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NICB: Ohio Questionable Claims Rise 36 Percent 2009-2011

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DES PLAINES, IL, Dec. 12, 2012: The National Insurance Crime Bureau (NICB) today released its 2009-2011 Ohio 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 1,924 OH QCs referred to NICB from its member insurance companies. In 2010, the number increased to 2,193 and in 2011, it rose again to 2,621--36 percent increase over 2009's figure.

The top five cities in Ohio generating the most QCs last year were Cleveland (292), Columbus (263), Toledo (238), Cincinnati (176) and Akron (105). The top five CBSAs reporting QCs were Cleveland-Elyria-Mentor, Columbus, Cincinnati-Middletown, Toledo and Akron. The top five loss types were: theft, collision, bodily injury, other automobile and fire.