Claims Claims Services

Report Fraud

If you suspect fraud, contact the NICB (National Insurance Crime Bureau) Hotline. You may remain anonymous.

    NICB Fraud Hotline 800.835.6422

You may also contact our Fraud Unit.


ICW Group Joins You in Fighting Fraud

 

Our Special Investigations Unit (SIU)

Our SIU employs professionals who are licensed private investigators with insurance claims experience. The SIU function is not hired out to vendors. Our goal is to help prevent, detect and deter white-collar crime.

Our anti-fraud services include applicant, premium fraud, medical and legal fraud investigations.

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How We Fight Fraud

At ICW Group, we actively fight fraud by:

  • Training our employees on the indicators and red flags for fraud.
  • Partnering with professional investigative vendors who assist us in the investigation of suspect claims.
  • Investigating cases and reporting if fraud is suspected, to the Department of Insurance Fraud Division and local District Attorney offices.
  • Partnering with anti-fraud vendors who track insurance claims history.
  • Having our Safety Services Department inspect the risks to verify the exposure.
  • Maintaining working relationships with local law enforcement agencies to fight insurance fraud.
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When Someone Offers Services after a Catastrophe:

  • Get more than one estimate.
  • Do not be pushed into signing a contract.
  • Get everything in writing: the cost, work to be done, and a full time schedule.
  • Demand references, and be sure to check them out!
  • Ask to see the salesperson's driver's license and write the license number.
  • Take down the license plate number.
  • Never sign a contract with blanks.
  • Never pay a contractor in full or sign a completion certificate until the work is completed.
  • Check your local Better Business Bureau for references.
  • Check out the contractors business license and proof of insurance.
  • Insurance coverage may be rendered void if intentional misrepresentation by a policyholder is discovered.
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What Information to Report to ICW Group for Worker's Compensation Fraud

If you suspect fraud, report the following information immediately. (See also the Indicators of Workers' Compensation Fraud):

  • If applicable, your Policy number, employee's name and claim number.
  • Your contact number.
  • Reason for suspecting fraud.
  • Employees / others who witnessed the injured parties activities away from work.
  • List of witnesses who were working in the area or who may have seen the injury.
  • Identification of any equipment that may have malfunctioned causing the employee's injury.
  • Any information concerning an employer who is paying cash to the employees, sending injured workers to the employer's doctor and not advising the carrier, and any information of the employer trying to avoid the proper classification of the employees jobs.
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