The TDI Fraud Unit is a law enforcement agency that:
- Investigates reports of fraud.
- Makes referrals to criminal district attorneys and federal prosecutors.
- Seeks criminal indictments.
- Makes arrests.
- Works with and trains law enforcement agencies on how to investigate and prevent fraud.
The Fraud Unit’s staff includes peace officers, attorneys, fraud examiners, and investigators. The unit also has prosecutors in district attorney offices in Bexar, Dallas, Harris, and Tarrant counties. Each year, we investigate more than 350 insurance fraud allegations and help fraud victims get millions of dollars in restitution.
Rules outlining the authority and duties of the Fraud Unit are in Texas Insurance Code Chapter 701.
Training program
We provide training to law enforcement agencies and insurance companies. To request training, call the Fraud Unit at 512-676-6285.
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.
Other resources
Insurance fraud guide for consumers
Provides information about insurance fraud schemes and tips to prevent fraud.
Coalition Against Insurance Fraud
Works to enact anti-fraud laws and regulations, educate the public how to fight back, and serve as a national clearinghouse of fraud information.
National Health Care Anti-Fraud Association
Works to increase awareness and improve detection, investigation, prosecution, and prevention of health care fraud.
National Insurance Crime Bureau
Works to proactively identify, combat, and prevent insurance crime.