Insurance Fraud

Resources

car on fire - fraudulent claim

For the purpose of the Commonwealth Fraud Control Guidelines, fraud against the Commonwealth is defined as:
- Dishonestly obtaining a benefit by deception or other means.
This definition includes:
- theft;
- obtaining property, a financial advantage or any other benefit by deception;
- causing a loss, or avoiding or creating a liability by deception;
- providing false or misleading information to the Commonwealth, or failing to provide information where there is an obligation to do so;
- making, using or possessing forged or falsified documents;
- bribery, corruption or a buse of office;
- unlawful use of Commonwealth computers, vehicles, telephones and other property or services;
- relevant bankruptcy offences; and
- any offences of a like nature to those listed above.
The benefits referred to can be either tangible or intangible. Examples include:
- hacking into, or interfering with a Commonwealth computer system;
- using a false identity to obtain income support payments;
- using Commonwealth systems to gain access to other systems without authority;
- charging the Commonwealth for goods or services that are incomplete or not delivered;
- hiding or disposing of assets by bankrupts to avoid paying creditors; and
- making false statements under the Commonwealth Electoral Act 1918.

Insurance Fraud Bureau Australia - an independent working taskforce of the Insurance Council of Australia - Report fraud here online or call fraud hotline: 1800 600 444
NSW - Report workers compensation fraud - claims or employer fraud - http://www.sira.nsw.gov.au/workers-compensation-fraud
QLD - WorkCover report workers or employer https://www.worksafe.qld.gov.au/report-fraud
Insurance Fraud Hotline 1300 881 725. or write to: NIU Fraud & Intelligence, Locked Bag 32524, Brisbane QLD 4001
VIC - Transport Accident Commission (TAC) http://www.tac.vic.gov.au/about-the-tac/our-organisation/fraud-and-compliance
WA - RAC https://rac.com.au/products/insurance/insurance-fraud or hotline 1800 198 065
ICWA - Insurance Commission of Western Australia https://www.icwa.wa.gov.au/about-us/fraud
TAS - RACT http://www.ract.com.au/Pages/Insurance-Fraud.aspx

Fraud Hotlines for many US insurers
National Insurance Crime Bureau https://www.nicb.org/speak_up/speak-up or hotline TEL-NICB (1-800-835-6422)
Medicaid hotline 1-800-HHS-TIPS (1-800-447-8477) or https://www.cms.gov/report_fraud_and_suspected_fraud.html
Medicare 1-800-MEDICARE or https://www.medicare.gov/reporting-fraud.html
Reporting medical providers
Directory of State Medical and Osteopathic Boards http://www.fsmb.org/state-medical-boards/contacts