Dispatches in the War Against Fraud: Case Studies of Organized Fraud

November 5, 2025 

Time: 12:00 PM ET

Speakers: Eric Moch, partner in the Chicago office of HeplerBroom, LLC and Stephanie Rhima, a Board Certified Personal Injury Trial Attorney

​

In few venues is the insurance industry's battle against organized fraud more pitched than in Chicagoland and Dallas. Both venues have been the site of fraud schemes that have cost the industry billions of dollars over the years. Both venues are fraud bellwethers: perpetrators know that if their fraud schemes succeed there, they will succeed in almost any large city. In this presentation, two seasoned SIU attorneys from Chicago and Dallas discuss the fraud trends they see most often in those cities, share the investigative and litigation strategies they have used to defeat fraud schemes, and they share actual case evidence of fraud from cases they have investigated, defended and tried to jury verdicts. Their presentation evidence includes actual text exchanges between claimants and injury clinic patient recruiters, clear evidence of claimant attempts at double recoveries for the same losses, undisputable evidence of significant billing for services not rendered, intentional CPT mis- and up-coding, claimant testimonial admissions of having taken part in fraud schemes and much more. Any fraud investigator responsible for investigating medical fraud and chased and staged losses, whether in these venues or in other metropolitan areas, will benefit from this presentation and witnessing what the evidence of these schemes actually look like.

​​

​​

Click here to register.

The Hidden Threat: Synthetic Identities & Account Takeovers in Modern Fraud

November 19, 2025 

Time: 1:00 PM ET

Speaker: Alex Lugo of IDI Data

​

Synthetic identity fraud and account takeovers represent two of the most rapidly evolving threats facing insurance organizations today. Unlike traditional identity theft, synthetic identities are fabricated from a blend of real and fictitious data, allowing fraudsters to build credible profiles over time and exploit policy issuance and claims processes. In parallel, account takeovers—driven by phishing, credential stuffing, and social engineering—enable unauthorized access to existing customer accounts, facilitating fraudulent transactions and payouts.

This webinar will equip insurance fraud professionals with a comprehensive understanding of how these schemes operate, why they often bypass conventional controls, and what steps can be taken to detect and disrupt them effectively. Attendees will explore scenarios across life and P&C lines, learn to recognize red flags and behavioral indicators, and discover the growing role of cross-source data validation and identity resolution in modern investigations.

The session will also outline practical tools, investigative techniques, and cross-functional response strategies to help Special Investigations Units (SIU) and their partners protect their organizations from mounting losses and reputational harm.

​​

​​

Click here to register.

The Unshingled Truth: Exposing a Contractor's Roofing Fraud

December 10, 2025 

Time: 2:00 PM ET

Speakers: NICB Special Agent Terra Rush & NICB Intelligence Analyst II Anna Kotsovos

​

NICB assisted with an investigation into a Florida roofing contractor who attempted to defraud over 30 insurance companies and 300 homeowners in an alleged scheme where deposits and payments were taken for work that was never completed. The NICB Special Agent compiled data, tracking claims and financial transactions, which became the basis for link charts created by an NICB analyst in i2 Analyst’s Notebook, to visualize the scope of the activity and prolific scale and magnitude of the fraud. This compelling visual evidence was used by the investigator in a presentation to the prosecutor which provided a new perspective on the totality of the case, directly resulting in the arrest of the company owner.

​​

​​

Click here to register.

Ensuring Safety in the Field: Best Practices for SIU Field Investigators

December 17, 2025 

Time: 2:00 PM ET

Speaker: David Davich of Advantage Surveillance & Investigations

​

In the realm of Special Investigations Units (SIUs), ensuring the safety of field investigators is paramount. This presentation will delve into essential strategies and best practices that can enhance safety and operational effectiveness for SIU professionals. 

This presentation aims to equip SIU field investigators with the knowledge and tools necessary to navigate their challenging environments safely, promoting a culture of safety and preparedness in their operations. Attendees will leave with actionable insights that can be immediately applied to improve safety standards within their teams.

​​

​​

Click here to register.