As a non-profit organization, the National Society of Professional Insurance Investigators was formed in 1983. The purpose of the Society is to provide the recognition, encouragement, and support to individuals who demonstrate the highest degree of professionalism in conducting insurance investigations.
A few years after its first meeting, the Society added "National" to its name. This change was the foundation of national involvement in the organization. Through the Society's cooperative relationship with the insurance industry, governmental units and agencies, community leaders and related organizations, its members work to educate the insurance community regarding fraud recognition and prevention.
The Society further serves as a catalyst in the collection and dissemination of the most up-to-date investigative ideas, procedures, and techniques. Membership of the Society consists of investigators, adjusters, accountants, and attorneys. To date, there are hundreds of members across the country. Besides the National, there are several state chapters and others currently being formed.
Founded in 1984 by a group of insurance industry fraud investigators, the International Association of Special Investigation Units (IASIU) is a non-profit organization dedicated to:
Promoting a coordinated effort within the industry to combat insurance fraud;
Providing education and training for insurance investigator;
Developing greater awareness of the insurance fraud problem;
Encouraging high professional standards of conduct among insurance investigators; and
Supporting legislation that acts as a deterrent to the crime of insurance fraud.
The Division of Insurance Fraud was originally formed in 1976 by the Florida Legislature to investigate only fraudulent automobile tort claims. In the early years, investigators had arrest powers but could not carry firearms. Today, the division investigates all types of insurance fraud crimes. Investigators now are armed, sworn state law enforcement officers.
The division is a law enforcement agency within the mostly civilian Florida Department of Financial Services (DFS). The department is headed by the Chief Financial Officer, who is elected every four years and is a member of the Florida Cabinet. The Director of The Division of Insurance Fraud, Simon Blank, was appointed by the Chief Financial Officer in September 2013; and he is assisted by Deputy Director Tim Cannon.
The Division of Insurance Fraud is composed of 151 sworn officers, managers and administrators, and 43 non-sworn, civilian support staff members. For fiscal year 2013-2014, the Division received 16,063 tips, which resulted in 2,211 criminal investigations, 1,575 cases presented for prosecution, 1,465 arrests, 1,250 convictions, and over $50 million in court-ordered restitution.
The Division of Insurance Fraud has five regions located throughout the state of Florida, each commanded by a law enforcement captain. Twenty-four squads, each headed by a lieutenant, are located throughout the state.
Investigators are assigned to work general fraud cases, workers’ compensation fraud, medical and health-care fraud, and agent and company fraud. Areas of assignment may include:
Insolvency – fraud committed by insurance companies that fail financially due to internal fraud by owners and corporate officers.
Unauthorized entities – fraud, both criminal and civil, committed by insurance companies operating illegally in the state.
Healthcare – fraud involving organized medical and healthcare scams.
Workers’ compensation – investigates employers for workers’ compensation premium fraud and workers’ compensation claim fraud.
Additionally, insurance companies doing business in Florida must report suspected fraud to the division. Those reports are protected from civil liability, provided the information is reported in good faith.
A reward of up to $25,000 is offered for information leading to a conviction in insurance fraud cases.
With a 100-year heritage, the National Insurance Crime Bureau (NICB) is the nation's premier not-for-profit organization dedicated exclusively to fighting insurance fraud and crime, and is the only organization in the United States that convenes the collective resources needed to prevent, detect and deter these crimes.
The NICB was formed in 1992 from a merger between the National Automobile Theft Bureau (NATB) and the Insurance Crime Prevention Institute (ICPI), both of which were not-for-profit organizations. The NATB – which managed vehicle theft investigations and developed vehicle theft databases for use by the insurance industry – dates to the early 20th century, while the ICPI investigated insurance fraud for approximately 20 years before joining with the NATB to form the present National Insurance Crime Bureau.
Today, our membership includes nearly 1,100 property and casualty insurance companies, vehicle rental companies, auto auctions, vehicle finance companies, self-insured organizations and strategic partners.
Beyond our membership, our 350+ employees work with law enforcement agencies, technology experts, government officials, prosecutors, international crime-fighting organizations and the public to lead a united effort to prevent and combat insurance fraud and crime.
The National Association of Insurance Commissioners (NAIC) is the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally. NAIC members, together with the central resources of the NAIC, form the national system of state-based insurance regulation in the U.S.
NAIC members are the elected or appointed state government officials who along with their departments and staff, regulate the conduct of insurance companies and agents in their respective state or territory.
The mission of the NAIC is to assist state insurance regulators, individually and collectively, in serving the public interest and achieving the following fundamental insurance regulatory goals in a responsive, efficient and cost effective manner, consistent with the wishes of its members:
Protect the public interest;
Promote competitive markets;
Facilitate the fair and equitable treatment of insurance consumers;
Promote the reliability, solvency and financial solidity of insurance institutions; and
Support and improve state regulation of insurance.
FLORIDA DEPARTMENT OF INSURANCE FRAUD
Report Insurance Fraud HERE
Fighting Insurance Fraud through Education and Commitment.