NEBRASKA NEWS

Director of Insurance Bruce Ramge will be retiring April 1, 2021, new Director is TBA

 

Division Chief Chuck Starr retired March 9, 2021

 

Kimberly Church – Division Chief

Connie Drake – Administrative Assistant

Marlan Hohnstein – Fraud investigator

John McGahan – Fraud Investigator

TBA – Fraud Investigator

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2019 Nebraska Insurance 
Fraud Proclamation

IOWA NEWS

The Iowa Insurance Division's Fraud Bureau is charged with investigating financial crimes in violation of the insurance laws of the State of Iowa. The Bureau is staffed by full time law enforcement officers and is led by Bureau Chief Ben Olejnik. Fraud Bureau investigators are trained to investigate referrals covering all lines of insurance, including but not limited to auto, property & casualty, life, healthcare, and disability.  The Bureau has one criminal intelligence analyst and six full time investigators, with two specifically dedicated to Workers' Compensation referrals.


During calendar year 2020, the Fraud Bureau received 1035 referrals of Insurance Fraud from multiple sources including insurance companies, the National Insurance Crime Bureau, law enforcement, fire marshalls, other state government entities, and concerned citizens. Even with only 8.9% of the referrals reporting a known value of loss*, the financial impact reported was a loss of over $3.1 million dollars. Through the efforts of insurance company investigators and staff, an additional $4.4 million in fraudulent claim payments was prevented.

 

Insurance fraud was not isolated to any specific geographic region of the state. Of Iowa’s 99 counties, 90 had referrals of insurance fraud taking place. Polk county led all others with 178 referrals, with Scott and Linn county following with 97 and 75 referrals respectively. 


In 2020, auto claims made up the bulk of referrals to the Fraud Bureau. Most of these involved the purchase or attempted purchase of insurance coverage after a loss or turning in existing damage as new. Property and Casualty claims were in close second, mostly involving inflated item values following a loss and losses that did not occur in the first place.
 

Any Iowans who wish to report possible insurance fraud or have questions about what constitutes fraud should contact the Fraud Bureau at (515) 654-6556 or via email at Fraud@iid.iowa.gov.

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2019 Iowa Insurance 
Fraud Proclamation

The Insurance Fraud Prevention Division (IFPD) received 718 case referrals regarding potential violations of the Nebraska Insurance Fraud Act during 2018. Of the referrals received, 481 (67%) were submitted through the National Insurance Crime Bureau and 93 (13%) were submitted via the National Association of Insurance Commissioners’ online fraud reporting system. The remainder were submitted by victims, concerned consumers, or law enforcement agencies.
 
Actual or potential monetary losses, exceeding $14.8 million, were reported for 33% (238) of the cases.
 
Cases are evaluated based upon a number of criteria, including the statute of
limitations, applicability of Nebraska statutes, and solvability factors. Upon completion of the case review, a status letter is sent advising the complainant of disposition.
 
The IFPD investigated the following types of insurance fraud cases during 2018:
 
 Property/Casualty = 544 Cases (76%)
 Life/Health = 103 Cases (14%)
 Agent or Internal Fraud = 51 Cases (7%)
 Other Fraud = 20 Cases (3%)
 
Upon completion of a case investigation, the IFPD makes a determination to close
the case for one of the following reasons: unfounded allegations, insufficient
evidence for prosecution, or sufficient evidence to forward the information to a
prosecutor for consideration in filing a criminal violation of the Nebraska Insurance Fraud Act. Before sending a case for a prosecutor’s review, the IFPD prepares an investigative summary report outlining the circumstances of the investigation.
 
2018 Cases Sent for Criminal Prosecution:
 69 Cases
 30 Suspects
 
2018 Convictions:
 55 Cases
 30 Suspects
 
2018 Restitution:
 62 Cases
 $328,399.52
 
Cases referred to the IFPD for investigation had venue in 58 Nebraska counties.
Douglas, Lancaster, and Sarpy Counties accounted for 69% of cases (496 cases).

Jared Kirby Appointed Deputy Insurance Commissioner

Des Moines, Iowa – Iowa Insurance Commissioner Doug Ommen today announced that Jared Kirby has been appointed as Deputy Insurance Commissioner for Market Regulation.

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The Iowa Department of Commerce Insurance Division is looking to fill an Special Investigator to assist the state.

Current Openings

The Iowa Insurance Division

Insurance Intern

The Insurance Fraud Bureau of the Iowa Insurance Division is charged with investigating financial crimes in violation of the insurance laws of the State of Iowa. The Bureau is staffed by full time law enforcement officers and is led by Bureau Chief Jared Kirby. Fraud Bureau investigators are trained to investigate referrals covering all lines of insurance, including but not limited to auto, property & casualty, life, healthcare, workers compensation, and disability.

Read More