Case Study – Workers Compensation Fraud-Paying by CashUnited States v. McElroy, 587 F.3d 73 (1st Cir. 11/20/2009) June 15, 2015 Primary…

Ethics and the Insurance Fraud Investigation  June 15, 2015  To understand the connection between ethics and quality service, it is important to…

Hawaii Definition of Insurance FraudHRS § 431:2-403 June 15, 2015 a) A person commits the offense of insurance fraud if the person: (1)…

Types of Fraud June 15, 2015   Summary: There are many different types of fraud, and hard and soft fraud are larger categories that contain…

Fraud Requirements for Insurance Companies   June 15, 2015   In order to control insurance fraud, states require certain actions by companies.…

Facts of Loss Red Flags   June 15, 2015   Fraud can be easy or difficult to determine, depending on the expertise of the person committing the…

June 15, 2015 Insurance fraud costs the industry billions each year. States are working with carriers to try to combat fraud, and have developed…

This checklist highlights when the timing of the loss or filing of the claim could indicate fraudulent activity.

Case Study – Owner Give-up of VehiclePeople v. Berrios, No. Go5o451, 2015 WL 357930. (Cal. Ct. App. Jan. 28, 2015). June 15, 2015 Primary…

Master Red Flag Checklist   June 15, 2015   While a checklist for a particular type of fraud or claim filer may be useful in some claims,…