Case Studies

Proven results in real-world cases

Explore how Delta Group has helped insurers and employers uncover fraud, validate claims, and close cases with confidence.

Case Study

Workers' Compensation Fraud Task Force - Claimant Fraud Case Study

Welcome to the Coalition Against Insurance Fraud’s first of a four-part series of articles in 2025 on Workers’ Compensation (WC) fraud. The first article, “Claimant Fraud-Case Study”, will be followed by a Premium Fraud-Case Study; an in-depth Provider Fraud Analysis; and then a review of the Best WC Criminal Fraud Statutes.

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Recent posts

Workers' Compensation Fraud Task Force - Claimant Fraud Case Study

Welcome to the Coalition Against Insurance Fraud’s first of a four-part series of articles in 2025 on Workers’ Compensation (WC) fraud. The first article, “Claimant Fraud-Case Study”, will be followed by a Premium Fraud-Case Study; an in-depth Provider Fraud Analysis; and then a review of the Best WC Criminal Fraud Statutes.
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Long Term Care Insurance

Uncovering Fraud in a Long-Term Care Claim

The insured claimed a medical condition which required 16 hours per day of home health care. The referring claim examiner stated that several red flags existed to include age of claimant not typically associated with the medical claim; cash payments were being made to the home health care provider and the receipts submitted with the claim, seem like duplicates.
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