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Fraud-fighting news
Investigation archives
Reporting fraud
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Order LARGE (11"x17") Fraud StoppersSM posters through our safety resource catalog.
Many insurance carriers advertise their fight against fraud. Others just write off fraud as a cost of doing business. Texas Mutual Insurance Company is doing something about it, as our fraud case statistics clearly show.
We pursue injured workers who fake an injury, misrepresent information, or collect benefits to which they aren't entitled. We pursue health care provider and attorney fraud, both of which may affect hundreds or even thousands of claims. We also pursue employers who misrepresent their businesses to avoid paying the proper premium. Health care and premium fraud are the costliest types of fraud.
Do you have information regarding a worker, health care provider or policyholder who might be committing fraud? If you do, click here to learn what type of information our
investigators need. We appreciate your support of our efforts to fight fraud.
When you buy workers' compensation insurance, you want your company to take action. Texas Mutual Insurance Company does. You can read about our recent fraud victories and other company news in our News Room.
| Case Activity |
2005 |
2006 |
2007 |
| Claimant referrals to SID |
1,543 |
1,531 |
1,473 |
| Claimant fraud convictions |
4 |
8 |
13 |
| Claimant fraud discovered |
206 |
213 |
224 |
| Claimant fraud $ discovered |
$446,826 |
$445,029 |
$462,611 |
| Estimated future savings from claimant fraud discovered |
$3,958,953 |
$3,878,865 |
$4,224,191 |
| Health care fraud (criminal cases) |
12 |
6 |
6 |
| Indictments for health care fraud |
2 |
3 |
0 |
| Convictions for health care fraud |
2 |
4 |
1 |
| Premium fraud discovered (million) |
$12.0 |
$6.9 |
$8.0 |
| Premium Fraud indictments |
0 |
3 |
5 |
| Premium fraud convictions |
2 |
4 |
3 |
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Texas Mutual® is a registered service mark of Texas Mutual Insurance Company.
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