Nebraska Department of Insurance

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NEBRASKA DEPARTMENT OF INSURANCE INSURANCE FRAUD PREVENTION DIVISION 941 O Street, Suite 400 Lincoln, NE 68508-3639

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If a matter involves any type of insurance fraud, fraudulent insurance act, insurance-related theft scheme, or a violation of the Insurance Code, which carries criminal penalties, the matter should be referred to the Insurance Fraud Prevention Division for review.

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Referral Procedure for Consumers:

1. Download or request a Suspected Fraudulent Claim Report from the Insurance Fraud Prevention Division by contacting the Division via telephone, letter, facsimile, e-mail or visit our office;
2. Supply any documents or evidence which support beliefs that a claim may be fraudulent or a violation of the Insurance Fraud Act has occurred.

Referral Procedure for the Insurance Industry:

1. Download or request a Suspected Fraudulent Claim Report from the Insurance Fraud Prevention Division by contacting the Division via telephone, letter, facsimile, e-mail or visit our office;
2. Provide copies of any documents which establish that the claimant was covered (i.e., policy declarations);
3. Submit copies of documents showing that the claim was submitted and, if applicable, that payments were made to the claimant (i.e., claim form, settlement draft - front and back, etc.);
4. Supply copies of documents which support beliefs that the claim may be fraudulent;
5. Highlight any specific details that should be brought to the Division's attention (i.e., false statements, altered figures, inconsistencies, etc.).

All original documents, along with the postmarked envelopes in which they were received, should be retained in the company's file.  In some cases, it may be necessary for an investigator of the Insurance Fraud Prevention Division to have access to the entire claim file.  In these instances, an official request either in writing or by telephone will be made by the Division to the appropriate company representative for the entire file.