INSIGHTS

Articles on document fraud checks and case review.

Examples, notes, and lessons from teams reviewing suspicious documents and images.

Examples and lessons from document review cases.

How Common Is Insurance Fraud? image

2026-03-16 · Tanel

How Common Is Insurance Fraud?

Insurance fraud is more common than many people realize. Estimates suggest that around one in five insurance claims contain some form of fraud, costing the U.S. insurance industry more than $300 billion each year and ultimately raising premiums for consumers.

Read article

What teams run into during review

Suspicious file patterns

What often triggers deeper review in PDFs and images, and how teams separate noise from useful evidence.

Queue and escalation design

How analysts, risk teams, and compliance stakeholders structure queues, escalation paths, and evidence handling.

Decisions and controls

How findings move into onboarding, claims, underwriting, and other operational decisions without losing context.