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

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)…

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:…

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

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

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

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,…

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…