B2C fraud includes insurance fraud, payment fraud, identity theft, etc. and reviewing claims is so time-consuming and difficult that many insurers do little more than a cursory review on small claims. Fraudsters know this and will file—and win—small claims for losses that didn't really occur.
Insurance fraud can be committed by either the buyer or the seller of an insurance policy.
The seller may offer policies from non-existent companies, fail to submit premiums, and churn policies to create more commissions. The buyer exaggerate claims, falsify medical history, post-date policies, sell their policy to for cash when they are diagnosed with a terminal disease, or fake their death or kidnapping. We will focus on the buyer insurance fraud in this post.