLP
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WHAT IS INSURANCE FRAUD?
Any act or omission with a view to illegally obtaining an insurance benefit
Fraud is perceived as the quintessential “victimless” crime
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TYPES OF INSURANCE FRAUD:
AutoBusiness lossesCommercialLife/disability
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FRAUD STATISTICS:
Insurance fraud costs Canadian insurer’s an estimated $1.3 billion (cdn.) each year
10% to 15% of insurance premiums for auto, home and business insurance go to pay for false or exaggerated claims
Ontario is a hotbed for insurance fraud
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FRAUD MANAGEMENT (pre-litigation):
Indicators and AwarenessQuality controlsProfiling/ScoringHand-off proceduresSpecialists
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WHAT IS THE ANSWER (post-litigation)?
SurveillanceInternet searches, ie. FacebookExaminations Under OathOntario Rules of Civil ProcedureLearning from the ICBC model
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Questions?
8
Thank you!