Achievements: Uniting the Fraud Fight

The Coalition was founded in 1993 as the nation’s only anti-fraud alliance speaking for consumers … insurance companies … public officials … and other partners. We’re widely considered a leading voice of the anti-fraud community, across all lines of insurance.

Membership

Coalition membership has more than doubled in the last five years — from 80 organizations to more than 160 organizations. Last year set a record for membership growth.


Government affairs

Enact stronger fraud laws. The Coalition actively supports strong state fraud laws. We regularly testify, write strong opinion letters and advise legislators throughout the U.S. We’re tracking more than 90 state fraud bills — a record.

  • Comprehensive model fraud law. A total of 21 states passed anti-fraud laws based on the Coalition's model insurance-fraud law. It’s the most comprehensive fraud model ever drafted. Consumers and insurance personnel can be held criminally liable.
  • Other model fraud laws & regulations. Eight Coalition models cover issues such as automobile scams, dishonest contractors, prosecution venue, workers compensation, airbags and agent fraud.

Grassroots lobbying. The Coalition has pioneered anti-fraud grassroots lobbying in partnering with IASIU to launch online letter-writing campaigns to legislators in targeted states.

Help spur fraud bureaus. Initiated legislation that resulted in the creation of 12 state insurance fraud bureaus to work with insurers and others to investigate and prosecute fraud.

Impact in Washington. Stepped-up prevention and deterrence against organized fraud rings and other schemes is vital for turning the corner on insurance fraud, the Coalition told a U.S. Senate Commerce committee in testimony. The Coalition was among select national anti-fraud leaders invited to testify.

  • Association health plans are an open door for fraud under sole federal control, the Coalition told the U.S. Department of Labor in a strongly worded written statement.

Defend fraud fight in court. An active program of amicus court briefs helps influence landmark court decisions.

  • Protect examinations under oath. Insurers have a right to interview people about claims and thus help lower fraud losses, the Coalition said in a joint amicus brief with NICB to the Kentucky Supreme Court. The court cited the brief’s talking points in supporting fair and reasonable insurer EUOs.
  • Support prosecutions. Filed an amicus brief for the Massachusetts supreme court when trial lawyers sought to undercut funding of fraud prosecutors. The court supported state funding, citing Coalition language.


Alerting the public

News coverage. Raise public awareness of insurance fraud — and how consumers can fight back — as a leading national expert for the news media. We have been quoted in major news outlets such as the Wall Street Journal … New York Times … Washington Post … USA Today … Business Week … Forbes … Fortune … 60 Minutes … Today Show … Good Morning America … CBS News … ABC News.

Consumer videos. Everyday consumers deciding about defrauding their insurer or being victimized are shown in eight 30-second video spots for member use. … Make smart life decisions, urges another consumer video called Choices.

Infographic.Insurance Fraud: Why Care?” tells an edgy, deterrent fraud story in an at-a-glance visual format.

Mobile app. Mobile users can conveniently access Coalition website material. The app is available free of charge.

Social media. Daily anti-fraud messages, cases and trends via Facebook and Twitter keep consumers continually informed. The podcast FraudFeed warns consumers about scams — staged crashes, contractors, crooked agents, much more.

Hall of Shame. Raise public awareness by promoting previous year’s worst insurance scammers.
Publish trends & news. The weekly insider Fraud News Weekly and Fraud News Daily reveals the newest fraud cases, legislation and trends. It’s the nation’s premier outlet for fraud news. ... Experts reveal new fraud trends in the online leadership publication, Journal of Insurance Fraud in America.

Research

Conduct major national research. Numerous national studies and reports about insurance fraud, causes and how to combat fraud have been commissioned by the Coalition. Most recently:

  • Insurer technology. Insurer use of anti-fraud technology is rising, more insurers see a positive ROI and they increasingly rely on technology to counter emerging threats such as money-laundering and cyberfraud. Those are key findings of a Coalition study of insurer technology.
  • Life & disability. Some insurers sponsor robust anti-fraud programs, while others appear to lack commitment to detecting scams, a report on life-disability fraud reveals.
  • SIU benchmarking. Third edition of this study drills down into insurer anti-fraud metrics to help senior managers compare and refine their operations.
  • Public attitude research. Ground-breaking research helps fraud fighters understand why people do — and do not — tolerate insurance fraud.