The Coalition is the nation’s leader in conducting research to measure the multiple important aspects of insurance fraud. Our research helps decisionmakers and consumers better understand the extent of insurance fraud, its root causes, and how to better combat this crime.
Artificial Intelligence & Insurance Fraud (2020)
AI is predicted to be the leading transformer in the fraud fight. Still, barriers must be addressed for consumer protections such as potential model bias.
Insurer SIU Benchmarking Study (2020)
Insurers are largely satisfied with their SIU operations. However, the percentage of insurer desk investigators is rapidly rising.
State of insurance fraud technology (2019)
Download:
• 2016 tech study
• 2014 tech study
• 2012 tech study
Four Faces:
Consumer attitudes toward insurance fraud (2017)
Download:
• 2007 Four Faces
• 1997 Four Faces
By the numbers: Fraud Statistics
The latest fraud research and data around the U.S. — across diverse lines of insurance. Click here.
Prescription for Peril (2007)
Insurance fraud is helping finance the rapid and illicit spread of painkillers and other opioids throughout America.
The Coalition partners with leading fellow anti-fraud organizations and academic institutions to continually provide important research data. Proposals for future research projects may be submitted to Matthew J. Smith, the Coalition’s Executive Director.
The Great Recession & Insurance Fraud: Bogus claims rose
Bogus insurance claims by financially stressed consumers surged amid the nation’s financial meltdown in 2009.
United we brand: Toward a national outreach campaign (2006)
Outreach efforts to protect consumers against insurance fraud are fragmented. A unified national campaign is vital for turning the corner.