Anti-Fraud Efforts 

 

Insurance Fraud
Email Hacking Fraud

Insurance Fraud

Our Fight Against Insurance Fraud

Insurance fraud takes many forms, from inflating a claim to faking a disability. It occurs when individuals intentionally deceive an insurance company to collect money that isn't rightfully theirs.

Each year insurance fraud costs all types of insurance companies and their customers billions of dollars. In fact, the Coalition Against Insurance Fraud estimates that insurance fraud costs Americans at least $80 billion a year.
Northwestern Mutual is proactive in its effort to fight insurance fraud, and we are continually improving our procedures for prevention, detection and investigation of insurance fraud.

Passing on Costs, Passing on Savings

Each incident of fraud forces insurance companies to absorb unnecessary expenses. Those excess expenses can cause companies to raise premium rates. Or, in the case of mutual insurance companies, those expenses may result in lower dividend amounts for policyowners. Conversely, when fraud decreases, the money an insurance company saves can be passed on to its policyowners.

What Is Insurance Fraud?

According to The Coalition Against Insurance Fraud "Insurance fraud occurs when people deceive an insurance company or agent to obtain policies or collect money to which they are not entitled. Similarly, insurers and agents also can defraud customers, or even each other."

Some examples of insurance fraud include:

  • Intentionally failing to disclose significant medical conditions or other material facts on an insurance application.
  • Collecting disability benefits after returning to work.
  • A representative who bills a client personally without delivering a policy.
  • Unscrupulous health care providers who bill twice for the same service or for services not provided.
  • Attempting to collect life insurance benefits while the insured is alive.
  • A physician who assists a claimant by certifying an unfounded disability claim.
  • Taking an unauthorized loan on a life insurance policy by an individual.

What Is Being Done?

Northwestern Mutual has a Special Investigations Unit (SIU) whose responsibility is to investigate suspected fraud and to help local law enforcement officials prosecute offenders. The SIU works to detect, prevent and resolve fraudulent activities perpetrated against Northwestern Mutual.

Additionally, many states actively prosecute insurance fraud through established fraud bureaus. We urge you to visit your state's department of insurance Website for information about insurance fraud specific to your state. Also, the following organizations maintain Websites that provide information about the problem of insurance fraud:

  • Association of Certified Fraud Examiners
  • Coalition Against Insurance Fraud
  • National Fraud Information Center
  • National Healthcare Anti-Fraud Association
  • Health Insurance Association of America

What to Do if You Suspect Fraud

If you suspect insurance fraud has been committed against Northwestern Mutual or Northwestern Long Term Care Insurance Company, call our toll-free Fraud Detection Line at 1-877-607-2485 or email the SIU at antifraud@northwesternmutual.com. Or, contact your state's insurance fraud bureau.

When contacting the SIU, please provide the following information, if possible:

  • Name and address of the person or business.
  • The person's age
  • Name of the person's employer or business.
  • Details of the suspected fraud.
  • The person's relationship to Northwestern Mutual (employee, policyowner, insured, service provider, financial representative).
  • The type of policy in question (life, disability, group disability, long- term care, annuity).

Email Hacking Fraud

Email Hacking

Email hacking occurs when a fraudster illegally gains access into an individual’s email account. This allows the fraudster to read email messages and view the address book on the email account. Using this information, the fraudster (appearing to be the individual), contacts the individual’s financial institutions via an email message and tries to obtain funds. If you believe a fraudster has accessed your email account, we recommend that you take the following actions to protect yourself.

Shut Down the Email Account

Simply changing the password will not effectively keep the fraudster out.

Contact All Institutions Where Your Information May be at Risk

  • Consider other information that has been shared using the hacked email account both currently and in the past (e.g., sending tax information to an accountant, etc.).
  • Alert others (financial institutions/business partners) of the situation:
    • Ask them to stop communicating via the hacked email account and remove it from their records.
    • Provide them with your new email address.
    • Ask them to “flag” your account for fraudulent activity.
  • Watch all financial accounts closely.

Monitor Your Credit

Check your credit report and/or sign up for credit monitoring services. Go to AnnualCreditReport.com to obtain a credit report or contact via phone.

Equifax Experian TransUnion Corp
800-525-6285 888-397-3742 800-680-7289

Educate Yourself

For tips and other helpful information, contact the Federal Trade Commission:
1-877-IDTHEFT or review information on the FTC’s Identity Theft website.

Protect Your Northwestern Mutual Policies and Accounts

Consider these additional safeguard options relating to your accounts and policies at Northwestern Mutual:

  • Life, Disability Income and Annuity – You can request a password.
    • For Life and Disability Income Policies, contact the Policyowner Services Department at 1-800-388-8123.
    • For Annuities, contact the Investment Client Services Division at 1-888-455-2232.
  • Investment Accounts – You can request a restriction be added to your account.
    • For Northwestern Mutual Investment Services or a Signature advisory program client of Northwestern Mutual Wealth Management Company, contact the Investment Products and Services Department at 1-866-664-7737.
    • For a trust or private client services account with the Northwestern Mutual Wealth Management Company, contact your financial representative, your account administrator, or 1-888-477-7136.


 

Additonal Information 
Northwestern Long Term Care Insurance Company