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

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.

This checklist reviews behaviors or situations that may indicate fraud is present in the claim.

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

Case Study – Application FraudCrown Capital Securities, L.P. v. Endurance American Specialty Insurance Company, --- Cal.Rptr.3d ---, 2015 WL 1607164…

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,…

What Are the Limitations of Fraud Analytics? June 15, 2015 Summary: Insurance people are slow to change. For years claims adjusters…