The investigative division also receives information from consumers, insurers and any other entity with information pertaining potential violations. Licensed and/or regulated professional medical practitioners having knowledge of “Fraudulent Insurance Acts” are obligated to report and provide information pertaining the violations.
It’s within the best judgement of the division to require further investigation and report alleged violations to the appropriate licensing agency, state attorney and/or other prosecuting agency having jurisdiction over the alleged violation.
Florida’s Insurance Marketplace and our Division of Investigative and Forensic Services; when compared with of fraud bureaus and divisions in other states, consistently ranks among the Top 5 safest marketplaces.
As stated, our Fraud Division is responsible for investigating “suspected” insurance fraud, regardless of who commits the offense (Consumer, Licensee, or Business). The efforts of the CFO, Office and supporting entities have helped make Florida, one of the safest insurance marketplaces in the USA.
In addition to regulatory responsibilities the Division of Investigative and Forensic Services also promotes consumer and professional education and encourages all Floridians to participate and report suspected fraud by utilizing the DFS Fraud Hotline or online resources. National studies focused on fraud estimate at least $80 BILLION DOLLARS (or more) per year is lost due to insurance fraud alone.
The Coalition Against Insurance Fraud reports these losses are ultimately passed onto the consumer in the form of annual premium increases.
Q/A interviews and articles with Florida’s State Attorney answering consumer questions such as,
Katherine Fernandez Rundle responds by praising the diligence of Office Investigators. She credits detailed investigations and an open working relationship with the State Prosecutors Office success…
“When my prosecution team walks into a courtroom, if the Division of Insurance Fraud has put the case together, they know they have a solid case. A great deal of credit goes to the CFO for his continued leadership in supporting these efforts”