Module 1-G - Types of Hazards and Frauds Flashcards
Insurance Fraud
Using insurance to obtain money unlawfully. This can be done by a policyholder, or by
an insurer or an insurer’s employees. There are two kinds of insurance fraud: soft fraud
and hard fraud.
Fraud - Hard
Deliberately faking or causing an incident in order to collect money.
Fraud - Soft
Inflating the gravity or the extent of claims in order to receive a higher indemnification.
Hazard
An instance, behavior, or condition that increases the chance of incurring a loss, or
increases the severity of the loss.
Hazard - Legal
Any legal action that increases the chance of a loss.
Hazard - Moral
Occurs when an insured person consciously and deliberately acts in a way that is more likely to result in a loss.
Hazard - Morale
Unconscious tendency of insured people to engage in riskier behavior.
Hazard - Physical
Any physical condition that increases the chance of a loss.