Welcome to the Division of
Insurance Fraud

Serving and safeguarding the public and businesses operating in the
State of Florida against acts of insurance fraud.

Noticias Recientes

April 13, 2012. The Division of Insurance Fraud Command Staff recently gathered in Orlando to participate in a leadership conference. Click Here to Enlarge Image

24 de Abril de 2012. ¡Ya está disponible el último número de The PIP Source! Leer más

March 20, 2012. Congratulations to 2011 SLECA Officer of the Year, Det. Henry "Tommy" Clark. Leer más

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Sobre la División

Established by the legislature in 1976, the Division of Insurance Fraud is the law enforcement arm of the Department of Financial Services and is responsible for investigating insurance fraud; crimes associated with personal injury protection (PIP) insurance fraud, insurance premium fraud, workers' compensation claim fraud, workers' compensation premium avoidance and diversions, insurer insolvency fraud, unauthorized entity fraud and insurance agent crimes.

Florida's Division of Insurance Fraud continues to lead the fight against insurance fraud. As April 2012 came to an end, DIF secured over $28 million dollars in court-ordered restitution; made 628 convictions; and made 953 arrests compared to 997 total arrests last fiscal year (keeping in mind DIF’s fiscal year runs from July 1 to June 30). This Division is on track to exceed last year's arrest numbers.

DIF's Highlights Through the End of April 2012:

• For the first time in the history of the Division, for three consecutive months, the Division has recorded over 100 arrests each month
• 147 arrests in March closes a record-setting quarter during 2012
• 176 arrests logged in April (the highest number of arrests made during a one-month period in DIF's history)
• 412 Personal Injury Protection (PIP) arrests made this fiscal year, a 45 percent increase from this time last year.
• At least 50 clinics have been closed as a result of law enforcement investigations
• Over $28 million dollars in court ordered restitution from the 628 convictions received thus far

The Division has responded to many thousands of suspected insurance fraud, almost half of which were referrals of PIP fraud; as of February 2012, these referrals representing a 20 percent increase over the last previous fiscal year. Since taking office, CFO Atwater has made it a top priority to fight this insidious fraud. He believes it to be one of the biggest cost drivers for escalating auto insurance rates that are increasingly burdening Florida's consumers and families.

Insurance Fraud is not a victimless crime. It is estimated that insurance fraud costs the US $80 billion dollars or more a year. Those costs get passed down to consumers. The Coalition Against Insurance Fraud (CAIF) estimates that cost to be approximately $950 per family. Reporting insurance fraud is easy and just a click away.

Los Principales 5 Tipos (Sugerencia) de Derivación de la DIF - 3º Trimestre - Año Fiscal 11/12

REPORT WORKERS' COMPENSATION FRUAD - DFS FRAUD HOTLINE
1-800-378-0445 OR WWW.MYFLORIDACFO.COM/FRAUD

¿Qué es el Fraude de Seguro?

Cualquier acción llevada a cabo por un individuo con la intención de obtener un pago por parte de un asegurador se considera fraude de seguros

Consejos para el Consumidor de Seguros

¡Sea prudente!

• Al recibir llamadas después de un accidente. Podría ser alguien que intenta involucrarlo en un plan de fraude.
• Si un vendedor de seguros aparece cuando no hay necesidad aparente de cambiar la cobertura del seguro, tal como casamiento, un nuevo hijo, o cambio de vida similar.
• If an agent offers to replace your old life insurance policy, which has a high cash value, with a new better one. Carefully review the premium schedule, benefits and restrictions on benefits, such as pre-existing conditions

¡Siempre!

• Asegúrese de recibir una póliza por escrito dentro de los sesenta (60) días después de haber pagado su primera prima.
• Compare precios y opciones antes de comprar un seguro, especialmente si el precio ofrecido es sustancialmente más bajo que otros.
• Asegúrese de recibir y revisar las facturaciones detalladas por todos los servicios.
• Al comprar o renovar la cobertura de su seguro, verifique ante la División de Regulación de Seguros para asegurarse de que Ud. está tratando con un agente con licencia y con una compañía de seguros con licencia.
• Proteja los números de identificación de su seguro como lo haría con el número de su tarjeta de crédito.

¡Nunca!

• Extienda el cheque de la prima a nombre del agente. Los cheques deben extenderse a nombre la compañía de seguros o de la agencia de seguros.
• Nunca firme formularios de seguro en blanco.