NICB: New Jersey Questionable Claims Rise 26 Percent 2009-2011


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DES PLAINES, IL--Dec. 12, 2012: The National Insurance Crime Bureau (NICB) today released its 2009-2011 New Jersey questionable claims referral reason analysis. Questionable claims (QC) are those claims that NICB member insurance companies refer to NICB for closer review and investigation based on one or more indicators of possible fraud. A single claim may contain up to seven referral reasons. This report analyzes QCs by loss city, core-based statistical area (CBSA), policy type, loss type, policy and loss type combined and referral reasons.

In 2009, there were 1,509 NJ QCs referred to NICB from its member insurance companies. In 2010, the number increased to 1,412 and in 2011, it rose again to 1,903--a 26 percent increase over 2009's figure.

The top five cities in New Jersey generating the most QCs last year were Newark (131), Paterson (84), Elizabeth (81), Jersey City (73) and Irvington (48). The top five CBSAs reporting QCs were New York-Northern New Jersey-Long Island, Philadelphia-Camden-Wilmington, Trenton-Ewing, Atlantic City and Vineland-Millville-Bridgeton. The top five loss types were: bodily injury, personal injury protection, collision, other automobile, theft and property damage.

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