Report Suspected Fraud

Report suspected insurance fraud to the Criminal Investigations Division of the Department of Insurance.

The Criminal Investigations Division of the Department of Insurance investigates illegal insurance activities perpetrated by companies, agents, or individuals. Our Special Agents are certified and sworn state law enforcement officers authorized to carry firearms, make arrests, conduct searches, and present cases at all levels of prosecutions. Guided by our core values of Commitment, Honor, Integrity, Respect, Professionalism and Service, we work in cooperation with the insurance industry, state and federal law enforcement agencies, and prosecutors to thoroughly investigate a wide variety of crimes and fraudulent insurance schemes. 

If you’re a licensed insurance agent or carrier, please note that this page provides instructions for consumers only. As a licensed insurance agent or carrier, you’re legally required to report suspected fraud via the National Association of Insurance Commissioners’ (NAIC) On-Line Fraud Reporting System (OFRS). To gain access to the system, please visit the NAIC OFRS Portal.

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How Do I Report Suspected Insurance Fraud in Georgia?

  • Gather What You’ll Need

    To help ensure that we receive all necessary information to investigate the suspected fraud you are reporting, please be prepared to provide us with the following:

    1. Your contact information (name, address, telephone number, and email address)
    2. The exact name of the insurance company
    3. The full names of any agents or individuals who may be involved
    4. Documentation which supports your insurance fraud allegation; this may include, but not be limited, to:
      • a case synopsis
      • cancelled checks
      • losses, if applicable
      • policy/policies
      • police reports
      • recorded interviews
      • witness statements
      • any other supporting documentation
     
  • Report the Suspected Fraud

    Report the fraud by fax, mail or phone. You'll find our contact information at the bottom of this page.

     
  • Next Steps

    1. Once we review your documents, we’ll do the following, where applicable:
      • Send you an acknowledgment letter that contains the following information:
        • Your Case Number
        • The name and contact information of the investigator assigned to your case
        • Determine if the insurance company violated state insurance laws
    2. Once we have completed our investigation, we’ll send you a formal letter regarding the completion of our investigation. Our review will result in one of the following actions:
      • If we determine the insurance agency did not commit fraud, we will send you a letter explaining that determination
      • If an insurance law has been violated, we will take legal action
    3. If you do not agree with the Department’s response to your complaint, please contact the Consumer Services Division and ask to speak with a Supervisor. You can find our contact information below. 
     

Office

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2 Martin Luther King Jr. Dr.
West Tower, Suite 702
Atlanta, GA 30334
United States

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