Fraudulent insurance claims involve the intentional submission of false, exaggerated, or misleading information to receive compensation from an insurer. These schemes can be committed by individuals, businesses, or third parties, and they affect both private and commercial insurance policies.
Such claims can significantly increase premiums, result in denied coverage for legitimate claims, and create costly legal and financial exposure for insurers and policyholders alike. Early identification and forensic analysis are essential to mitigate risks and support appropriate legal action when necessary.
How LMD Forensic Accounting Can Help
LMD Forensic Accounting assists insurers, legal teams, and policyholders in analyzing and responding to suspected insurance fraud. Our investigations focus on verifying financial representations, identifying inconsistencies, and preparing evidence-based reports suitable for litigation or claim denial.
Our services include:
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Reviewing claim documentation, invoices, and supporting evidence
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Analyzing financial records and timelines to detect inconsistencies
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Verifying ownership, value, and existence of claimed assets
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Assessing patterns of repeated or suspicious claims
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Collaborating with legal counsel to support fraud investigations
We deliver objective, clearly documented findings that help clients resolve disputes and protect against fraudulent financial losses.
Fraudulent insurance claims
Examples of fraudulent expense claims may include:
Insurance fraud can take many forms and may be carried out by policyholders, vendors, or even internal employees. Common examples include:
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Inflated or fabricated property damage claims
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Staging accidents to claim personal injury compensation
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Submitting claims for items that were never owned or lost
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Misrepresenting business interruption losses
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Billing insurers for services not rendered or already paid for
Contact Us
If you are dealing with a suspicious insurance claim or need support during a dispute, contact LMD Forensic Accounting for a confidential assessment.