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Insurance fraud is any act committed with intent ot obtain a fraudulent outcome from an insurance process. This may occur when a claimant attempts to obtain some benefit or advanatage to which they are not otherwise entitled, or when an insurer knowingly denies some benefit that is due.
According to the United States Federal Bureau of Investigation the most common schemes include: Premium Diversion, Fee Churning, Asset Diversion, and Workers Compensation Fraud. The perpetrators in these schemes can be both company employees and claimants.