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,…

The Arson Investigation   June 15, 2015   While there are general rules for any type of claims investigation, be it auto claims or homeowners…

Case Study – Inflated ClaimU.S. v. Alphas, --- F.3d ----, 2015 WL 2124771 (C.A.1 (Mass.) 5/7/15)  June 15, 2015 Primary policy:…

Wyoming Definition of Insurance FraudW.S.1977 § 26-13-201 June 15, 2015 (a) No person shall knowingly or willfully: (i) Make any…

This checklist can be used when professionals such as doctors, attorneys, or other professionals may be engaged in fraudulent activity.