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About the TDI Fraud Unit

Texas Insurance Fraud Unit sealThe TDI Fraud Unit is a state law enforcement agency. The unit employs peace officers pursuant to Chapter 701 of the Texas Insurance Code and Article 2.12 of the Texas Code of Criminal Procedure. TDI received the authority to commission peace officers from the Texas Legislature in 1995. In support of its criminal investigative mission, the Fraud Unit also employs prosecutors and criminal analysts, as well as administrative and support staff.

Fraud Unit peace officers work on a variety of cases. Some examples of the many different types of cases investigated include claimant fraud (i.e. policy holder fraud, healthcare provider and consumer fraud, and many other types of false or inflated claims), and insurer fraud (i.e. insurance agents converting premium payments to personal use, insurance company officials embezzling funds, persons who are doing the business of insurance in Texas without the appropriate license(s), and mortgage or escrow fraud). The Fraud Unit also investigates disability insurance fraud, and numerous offenses with a nexus to insurance fraud. These related offenses include, but are not limited to:  forgery, engaging in organized criminal activity, money laundering, tampering with governmental records, misapplication of fiduciary property, securing execution of a document by deception, and theft.

Fraud Unit peace officers cooperate with other law enforcement agencies, and regularly conduct joint investigations with other local, county, state, and federal agencies. Upon completing an investigation, the Fraud Unit peace officer refers the case to the appropriate state or federal prosecuting attorney for indictment and prosecution, or submits the Fraud Unit portion of the investigation to the appropriate cooperating law enforcement agency for inclusion in the joint investigation findings. After a referral for prosecution has been made, investigators continue to assist prosecutors, and often testify before grand juries and during proceedings in state and federal courts.

The Fraud Unit's peace officers employ a variety of investigative methods and techniques such as financial and document analysis, witness and suspect interviews, computer forensic analysis, undercover operations, service of search and arrest warrants, use of the Internet and other electronic resources, and locating and interviewing victims. Due to the complexity of the criminal activity investigated, it is common for many victims to be unaware that they’ve been victimized prior to being contacted during the course of the investigation.

The Fraud Unit does not investigate Medicaid/Medicare fraud. These complaints should be directed to the Office of the Attorney General, Medicaid Fraud Division at 512-463-2011.

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Last updated: 2/26/2018