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New Web Resource Available for Prosecuting Insurance Fraud

by NW3C Staff  -   June 16, 2014
Prosecuting Insurance Fraud

The National Insurance Crime Bureau (NICB®) and NW3C have partnered to develop “Prosecuting Insurance Fraud,” a web-based resource for prosecutors, judges and law enforcement officers. Hosted on NW3C’s secure website, the content – including investigative guides, fraud indicator sheets and other downloadable documents – was provided by NICB, which also will provide investigative support through its regional offices.

Information provided through this resource addresses aspects of medical, vehicle and property insurance fraud as well as common schemes associated with organized groups. “There is no better time to provide this resource as insurance fraud is becoming more complex and prevalent,” said NW3C Curriculum Developer Michael Law. “Acknowledging the need for information and busy schedules of our target audience, we designed an intuitive, user-friendly interface that allows for quick access to information. There is also a bookmarking feature that allows users to pick up where they left off, on any computer.”

The resource features a general terms section that applies across all categories of fraud. Each specific category contains:

  • common terms and schemes, which are explained in detail with real-world examples
  • fraud indicator sheets that provide lists of warning signs and behaviors associated with various types of fraud
  • fraud-specific investigative guides

The section on medical fraud provides explanations of treatments, procedures and schemes used by unscrupulous medical providers, and gives links to Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) code definitions.

A training section provides contact information and links to NICB and/or NW3C instructor-led and online courses. And, a local assistance section features an interactive map in which users can click on regions containing their states to access contact information for NICB investigative assistance.

With this resource, law enforcement officers and other investigators will bolster their knowledge of various types of insurance frauds and related crimes. Prosecutors will gain access to experienced insurance fraud prosecutors from around the country as well as local NICB investigators who can provide assistance and expertise related to their cases. These types of interactions should result in stronger cases being presented before the courts. And judges should achieve a greater understanding of the different types of insurance fraud cases presented by prosecutors.

“Insurance fraud remains a very serious issue that impacts everyone,” Law said. “By providing this resource, we are assisting prosecutors, judges and law enforcement officers in the fight against criminals committing insurance fraud.”

There are no prerequisites to access “Prosecuting Insurance Fraud.” Users will not need to attend a course to gain access to this timely, free resource. Go to the course page. Click the “Register” link and complete the on-screen form for instant access.
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