What is insurance fraud all about?
Insurance fraud can manifest itself in many different ways, and is typically prosecuted through Revised Statute Section 18-5-211. The Attorney General’s Office investigates and processes in the following cases:
- When false statements or documentation are intentionally provided to an insurance company during the claims process.
- When an accident occurs on purpose or a car accident is caused to file a false insurance claim for property damage or physical injury.
- When individuals create or pass false or fraudulent insurance certificates, or when insurance premium funds are misappropriated.
- While this list is not all-inclusive, what is commonly needed to prosecute insurance fraud is to identify the offender and that he or she intended to commit fraud against an individual or insurance company.
What we don’t do:
The Attorney General’s Office cannot prosecute cases where we cannot find an intent to commit fraud on the part of the offender. The Colorado Division of Insurance, which is part of the Colorado Department of Regulatory Affairs, is responsible for regulating the behavior of insurance companies operating within the state of Colorado. The role of the Criminal Processing Unit in the Attorney General’s Office is only to evaluate and, where appropriate, prosecute criminal behavior. The unit cannot force insurance companies to pay claims, negotiate settlement agreements, or otherwise regulate their actions.
Dishonest contractors or individuals can run away with insurance payments. Unless the contractor or individual criminally misrepresents himself in the course of the claim or makes criminal statements falsely to the insurer, this is possibly a theft, which should be referred to the municipal police and not to the Attorney General’s Office .
Start your report:
The more information you provide about your situation, the more useful your report will be. If possible, be prepared to provide the following information:
Report your problem clearly and briefly. Briefly describe your problem and the steps you have taken to resolve it. Be sure to include dates and other applicable details, including the amount of money lost (if any) and any communications you have had with the suspected suspect, witnesses, and the company or companies involved.
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If available, please be prepared to provide information on what you are reporting, such as the suspect’s name, address, phone number, website, email, and other identifying information.
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Please be prepared to provide your contact information, such as your name, address, phone number, and your email.
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Important announcement:
The Office of the Attorney General is not authorized to provide legal advice or representation to private individuals, and does not have the authority to investigate and prosecute your individual case.
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