Fraud & Compliance

Stay Compliant. Reduce Risk.

Delta Group supports insurance organizations with the guidance, tools, and services they need to stay compliant and prevent fraud. From file reviews to anti-fraud consulting, we help you meet regulatory expectations without overburdening internal teams.

Services at a Glance

Compliance Program Reviews

Our SIU executive team comprised of former insurance carrier SIU directors will review your existing compliance programs, handbooks, manuals and workflows to ensure your organization is in compliance.

Anti-Fraud Plan Development and Filing

Delta will work closely with you to develop fraud plans for each state that require filing and ensure all plans are submitted to the appropriate agency.

Annual Reporting

To ensure compliance with legislation, numerous states require annual summary of action taken under their anti-fraud statutes. These reports must be submitted to the appropriate reporting agency. Delta offers experienced anti-fraud compliance professionals to assist during each stage of the process.

Anti-Fraud Training

We offer mandatory anti-fraud and new hire training and educational courses in person, virtually and online. We provide reportable tracking and training reminders throughout the year to ensure compliance along with red flag indicators to assist in identifying suspect fraud.

State Regulatory Fraud Referrals

In addition to annual anti-fraud reporting, many states require the reporting of suspicious fraudulent activity to appropriate agencies that may include DOI Fraud Units, law enforcement, and/or criminal prosecution agencies. Delta Group has a proven success rate in helping customers identify and increase the number of referrals as well as the quality of referrals.

Prosecutorial Packaging

Delta Group offers a dedicated team of experts to include former department of insurance professionals, law enforcement, special agents and auditors who focus on preparing documentary evidence to create a comprehensive fraud referral package. Our team has effectively facilitated investigations to contribute to successful outcomes for our partners.

Anti-Fraud Consultation

Delta Group provides professional assistance to help identify, assess and prevent fraudulent activities by developing strategies and implementing systems to mitigate fraud risks within an organization. We focus on reducing opportunities for fraud, enhancing employee awareness while ensuring regulatory compliance and safeguarding our partners assets and reputation.

Why it Matters

Ensure jurisdictional requirements are met

Boost internal fraud detection

Standardized training and documentation

Demonstrate proactive compliance

Protect policyholder interests

SIU Collaboration with regulatory agencies, law enforcement and leading industry organizations.

Hear From Our Partners

"Excellent presentation, Dominic! Your knowledge is amazing and the information was perfect. Thank you, and I look forward to talking again."

"Dominic’s presentation in October directly led to our client creating a task force. Well done, Dominic!"

"Following the October training on Workers Comp Premium Fraud, our state has created the Insurance Fraud, Wage Theft, and Tax Evasion Working Group. Thank you for helping us take this step to combat fraud."

"Dominic Dugo just shared an invitation he received from the AG’s office in CO. On the heels of his presentation in October, our client has decided to create a task force. Great job, Dominic!"

"Thank you again for the training and partnership. The Sr. Director of WC told me she received a ton of positive feedback from her team on the presentation. Kudos to you!"

Is Your Company Ready for a Compliance Check-in?

Let’s make sure your program is up to code and delivering value.

Schedule a Review