Risk Management
Insurance
Insurance Fraud

Examples of some of the crimes concocted by insurance criminals

How to prevent auto theft

Organization supports meaningful auto insurance reforms

Clues on what to look for

An Overview of the Insurer's Rights

Commentary on the issue

Division that fights insurance fraud in California

How to prevent becoming a victim of auto accident fraud and disaster fraud

How to obtain the CIFI certification

Types of fraud and terms used when referring to them

National organization dedicated to fighting insurance fraud through advocacy and public education

Workers compensation claims investigators are increasingly scouring popular social networking Web sites

This article presents a program for comprehensive insurance fraud control

Creating a corporate culture hostile to fraud

WC insurer experience and perceptions with printed warnings on the back of benefit checks

A number of red flag indicators

Discusses the obligation to and dangers of reporting suspected fraud

Also identifies claimant and policyholder red flags

Fact sheet describing insurance fraud including a description of legislative initiatives

Insurance fraud to be one ot the top priorities for the FBI

Examples of fraud investigation tips including a sample company WC fraudulent claim policy

Building a Case for Criminal Prosecution

Guidance from the Pennsylvania Insurance Fraud Prevention

The claimant should be prepared by counsel to address the following subjects with the independent medical examiner

Listed by line of coverage

Red flags of possible WC fraud from the injured employee

A series of legal articles from an insurance lawyer

State of Massachusetts Insurance Fraud Bureau

A discussion of the insurance industry's efforts to fight insurance fraud

Abstracts collected by the research department of the Insurance Fraud Bureau of Massachusetts

For property, WC, security, vehicle theft fraud

Results of 2004 survey targeting consumer attitudes regarding insurance fraud

Advice concerning insurance company fraud and insolvency

Prevent and combat insurance fraud and insurance related financial crime worldwide

Professional society of insurance industry fraud investigators

A discussion of NAIC legislation designed to encourage insurers to share information when the goal is to fight fraud

Computer modeling makes the effort all the more effective

Cites sources that say that only 1-2 percent of WC claims are fraudulent

File a report on suspected insurance fraud

Focus on the detection, investigation, prosecution and prevention of health care fraud

Maintains databases for insurers and law enforcement officials for insurance crime prosecution

Examples of insurance fraud in the state of New Jersey

Detecting and preventing prescription drug fraud is a 1-2-3 process

Compounded medications pose a major fraud risk in the workers' comp space, and a major danger to patients

CPAs offer advice for small and midsize businesses

Privacy issues when investigating insurance claims

Advice for employers about workers making bogus WC injury claims when layoffs are on the horizon

Advice for insurance claims specialists

Tips on Spotting Workers Compensation Fraud

Workers' compensation red flags for claims fraud

Audits focused on identifying fraud-related exposures

Special investigation unit survey on performance measurement

What Employers Should Know about Workers Compensation Claims

Many dishonest drivers will maneuver innocent motorists into auto accidents

How to isolate fraudulent medical providers and tackle pain management fraud

Insurers need to get their anti-fraud programs in order

Checklists offer guidelines on employer fraud, injured worker fraud and healthcare provider fraud

Checklist of red flags that may indicate workers compensation fraud

Examples of employee, employer and health care provider fraud

Results of a 2009 survey

Red flags for WC fraud plus prevention steps

A discussion of the subject

New Jersey's definition of WC fraud

The problem of insurance fraud and why it is so prevalent in U.S. society

Helps shed light on pharmacy related fraud in WC

Detect the signs of potential fraudulent WC claims and take the appropriate action

Red flags checklist for claims professionals to use

Excerpts from Zalma's Insurance Fraud Letter on insurance fraud