Types of Insurance Fraud

Last updated: October 7, 2015

Insurance Fraud Includes:

Agent Fraud

  • Conversion

  • Falsified/Forged Documents

  • Faked Policies, Certificates, Identification Cards, Binders

  • Misrepresentations to the Kansas Department Of Insurance

  • Pocketed Premiums

Arson/Suspicious Fire

  • Commercial Property Fire

  • Cover Up Suspicious Activity

  • Home/Residential Fire

  • Water Damage

Auto Bodily Injury

  • Adjuster, Agent, Claimant Rings

  • Claimant Rings (Nonprovider)

  • False Documents

  • Fake Injuries

  • Inflated Injuries

  • Jump-Ins

  • Opportunistic Injuries

  • Provider Rings

Auto Property

  • Body Shop Fraud

  • Chop Shops

  • Fake Damages

  • Forged/Faked/Altered Insurance Cards

  • Forged/Falsified Documents

  • Glass

  • Inflated Damages

  • Owner Giving Up/Ditching

  • Paper Accidents

  • Past Postings

  • Phantom Vehicle

  • Prior Damage

  • Property Theft from Vehicle

  • Staged Theft(s)

  • Vehicle Arson

  • VIN Switch

  • Vehicle Theft

  • Vehicle Vandalism

Commercial Auto

  • Staged/Caused Accidents

Commercial Property

  • Farm Loss

  • Staged Theft

General Liability

  • Broken Tooth Caper

  • Forged/Falsified Documents

  • Slip and Fall

Homeowner

  • Faked/Exaggerated Injury

  • Forged/Falsified Documents

  • Faked Loss of Personal Property

  • Inflated Claim

  • Inflated Injuries

  • Past-Posting

  • Phony Burglary

  • Phony Theft

  • Phony Vandalism

  • Staged Accident/Injury

Internal Fraud

  • Agent, Adjuster, or Personnel Claim Rings

  • Bogus Insurers (Unauthorized)

  • Embezzlement

  • Forged/Falsified Documents

  • Premium Fraud

Life

  • Beneficiary Not Entitled to Benefits

  • Faked Death

  • Forged Policy

  • Murder-For-Profit

  • Fraudulent Application

Medical/Health

  • Billing/Coding

  • Disability

  • Durable Medical Equipment

  • False Treatment

  • Forged/False Documents

  • Food Contamination

  • Foreign Object in Food/Drink

  • HMO Patient Screening

  • Home Health Care

  • Inflated Billing/Coding

  • Lab Scams

  • Medical Equipment

  • Pharmacy

  • Personal injury Mill

  • Self-Induced Injuries for Gain

  • Slip and Fall

  • Unbundling

  • Unnecessary Treatment

Workers' Compensation

  • Business Failure to Insure

  • Double-Dipping (Working while receiving workers' compensation benefits)

  • Excessive Charges/Unnecessary

  • Fake Injuries

  • False and/or Misclassification Reporting

  • False Loss Statements

  • Injury Unrelated to Work

  • Malingering

  • Prior Injuries

  • Personal Injury Mill

  • Premium Avoidance

  • Professional Claimants

  • Staged Accident

  • Theft by Insurance Agent

This article is published on KansasMoney.gov. Find more information by contacting these state agencies: