About Fraud Control Group

Fraud Control Group

The Fraud Control Group consist of three divisions: Criminal Investigations, Criminal Legal Services and Bail Bond Regulatory. The Fraud Control Group investigates fraud matters involving insurance consumers and any entity or individual regulated by the Department. These investigations reduce the cost of fraud that is borne by the insurance consumer and the insurer.

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The North Carolina Department of Insurance Criminal Investigations Division (CID) is the nation’s oldest and one of the most respected state insurance department fraud units in the country. Founded in 1945, the Division is charged with conducting criminal investigations and supporting prosecution of individuals and entities committing insurance-related crimes throughout North Carolina and across the country.

The investigative personnel are sworn law enforcement officers having statewide jurisdiction. The Special Agents are fully authorized to carry firearms, make arrests, conduct searches and present cases at all levels of prosecution.  The Special Agents work in close cooperation with the insurance industry, state and federal law enforcement agencies and prosecutors. The Division remains actively involved in conducting fraud investigations that pertain to natural catastrophes, staged automobile accidents, body and repair shops, medical providers, agent embezzlement, unauthorized insurers, “insider fraud,” durable medical equipment suppliers and more.

Criminal Legal Services Division is comprised of four attorneys and one paralegal.  The four attorneys, appointed as special prosecutors,  work with state district attorneys to present evidence gathered by the Criminal Investigations Division, Bail Bond Regulatory Division or other DOI Divisions in an attempt to fully prosecute the insurance and/or bail bonds crimes that the department has investigated.  The special prosecutors serve as the lead prosecutor in these cases and are available to every county in the State.

The primary purpose of the Bail Bond Regulatory Division is to regulate, educate and enforce all aspects of bail bonding. The Division ensures proper and fair treatment has been given to individuals who are involved within the North Carolina legal bail bond system. The Division regulates all Professional Bail Bondsmen, Bail Bond Runners and Surety Bondsmen licensed to operate in North Carolina. Also, all Surety Insurance Companies licensed to conduct business in N.C. are regulated by the Department of Insurance. All persons acting in any capacity of bail bonding must be licensed by the Commissioner of Insurance.