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FRAUD RED FLAGS AND INVESTIGATION TOOLS

FRAUD RED FLAGS AND INVESTIGATION TOOLS2 FRAUD RED FLAGS AND INVESTIGATION TOOLSF raud Red FLAGS and INVESTIGATION TOOLS When it comes to FRAUD , it s important to keep your guard up, to watch for common (and not-so-common) signs of FRAUD , and to have TOOLS at your disposal that can help you further investigate any concerns. This packet was developed to be a handy desk-side reference that outlines many known signs of FRAUD and resources for looking more deeply into the case. FRAUD Red FlagsUnderwriting/New Business Signatures on application and paramed exam are not consistent. Inconsistencies in height, weight, physical descriptions, license numbers or Social Security numbers. Blatant material misrepresentation on the application. Employment address is a box. Money order (or other cash equivalent) used to pay initial premium, particularly large single premium. Premiums exceed the client s apparent means. Premium being paid by someone other than the insured or owner.

FRAUD RED FLAGS AND INVESTIGATION TOOLS 3 Inforce Processing • Payments or surrenders via wire transfer from/to foreign parties. • Beneficiary changed shortly after issue, particularly to someone with no insurable interest.

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