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In the Workers Compensation arena, this often means the person claims some degree of disability, saying they are injured and cannot work, when in fact they can work. David Morse & Associates ( ." In simpler terms, insurance fraud means that someone submits an insurance claim that is not an accurate reflection of what happened, usually to receive money.Insurance fraud is a crime, defined as "when someone knowingly and with intent to defraud, presents or causes to be presented, any written statement that is materially false and misleading to obtain some benefit or advantage, or to cause some benefit that is due to be denied. In other words, in fraudulent cases, the person says they're injured but they really aren't, or are not injured as badly as they claim. When a case is suspicious, containing "red flag" indicators of possible fraud, an investigator is often brought in to find out the true facts of the case ,possible fraud ...ادامه مطلب