193:, to understand why people accept fraud, and why individuals sometimes won't report fraud even though they understand fraud raises everyone's premiums. Study includes focus groups and statistical survey. conducted to gain insight on why public tolerance of insurance fraud seems to be increasing. Both qualitative and quantitive research was used to attempt to understand how public attitudes about fraud are formed and what factors influence them.
165:, a paid digital publication summarizing weekly trends on legislative and regulatory developments, state and federal court decisions, public outreach and media coverage, the week's fraud arrests, the latest convictions for insurance fraud, civil cases, administrative actions, upcoming meetings, seminars & conferences.
219:, conducted to learn how insurers measure the performance of their Special Investigative Units. A review of the measurement systems of 52 insurers found there is little consistency from insurer to insurer in the methods they use in their performance systems.
66:
In response to this problem, seventeen organizations formed The
Coalition Against Insurance Fraud, contributing $ 500,000 to finance anti-fraud efforts. At the time, the Coalition estimated that auto fraud cost over $ 8 billion a year in overpaid claims.
199:, a survey completed by 65 Special Investigative Unit managers, mostly from property/casualty insurers, on their practices involving measuring anti-fraud activities for case referrals, fraud savings and performance evaluations of investigators.
306:
The
Coalition warns against people who claim nonexistent injuries after crashes in order to exploit their insurance coverage, fraudsters may purposely crash into unsuspecting drivers, or stage a crash that is entirely set-up in person or on
272:
The
Coalition warns against fraudulent contractors who appear after natural disasters to offer repairs, fraudulent contractors may add damage to increase costs, illegally lower deductibles, receive pay and disappear, or do work without a
187:, in 2000, selected insurance companies writing workers compensation coverage in the United States were surveyed to determine their experience and perceptions with printed warnings on the back of benefit checks.
299:
Medical identity schemes involve stealing someone's social security number, medicare number, medicaid number, and other identifying information in order to file insurance claims on their behalf for illegal
245:
Though most insurers and agents are honest, the
Coalition warns against agents who pocket their clients' premiums, sell insurance that is fake or unnecessary, or provide unneeded coverage to boost premiums.
74:, National Consumers League, First Acceptance Corp., Healthcare Insight, Property Casualty Insurers Assoc. of America, SAS Institute, Thomson Reuters, Nationwide, and the Virginia State Police.
260:
Auto repair scams have been known to involve purposely damaging cars in order to inflate repair costs, padding existing repairs, or cutting corners by doing low-quality work.
59:
investigators. After the crash, they received over 100 claims from people who jumped on the bus after it crashed or simply drove by the scene and wanted to claim
392:
345:
Brostoff, Steven. “New Anti-Fraud
Coalition Formed”. National Underwriter Property & Casualty-Risk & Benefits Management Journal, 1993, p. 46.
757:
316:
The
Coalition warns against employers who do not purchase adequate coverage for their employees, and employees who fake injuries for paid time off.
333:“A New Weapon In The Fight Against Fraud”. National Underwriter Property & Casualty-Risk & Benefits Management Journal, July 1993, p. 26.
238:
The
Coalition issues scam alerts for common schemes, elaborating on variations and best measures for prevention and defense. Among the topics:
225:, a snapshot of state agencies’ fraud fight by the numbers, aimed at understanding the structure, responsibility, and overall activity of
153:, a quarterly publication containing in-depth analysis of trends, research, and public policy issues that may impact anti-fraud efforts
600:
519:
433:
467:
159:, two quarterly digital publications reporting on important developments involving legislative activity and public awareness
678:
493:
752:
535:
279:
Dental schemes often involve billing for treatment that was never provided, or providing treatment that was not needed
360:
667:
Coalition, Saff. “State
Insurance Frauds Bureaus, A Progress Report: 2001 to 2006”, February 2007, Washington D.C.
704:
450:
24:
organizations, consumers, government agencies and legislative bodies in the United States working to enact anti-
285:
these cards offer discounted medical treatment or pills, but fake cards may provide no coverage or discounts
374:
294:
415:
254:
Counterfeit airbags have been flooding the markets and posing a deadly threat to innocent motorists.
762:
311:
266:
A tough economy can make individuals more vulnerable to buying too-good-to-be-true insurance plans
747:
28:
legislation, educate the public, and provide anti-fraud advice. They are also a resource where
609:
517:
8:
651:
180:
The
Coalition has published several research studies over the past decade. Among them:
431:
32:
can find scam warnings, learn where to report fraud, and how to protect themselves.
471:
90:. Members work to control insurance costs, protect public safety, and reduce crime.
105:
Create model bills. For example, establishing insurance fraud as a specific crime.
523:
454:
437:
226:
210:
83:
48:
682:
497:
492:
Dennis Jay; Jim
Quiggle; Howard Goldblatt; Kendra Smith; Jennifer Tchinnosian.
206:
741:
539:
491:
86:. The Coalition seeks to unite and empower private and public groups against
36:
70:
Since then, the Coalition has grown to include over 90 members, including
560:
356:
124:
Raise public awareness of insurance fraud, and how public can fight back
102:
To enact stronger anti-fraud laws through local and grassroots campaigns
589:
Jay, Dennis, Effectiveness of warnings on benefit checks”, October 2000
580:
Coalition, Staff. “Get a Grip on Fraud”, December 2009, Washington D.C.
52:
448:
60:
21:
29:
730:
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reported a heavy rise in insurance fraud and a need to stop it.
249:
171:, an action guide for creating memorable fraud-awareness events
87:
71:
56:
25:
631:
Coalition, Staff. “Insurer Fraud Measurement”, December 2004
640:
Coalition, Staff. “Prescription for Peril”, December 2007
602:
Four faces: why Americans do and don't tolerate fraud
191:
Four faces: why Americans do and don't tolerate fraud
702:
676:
465:
427:
425:
393:"Fraud and Its Effects on the Insurance Industry"
341:
339:
739:
649:
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289:Drug diversion. The abuse of prescription drugs.
35:The Coalition was founded in 1993 after several
422:
336:
213:, and the high cost to insurers and consumers.
205:, examining unreported and elusive aspects of
209:, the role insurance fraud pays in financing
151:Journal of Insurance Fraud in America (JIFA)
51:investigators staged several bus crashes in
357:"Don't fall prey to health insurance fraud"
185:Effectiveness of warnings on benefit checks
169:Get a Grip on Fraud: Fraud Awareness Manual
442:
82:The Coalition's main mission is to fight
55:. The only passengers in the busses were
758:1993 establishments in the United States
390:
363:from the original on February 10, 2010.
740:
652:"Study on SIU Performance Measurement"
413:
354:
681:. Insurancefraud.org. Archived from
608:, Insurancefraud.org, archived from
496:. Insurancefraud.org. Archived from
470:. Insurancefraud.org. Archived from
223:State Insurance Fraud Bureau Survey
13:
140:Sponsor major research and surveys
93:Three main areas of activity are:
14:
774:
731:Coalition Against Insurance Fraud
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599:Coalition, Staff (October 1997),
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18:Coalition Against Insurance Fraud
217:Special Investigative Unit study
63:money saying they were injured.
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650:Coalition, Staff (June 2003).
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407:
384:
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355:Kopit, Alan (April 23, 2004).
348:
327:
1:
320:
270:Contractors & adjusters:
7:
468:"Model insurance fraud act"
391:Schrenk, Edward L. (1997).
175:
127:Empower and alert consumers
108:Strengthen anti-fraud bills
10:
779:
753:Fraud in the United States
453:February 19, 2012, at the
77:
42:
703:Dennis Jay; Jim Quiggle.
677:Dennis Jay; Jim Quiggle.
466:Dennis Jay; Jim Quiggle.
416:"Geico and NCL Join CAIF"
197:Insurer fraud measurement
418:. Property Casualty 360.
229:across the United States
397:Defense Counsel Journal
283:Discount medical cards:
436:June 26, 2012, at the
380:. KPMG Forsenic. 2003.
295:Medical identity theft
203:Prescription for Peril
130:Unite outreach efforts
657:. Insurancefraud.org.
312:Workers' compensation
707:. Insurancefraud.org
563:. Insurancefraud.org
522:May 1, 2012, at the
304:Staged auto crashes:
243:Agents and insurers:
114:Support prosecutions
264:Bogus health plans:
211:prescription abuse
111:Hold major summits
97:Government Affairs
20:is a coalition of
163:Fraud News Weekly
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375:"Fraud Survey"
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679:"Scam alerts"
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494:"Legislation"
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709:. Retrieved
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687:. Retrieved
683:the original
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742:Categories
711:2014-02-07
689:2014-02-07
619:2012-10-09
567:2014-02-07
546:2012-05-16
536:"Research"
504:2014-02-07
478:2014-02-07
321:References
53:New Jersey
359:. MSNBC.
157:FraudWire
61:insurance
47:In 1993,
30:consumers
22:insurance
520:Archived
451:Archived
434:Archived
361:Archived
273:license.
176:Research
135:Research
277:Dental:
250:Airbags
78:Mission
43:History
561:"JIFA"
307:paper.
655:(PDF)
613:(PDF)
606:(PDF)
403:: 64.
378:(PDF)
300:gain.
88:fraud
72:GEICO
57:fraud
26:fraud
16:The
744::
424:^
401:64
399:.
395:.
338:^
714:.
692:.
570:.
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507:.
481:.
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