Journal of Insurance Fraud in America

Shadowy organized criminal networks lurking in far-off lands pouncing on unsuspecting members of the public in safe, western societies loom large in the imagination of action film makers and thriller writers.

Far from the stuff of crime drama, they’re real and major threats. Transnational crime networks are exploiting our connected global economy and digital transformation with growing impact. We are witnessing the continued rise of vast criminal networks that stretch across borders throughout the globe. Read article.

by DENNIS TOOMEY | May 2020


Those of us in the world of fighting insurance fraud have used the word “risk” throughout our careers. But do we ever really stop to think what that word means, and all it entails for our profession? The viral pandemic of COVID-19 has brought this word into the daily vocabulary of our nation, and the world.

There will be many long-term lessons to be learned when we emerge into a post-COVID-19 world. One of them should be for us to pause and consider what “risk” really means in the battle against insurance fraud. Read article.

by MATTHEW SMITH, Esq. | April 2020


During the previous economic downturn of 2008-10, consumers in the U.S. worried about the potential loss of jobs, their homes and life savings. This time around, face those stresses, and potential for loss of life as well.

No one knows the full dimensions of the economic and social crisis facing Americans in the months ahead. But if we learned anything from the calamity of 2008-2010, the frequency and severity of fraud are about to increase — and possibly in a big way. Read article.

by DENNIS JAY | March 2020


Recent reforms in Florida seek to reverse a rising tide of fraud and abuse stemming from storm repair claims that have sharply driven up homeowner premiums around the Sunshine State.

The debate circled around a controversial practice known as Assignment of Benefits (AOB). This is the assigning to a home contractor or other third party of a policyholder’s right to receive post-loss insurance benefits or make claims. Basically, the contractor “steps into the shoes” of the insured, files a claim with the insurer to cover the cost of the repairs performed by the contractor, and handles all claim negotiations with the insurer. Read article.

by FRED E. KARLINSKY, RICHARD J. FIDEI & CHRISTIAN BRITO | February 2020


For the first time since our founding more than 27 years ago, the Coalition Against Insurance Fraud has a new Executive Director. I am humbled and honored to serve in this role.

I pledge to do my best to lead our Coalition forward. Following the pathway Dennis Jay has led so ably will not be easy. We owe a tremendous debt of gratitude to Dennis, and our many other remarkable leaders. They have blazed the trail for the Coalition, and anti-fraud efforts across our nation. Read article.

by MATTHEW SMITH, Esq.| January 2020