Car Insurance Fraud: What It Is & How To Avoid It

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If you’ve ever been in an auto accident, you know the drill.
You exchange insurance information with the other driver. The police make a report. And, depending on the extent of the damage, you tow your vehicle to a mechanic.
In a perfect world, at this point, things move forward without drama, and the at-fault driver’s insurance company pays for your vehicle damage and any resulting medical expenses.
But what if questions arise and the other driver denies fault or exaggerates their damages and expenses? What you’re encountering could be auto insurance fraud, where someone exploits an auto insurance company to benefit financially.
Insurance fraud is a widespread scam throughout the U.S., representing approximately 10 percent of total property and casualty claims, including home and auto insurance.
Several forms of car insurance fraud exist, and knowing what to look for can keep you protected from false claims. Let’s look at the different types of car insurance fraud and how you can avoid becoming a victim of this dishonest practice.
Car insurance: a refresher
Car insurance keeps you, your passengers, and others on the road financially protected in the unfortunate event of an accident.
Composed of several elements that cover different possible expenses, auto insurance provides a monetary safeguard when you encounter the unexpected.
Collision insurance covers the cost of vehicle repairs if you collide with another vehicle or a stationary object. Similar to many health insurance plans, a deductible applies before the insurance company reimburses you for repairs.
Liability insurance pays the expenses of other drivers and their passengers when you’re at fault in an accident. Your insurance company reimburses other parties for costs like mechanical repairs and medical treatments, making them whole again while also protecting your assets.
Comprehensive insurance coverage pays for repairs related to events beyond your control, like weather, vandalism, and theft. Like your collision policy, a deductible applies, usually $500 or $1,000.
Uninsured and underinsured motorist coverage protects you when a driver with no insurance or minimal insurance causes vehicle damage or injuries. If they have no insurance, you could be responsible for your vehicle repairs or medical expenses. Or, if someone has minimal auto insurance coverage, it may not cover all of your post-accident costs. In these situations, uninsured or underinsured motorist coverage kicks in, ensuring you and your vehicle are made whole.
Comprehensive car insurance coverage pays for vehicle repairs when events beyond your control cause damage. Situations like hail, vandalism, and theft fall under a comprehensive car insurance policy, paying for the necessary fixes to bring your car back to its original condition. Typically, a deductible applies to comprehensive auto insurance, also usually $500 or $1,000.
Medical payments coverage (MedPay) covers the cost of medical expenses for you, your passengers, or family members who are driving and suffer injuries in a collision.
Personal injury protection, also known as PIP, is similar to MedPay in that it helps with medical treatment costs after a vehicle collision. It differs from MedPay by also assisting with injury-related expenses like loss of income or childcare.
Part of avoiding an accident is driving a safe vehicle in excellent driving condition. A car that accelerates, brakes, and stops at an optimum level keeps you safe on the road. When you’re in the market for a used car, finding one in top shape can be a hassle. Even though the advertisement for a fuel-saving compact car may look good, how can you know if it’s legitimate? Shift’s certified mechanics perform extensive 150-point inspections on every car and have complete vehicle history reports, so you know your used car feels as good as new.
What is car insurance fraud?
Car insurance fraud involves unscrupulous drivers taking advantage of an insurance company to secure financial gain.
While auto insurance helps drivers financially when they’re in an accident, those who commit car insurance fraud deceive insurance companies into paying fraudulent claims.
Two types of car insurance fraud exist: hard fraud and soft fraud.
Hard fraud involves a concocted accident or theft to receive ill-gotten money from an insurance company.
Soft fraud is more typical and consists of inflating damages on a claim or misrepresenting certain aspects of an insurance application to pay a lower premium.
Examples of insurance frauds
Several types of car insurance fraud can happen, and knowing what to look for could keep you protected.
Deceptive repair shops sometimes exaggerate vehicle repairs to inflate insurance claims. A typical situation might be a shop installing used parts but invoicing the insurance company for new parts. Or a repair facility might overcharge both the insurance company and the driver for parts and labor, pocketing extra money in the process.
Sometimes, underhanded drivers abandon their vehicles by leaving them in a remote location or selling them, then claiming theft. This practice is especially dishonest, as these drivers file a claim for vehicle replacement, fleecing an insurance company for thousands of dollars.
And with insurance premiums varying depending on where drivers live, sometimes people falsely register their vehicles in locales with cheaper rates.
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Car insurance fraud in summary
While car insurance provides reassuring financial protection for drivers, some people take advantage of the system.
While an honest car insurance customer might file a claim for necessary vehicle repairs, someone who commits insurance fraud exaggerates the cost of those same fixes, pocketing extra money in the process.
Being aware of the types of car insurance fraud, both hard and soft, keeps you well-informed on what to look out for to avoid being a victim. If you’re in a collision and something doesn’t seem right, staying in close contact with your insurance company ensures your protection throughout the claims process.
Additionally, knowing the details of your car insurance policy can help smooth the claims process if you’re in an accident because you’re aware beforehand of what’s covered and what isn’t.
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Legal notes
The views expressed in this article do not necessarily reflect the views of the author or Shift Technologies, Inc. Shift does not endorse or evaluate the accuracy of any claims made or data provided by third party sources referenced herein.
This article is for informational and educational purposes only and may contain copyrighted material, the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our effort to advance auto education. We believe this constitutes "fair use" of any such copyrighted materials as provided for in Section 107 of the US Copyright Law. The material in this [article/blog/website] is distributed without profit and only to those who have demonstrated an interest in receiving the included information for research or educational purposes.
All prices are based on vehicle availability and pricing as of
April 15, 2022
.
Pricing shown is not guaranteed and does not include taxes or other product fees.
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