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This organization collects information on insurance fraud, and is the only anti-fraud alliance speaking for consumers, insurance companies, government agencies and others. Through its unique work, the Coalition empowers consumers to fight back, helps fraud fighters better detect this crime and deters more people from committing fraud.
400 (2022) Website. www .nicb .org. Footnotes / references. [ 1] The National Insurance Crime Bureau ( NICB) is a U.S. insurance industry trade association focused on preventing, detecting and defeating insurance fraud and vehicle theft through information analysis, investigations, training, legislative advocacy and public awareness. [ 2]
Fraud detection is a knowledge-intensive activity. The main AI techniques used for fraud detection include: Data mining to classify, cluster, and segment the data and automatically find associations and rules in the data that may signify interesting patterns, including those related to fraud. Expert systems to encode expertise for detecting ...
Motor insurance policy fraud cases jump as households squeezed by living costs. The number of fraudulent motor insurance applications being detected has jumped by 16% since last year, according to ...
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...
The use of AI to create deepfakes, or convincing images and videos, could be used in insurance fraud, the report added. "Any ability to obscure the truth and make it look very, very real is a ...
Welfare fraud. Excerpt from a report on welfare fraud (Supplemental Nutrition Assistance Program, August 2014) by the US Government Accountability Office. Welfare fraud is the act of illegally using state welfare systems by knowingly withholding or giving information to obtain more funds than would otherwise be allocated.
Getty Images/iStockphoto. Former Georgia Insurance Commissioner John Oxendine was sentenced to three and a half years in prison Friday for conspiracy to commit health-care fraud in connection with ...