Fraud occurs when someone knowingly lies to obtain some benefit or advantage to which they are not otherwise entitled or someone knowingly denies some benefit that is due and to which someone is entitled. Depending on the specific issues involved, an alleged wrongful act may be handled as an administrative action by the Department or the Fraud Division may handle it as a criminal matter.
In PA there are 4 type of Insurance Fraud; Auomotive, Workers' Compensation, Health Insurance and Homeowners'.Check back on 5/26 for more details on auto, 5/27 for Workers Compensation, 5/28 for Health and 5/29 for Homeowners.