"Despite widespread concerns, it does not appear that systematic
incentives exist for any participant in the program to underpay on
claims," according to a copy of a draft overview of the Senate
Banking Committee's investigation reviewed by Reuters.
The panel's investigators presented the overview of their findings
to committee member staffers on Friday afternoon.
A copy of the final report will be released on Tuesday, followed by
a public hearing on Wednesday.
The Senate Banking Committee's investigation was fueled by
allegations of widespread underpayment of claims to the victims of
Hurricane Sandy, a 2012 Atlantic storm that generated 144,484 flood
insurance claims and caused more than $68 billion in damage.
Last year, numerous flood victims filed lawsuits alleging that
insurers and engineering firms had doctored reports about the causes
of damage to their homes in an effort to reduce insurance payouts.
In response, the Federal Emergency Management Agency (FEMA), which
oversees the flood insurance program, created a task force to review
the victims' claims, settle pending litigation and reform the flood
insurance program.
New York and New Jersey's state attorneys general, along with the
Department of Homeland Security's inspector general, are conducting
criminal investigations into the matter.
Tuesday's report will be the first by a group of new investigators
hired recently by Senate Banking Committee Chairman Richard Shelby,
an Alabama Republican.
The probe did not examine specific allegations of fraud by victims.
It focused on the structure and management of FEMA's flood insurance
program.
Using FEMA audit data, investigators did not detect any evidence
that the system creates incentives for write-your-own insurance
carriers or other vendors to reduce payouts to victims. In addition,
data on Sandy flood claims that were re-inspected by a second
adjuster showed "low overall error rates."
Investigators believe underpayments that did occur can likely be
attributed to the "scale of Sandy," which overwhelmed the program
and outstripped the number of engineers and adjusters available to
handle claims, the overview says.
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The report will call on FEMA to improve how it plans for similar
future catastrophes to help reduce problems with the claims process.
The report will also take aim at the appeals process, because FEMA
does not force write-your-own insurance carriers to increase
payments to policyholders, even when the agency believes it is
appropriate, or track the outcomes of appeals.
In the case of Sandy, FEMA is now requiring that people who were
underpaid be made whole. The report will say this is unfair to
victims in other disasters, such as the recent Texas and Oklahoma
floods, because they do not have the same recourse.
A FEMA spokesman, Rafael Lemaitre, said the agency looks forward to
seeing the Senate report.
"We share the same concerns Congress has about underpayments or
claims of fraud, regardless of whether they are systematic or not,"
he said.
The panel's investigators will call for a better appeals process
that will permit "mandatory payments" when FEMA officials side with
policyholders, stronger internal record-keeping and better processes
for correcting errors.
Since the recent floods in Texas and Oklahoma, FEMA has taken some
steps to cut red tape, including a new telephone hotline for victims
to report problems.
Victims of those recent floods also have more time to file
proof-of-loss claims, and insurance companies were instructed to
make certain advance payments for claims of $5,000 or less.
(Editing by Jonathan Oatis)
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