Insurance Fraud FAQ

  • What happens when someone reports suspected fraud?

    When the Criminal Investigations Division receives a report (referral) of suspected fraud, we assign a case number to the complaint and send it to a fraud specialist for review. Referrals are evaluated initially by an investigation team based on the information supplied by the referring party and data compiled by the fraud specialist during the initial review, including an audit of existing databases to determine if similarities are present. If the referral merits further investigation, it will be assigned to a Special Agent. If the investigation determines a criminal violation, the completed case will be referred to the appropriate District Attorney’s Office for prosecution.

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  • How do I report insurance fraud?

    Please review our instructions for fraud reporting

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  • If I report insurance fraud can I be held liable for the reporting?

    No. The Official Code of Georgia Annotated § 33-1-16(c) (3) says: "In the absence of fraud or bad faith, a person is not subject to civil liability for libel, slander, or any other relevant tort by virtue of filing reports, without malice, or furnishing other information, without malice, required by this Code section or required by the Commissioner under the authority granted in this Code section, and no civil cause of action of any nature shall arise against such person."

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  • Is there a local Atlanta area telephone number?

    Contact Criminal Investigations Division-Fraud Unit

    Mail to:

    OCI Criminal Investigations Division
    2 Martin Luther King Drive, Suite 720 West Tower
    Atlanta, GA 30334
    United States

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  • Is there a reward for reporting insurance fraud?

    No, there is no reward for reporting insurance fraud at the present time.   

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  • What information is needed to support an insurance fraud complaint?

    Please see our fraud reporting instructions

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  • What is false reporting of a crime and what are the penalties for filing a false report?

    The Official Code of Georgia Annotated § 16-10-26. False report of a crime

    A person who willfully and knowingly gives or causes a false report of a crime to be given to any law enforcement officer or agency of this state is guilty of a misdemeanor.

    (Code 1933, 26-2509, enacted by Ga. L. 1968, p. 983, 1, 2; Ga. L. 1969, p. 857, 11.)        
     

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