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Fraud Unit Case Investigation Process

Each case investigated by the Fraud Unit is unique. While there may be a number of definable types of insurance fraud committed such as staged burglaries, agent theft of premiums, unauthorized sale of insurance, or inflated provider billings, the people, places, methods and motivations can vary greatly from case to case. An investigator may be required to utilize some or all of the investigative techniques available.

The outline below is intended to provide information regarding the range of activities that may occur throughout the investigation process. All activities listed may, or may not be undertaken for a specific case and may, or may not be conducted in the order shown:

  • investigation plan developed
  • coordinate joint investigation with other agencies
  • conduct database searches on subjects
  • letters and inquiries sent as appropriate
  • interview of witnesses and subjects
  • subpoenas issued for critical documents
  • documents and data collected and analyzed
  • conduct surveillance as needed
  • execute search warrants as needed
  • file case reports
  • coordinate with prosecuting attorney
  • present case to the grand jury
  • execute arrest warrants
  • testify at hearings or trials

Also view the Case Flow Process Chart.

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For more information, contact:

Last updated: 12/05/2017

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