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

New Mexico Definition of Insurance FraudN. M. S. A. 1978, § 59A-16C-3 June 15, 2015 B. “insurance fraud” means any act or practice…

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

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.

Insurance Fraud Division Contact List June 15, 2015 Because insurance fraud is such an industry concern, many state insurance departments have separate…

Ethics Continuing Education Requirements by State June 15, 2015 Each state has different requirements for how many hours of continuing…

Fraud Investigations General Information June 15, 2015 Summary This article discusses fraud investigations and different methods used…

June 15, 2015 Investigators can benefit from checklists, as well as adjusters and underwriters. When investigating a claim, it is important…

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,…