What might a claim handler look for when there are concerns about the legitimacy of a claim?

When a claim handler is faced with concerns regarding the legitimacy of a claim, one critical aspect they focus on is inconsistencies in claim documentation. This is essential because accurate and consistent documentation is a cornerstone of valid claims. If discrepancies arise, such as different accounts of the same event or conflicting statements from the claimant and witnesses, it raises red flags about the credibility of the claim.

In finding inconsistencies, claim handlers can identify potential fraudulent activities or intentional misrepresentations, which can ultimately protect the insurance company from undeserved payouts. Although the other aspects mentioned, like high dollar amounts and claims from multiple insurers, can also warrant scrutiny, the presence of inconsistencies in documentation directly points to issues with the truthfulness or accuracy of the claim itself. Therefore, examining the documentation is paramount for validating claims effectively.