Coalition Against Insurance Fraud

The Coalition Against Insurance Fraud is a coalition of insurance organizations, consumers, government agencies[1] and legislative bodies working to enact anti-fraud legislation, educate the public, and provide anti-fraud advice.[2] They are also a resource where consumers can find scam warnings, learn where to report fraud, and how to protect themselves.[3]

The Coalition was founded in 1993 after several organizations reported a heavy rise in insurance fraud and a need to stop it.[4]

History

In 1993, insurance fraud investigators staged several bus crashes in New Jersey. The only passengers in the busses were fraud 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 insurance money saying they were injured.[5]

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.[2]

Since then, The Coalition has grown to include over 90 members, including Geico, National Consumers League, First Acceptance Corp., Healthcare Insight, Property Casualty Insurers Assoc. of America, SAS Institute, Thomson Reuters, Nationwide, and the Virginia State Police.[6]

Mission

The Coalition's main mission is to fight insurance fraud. The Coalition seeks to unite and empower private and public groups against the growing fraud problem. Members work to control insurance costs, protect public safety, and "bring this crime wave to its knees."[7]

Three main areas of activity are:

Government Affairs

Communication

Research

Publications

Research

The Coalition has published several research studies over the past decade. Among them:

Fraud Warnings

The Coalition issues scam alerts for common schemes, elaborating on variations and best measures for prevention and defense.[21] Among the topics:

Resources

References

  1. “A New Weapon In The Fight Against Fraud”. National Underwriter Property & Casualty-Risk & Benefits Management Journal, July 1993, p. 26.
  2. 1 2 Brostoff, Steven. “New Anti-Fraud Coalition Formed”. National Underwriter Property & Casualty-Risk & Benefits Management Journal, 1993, p. 46.
  3. Kopit, Alan (April 23, 2004). "Don't fall prey to health insurance fraud". MSNBC.
  4. "Fraud Survey" (PDF). KPMG Forsenic. 2003.
  5. Schrenk, Edward L. (1997). "Fraud and Its Effects on the Insurance Industry". Defense Counsel Journal. p. 64.
  6. Staff (2011). "Geico and NCL Join CAIF". Property Casualty 360.
  7. 1 2 Archived June 26, 2012, at the Wayback Machine.
  8. 1 2 Archived February 19, 2012, at the Wayback Machine.
  9. Dennis Jay; Jim Quiggle. "Model insurance fraud act". Insurancefraud.org. Retrieved 2014-02-07.
  10. Dennis Jay; Jim Quiggle; Howard Goldblatt; Kendra Smith; Jennifer Tchinnosian. "Legislation". Insurancefraud.org. Retrieved 2014-02-07.
  11. Archived May 1, 2012, at the Wayback Machine.
  12. http://www.insurancefraud.org/research.htm
  13. "JIFA". Insurancefraud.org. Retrieved 2014-02-07.
  14. Coalition, Staff. “Get a Grip on Fraud”, December 2009, Washington D.C.
  15. Jay, Dennis, Effectiveness of warnings on benefit checks”, October 2000
  16. Coalition, Staff (October 1997), Four faces: why Americans do and don't tolerate fraud (PDF), Insurancefraud.org
  17. Coalition, Staff. “Insurer Fraud Measurement”, December 2004
  18. Coalition, Staff. “Prescription for Peril”, December 2007
  19. Coalition, Staff (June 2003). "Study on SIU Performance Measurement" (PDF). Insurancefraud.org.
  20. Coalition, Saff. “State Insurance Frauds Bureaus, A Progress Report: 2001 to 2006”, February 2007, Washington D.C.
  21. Dennis Jay; Jim Quiggle. "Scam alerts". Insurancefraud.org. Retrieved 2014-02-07.
  22. Dennis Jay; Jim Quiggle. "News release". Insurancefraud.org. Retrieved 2014-02-07.
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