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The Fraud Division has funding codified in California law to investigate the following areas of insurance fraud: Automobile, Workers' Compensation, Property Life and Casualty, Disability and Healthcare Fraud. In recent years, the some notable cases the Fraud Division has brought to prosecution are: Operation Spinal Cap [3] Operation Backlash [4]
With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
Insurance fraud refers to any intentional act committed to deceive or mislead an insurance company during the application or claims process, or the wrongful denial of a legitimate claim by an insurance company. It occurs when a claimant knowingly attempts to obtain a benefit or advantage they are not entitled to receive, or when an insurer ...
The insurance companies lost nearly $142,000 due to fraud allegedly committed by the suspects. The Glendale Police Department and the California Highway Patrol assisted the state Department of ...
The Coalition Against Insurance Fraud is a coalition of insurance organizations, consumers, government agencies [1] and legislative bodies in the United States working to enact anti-fraud legislation, educate the public, and provide anti-fraud advice. [2]
The California Department of Consumer Affairs (DCA) is a department within the California Business, Consumer Services, and Housing Agency. DCA's stated mission is to serve the interests of California's consumers by ensuring a standard of professionalism in key industries and promoting informed consumer practices.
Four Los Angeles residents are accused of using a bear costume to defraud car insurance companies. On Wednesday, Nov. 13, the California Department of Insurance said in a release that Glendale ...
Suspects claimed on Jan. 28, 2024, that a bear entered their 2010 Rolls-Royce Ghost and caused interior damage, according to the Department of Insurance.