How We Fight Fraud

Sunday, July 30, 2023

Effectively fighting fraud is an important step to keep insurance costs down and protect California employers and employees.

The California State Legislature defined workers' compensation fraud in 1991 and imposed penalties on those involved in fraudulent activities. The legislation, combined with insurance industry programs, brought a dramatic new focus to fighting fraud, that has resulted in many arrests and convictions. State Fund continues its efforts by fighting all types of workers’ compensation fraud, including.

Premium Fraud
Claims Fraud
Provider Fraud (medical, legal, and other service providers)

State Fund leads the state when it comes to fighting fraud. Our efforts have recovered and returned millions of dollars to California’s workers’ compensation system.

We've assembled an effective force to root out and prosecute fraud, including a statewide Special Investigation Unit.

State Fund maintains strong working relationships with prosecutors and law enforcement officials at the local, state, and federal levels.

To report suspected fraud

Report Fraud

Special Investigation Unit Fraud Fighting Efforts

Our Special Investigation Unit (SIU) reports cases of suspected fraud to the California Department of Insurance’s Fraud Division and district attorneys throughout the state. These government agencies investigate and prosecute fraudulent activities. We're also a member of California's Fraud Assessment Commission and we participate in other anti-fraud committees.

SIU also coordinates anti-fraud programs, training and educational materials for policyholders to help combat fraud.

To report suspected fraud, email SIUMailbox@scif.com or call us at (888) 782-8338.