I think there obviously has to be a certain amount of common sense involved - and car manufacturers have a good idea of how long a particular job should take, if you try and charge 20 hours labour for changing a clutch, then it's likely your claim would be rejected. Or if they did pay it, I suspect the garage responsible would have their warranty repair status removed. I seem to recall that some manufacturers actually specify repair times for common jobs like that, even out of warranty - and a main dealer would only be able to charge that amount of labour.
It is certainly policed by the car manufacturers in the UK, I know someone was approached by BMW about a car they bought second hand, which was still under warranty. The car had undergone a considerable number of warranty claims, all from the same dealer, all expensive, and BMW were dubious about their honesty - I suspect it wasn't just one isolated case either.
In the electronics area you used to have to send all replaced parts back to be examined, this helped to avoid false claims - and in the early days you didn't get paid anything at all for the warranty repair, you just got the parts replaced for free.