The Fraud Unit's mission is to investigate suspected insurance fraud and crimes involving insurance in Ohio. The Fraud Unit, which is a criminal justice agency, will investigate complaints of persons suspected of fraudulently attempting to receive a benefit from an insurance company. Should an investigation find evidence of a crime, the Fraud Unit refers the matter to the appropriate local, state, or federal prosecutor for consideration of criminal charges.
The Ohio Revised Code requires every insurer to adopt an anti-fraud program and shall specify in a written plan the procedures it will follow when instances of insurance fraud or suspected insurance fraud are brought to its attention. The insurer is not required to file the plan with the department of insurance.
The Fraud Unit solely conducts criminal investigations involving individuals. If you have a complaint regarding an insurance company, please contact the Consumer Services Division. To file a complaint regarding potential agent misconduct, please contact the Enforcement Unit.