Coalition Against Insurance Fraud - Research

Research

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

• State Insurance Fraud Bureau Survey, a snapshot of state agencies’ fraud fight by the numbers, aimed at understanding the structure, responsibility, and overall activity of insurance fraud across the United States
• Prescription for Peril, examining unreported and elusive aspects of drug diversion, the role insurance fraud pays in financing prescription abuse, and the high cost to insurers and consumers.
• Insurer fraud measurement, a survey completed by 65 Special Investigative Unit managers, mostly from property/casualty insurers, on their practices involving measuring anti-fraud activities for case referrals, fraud savings and performance evaluations of investigators.
• Special Investigative Unit study, conducted to learn how insurers measure the performance of their Special Investigative Units. A review of the measurement systems of 52 insurers found there is little consistency from insurer to insurer in the methods they use in their performance systems.
• Four faces: why Americans do and don't tolerate fraud, to understand why people accept fraud, and why individuals sometimes won't report fraud even though they understand fraud raises everyone's premiums. Study includes focus groups and statistical survey. conducted to gain insight on why public tolerance of insurance fraud seems to be increasing. Both qualitative and quantitive research was used to attempt to understand how public attitudes about fraud are formed and what factors influence them.
• Effectiveness of warnings on benefit checks, in 2000, selected insurance companies writing workers compensation coverage in the United States were surveyed to determine their experience and perceptions with printed warnings on the back of benefit checks.