Organized Crime and Insurance Fraud

The National Insurance Crime Bureau (NICB) released a ForeCASTSM analysis that examines the impact that organized crime groups have on insurance fraud. Covering the period from Jan. 1, 2008, through June 30, 2012, analysts reviewed 13,014 questionable insurance claims. Questionable claims (QCs) are claims that NICB member insurance companies refer to NICB for closer review and investigation based on one or more indicators of possible fraud. A single claim may contain up to seven referral reasons. For this report, just QCs with a referral reason of “organized group/ring activity” (OGA) were identified.