TDI’s Fraud Unit has a team of investigators that look into reports of insurance fraud to build cases they can send county district attorneys for prosecution and potential punishment.
What kind of training do insurance fraud investigators have?
The investigators are licensed peace officers and most of them previously worked in other law enforcement roles. They learned to gather facts, interview people, and present information. Once they’re at TDI, the investigators take continuing education classes and practice exercises and scenarios.
Do the investigators offer insurance fraud training?
Yes, the Fraud Unit has a Texas Commission on Law Enforcement (TCOLE) certification to teach others. They create 4 to 6-hour classes about spotting insurance fraud and collecting information to build cases.
Who reports insurance fraud?
Anyone can report insurance fraud online or by calling the Help Line at 800-252-3439. Consumers, insurance companies and health plans are common sources of fraud reports.
How does a report turn into a fraud investigation and eventually a court case?
The Fraud Unit looks at a report, sends it to a supervisor, and the supervisor will assign it to an investigator. The investigator looks at the information to decide what else they need to collect. They look through financial records and interview victims and suspects to collect evidence.
Once the investigator has collected enough information, they’ll hand off the case to a supervisor and eventually to a district attorney in the county where the crime took place.
What are the most common types of insurance fraud?
So far in 2025, the Fraud Unit has received 22,000 reports of suspected insurance fraud. Of those, 55% are for auto insurance fraud, 20% for homeowners insurance fraud, and 6% for health insurance fraud.