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American Economic Review Vol. 104 No. 9 2014

Fraudulent Claims and Nitpicky Insurers

Jean-Marc Bourgeon1; Pierre Picard2

1 INRA, UMR Économie Publique, 16 rue Claude Bernard, 75231 Paris Cedex 05, France, and Department of Economics, Ecole Polytechnique, France (e-mail: ) · 2 Department of Economics, Ecole Polytechnique, 91128 Palaiseau Cedex, France (e-mail: ).

Abstract

Insurers have the reputation of being bad payers who nitpick whenever an opportunity arises. However, this nitpicking activity has a positive impact on their auditing strategy since auditing may prove profitable when claims are not fraudulent. We show that reducing the indemnity payments of audited claims induces a lower fraud rate at equilibrium and that some degree of nitpicking is socially optimal when insurance fraud is a concern. Its remains optimal even if it induces adverse effects on policyholders' moral standards.

DOI
10.1257/aer.104.9.2900
Volume
104
Issue
9
Pages
2900-2917
Language
en
Sources
bibtex:phds-export.bib openalex crossref

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