STATE OF WEST VIRGINIA
Offices of the Insurance Commissioner
James A. Dodrill
Insurance Commissioner
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Contact Information

Telephone:
  1-800-779-6853 or 304-558-5241
Facsimile:
  304-558-8950 or 304-558-5239
E-Mail:
  OICFraud@wv.gov
Correspondence:
  WV Offices of the Insurance Commissioner
  Special Investigations Division
  P.O. Box 2901
  Charleston, West Virginia 25330-2901
Physical Address:
  900 Pennsylvania Avenue
  Charleston, WV 25302
Business Hours
  (Mon-Fri) 8:00 am - 5:00 pm
  Eastern Standard Time

                                                                

The Special Investigations Division (formerly, the Insurance Fraud Unit) of the West Virginia Offices of the Insurance Commissioner was established in 2004 by House Bill 4004 and is a criminal justice agency by statute under all federal and state laws and regulations.  It authorizes the investigation of suspected violations of West Virginia’s insurance laws relating to fraud and any other criminal activity, referred to generally as insurance crime, and requires the reporting of known or suspected insurance crime by licensees (anyone or any company engaged in the business of insurance), and encourages the reporting by others.  

The Special Investigations Division is responsible for investigations of all types of insurance crime including, but not limited to, fraud.  Insurance fraud is the intentional and deliberate falsification of information and/or lies and deception for monetary gain and can touch all aspects of insurance including medical fraud, workers compensation fraud, staged accidents, diversion or theft of settlement monies, premium theft, disability scams and falsified claims.  Other types of insurance crime include, among other activities, misappropriation or embezzlement of insurance premiums, claim proceeds or other monies, as well as any other financial or other criminal activity related to the business of insurance.

The Special Investigations Division utilizes many investigative resources to combat insurance crime.  The Division, led by an Inspector General appointed by the Commissioner, includes Special Agents, State Troopers specially assigned to the Division, and investigative support positions across the State.  Special Agents must have at least five years of law enforcement experience including two years of criminal investigative experience.  All Special Agents are armed and can be identified by official state employee credentials and badges. The investigative support staff includes Intelligence Analysts, Forensic Computer Analysts, Forensic Auditors, Legal and Secretarial staff.

Information in the possession and control of the Special Investigations Division is confidential by law and is not subject to public inspection.

Special Investigations Division
Stop Fraud  
Report Insurance Fraud !!!!!!!
Do you have knowledge of someone committing any type of insurance fraud? Report it online by clicking here!