Coalition Against Insurance Fraud

What Coalition Against Insurance Fraud does

Coalition Against Insurance Fraud is a nonprofit 501(c)(3) alliance founded in 1993 that unites over 320 member organizations across insurers, government agencies, consumer groups, and law firms to combat insurance fraud in the United States. The organization operates as a membership-based association with its national headquarters in Washington, D.C., and a small professional staff of approximately 8-10 people led by Executive Director Michelle Rafeld (appointed January 2024). Its activities span four pillars: legislative and judicial advocacy, public awareness and education, objective research publication, and cross-sector collaboration.

The Coalition's core offerings include a suite of non-software services: public-facing educational resources (scam alerts, fraud statistics, consumer guides), a searchable Legislative Interactive Map tracking fraud laws across 48 states, a member-restricted Fraud Tracker intelligence dashboard, an Amicus Curiae Program filing briefs in significant fraud cases, the quarterly Journal of Insurance Fraud in America and FraudBlog, the annual International Fraud Awareness Week campaign, and the Hall of Shame publication. It also operates member committee and task force structures covering property-casualty, workers' compensation, long-term care, healthcare, and life insurance fraud. The organization does not develop proprietary technology products and has no public API; its technology footprint is limited to a gated member portal and a website publishing educational content.

The Coalition is funded through annual membership dues from its 320+ member organizations, with categories including insurers, government agencies, consumer groups, law firms, and associate (vendor) members. Pricing is not publicly disclosed and is quote-based. Member services are distributed through direct enterprise engagement, in-person events (annual and midyear meetings), webinars, and a self-serve public website for consumer resources. Revenue figures are not publicly disclosed. The organization also generates published research output (e.g., the $308.6 billion annual U.S. insurance fraud cost estimate) that anchors its credibility as the national convener on this issue.

Name

Coalition Against Insurance Fraud

Legal name

Coalition Against Insurance Fraud

Website

https://insurancefraud.org

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

1–10 employees

Short description

The Coalition Against Insurance Fraud is a 501(c)(3) nonprofit alliance founded in 1993 uniting 320+ member organizations — insurers, government agencies, consumer groups, and law firms — to combat insurance fraud through advocacy, research, public education, and cross-sector collaboration.

Ownership category

akta.pro rank

Product category

Insurance Anti-Fraud Advocacy

NAICS

Labor Unions and Similar Labor Organizations (813930)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Fraud Risk & Financial Crime Controls Advisory (BPAKADAL)

akta.pro secondary industries

Government Accountability, Ethics & Anti-Corruption Advocacy (BPAGAFAN), Fraud Investigations & Claims Support (Insurance/Financial) (BPAKAEAD), Fraud Risk Management & Anti-Bribery/Anti-Corruption (ABAC) (BPAHAFAL), Financial Crime & Fraud Prevention (Forensics, Investigations) (EDABAJAK)

Keywords

• Insurance fraud prevention
• Anti-fraud advocacy
• Fraud research publications
• Legislative tracking tools
• Public fraud education

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Membership Dues: The Coalition generates revenue through membership fees from over 320 member organizations including insurers, government agencies, consumer groups, and associate members. Membership provides access to exclusive resources, legislative support, networking events, and collaborative anti-fraud initiatives.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

The Coalition Against Insurance Fraud is a nonprofit alliance of over 320 organizations that combats insurance fraud through four pillars: legislative and judicial advocacy, public awareness, research, and member collaboration. It sells organizational memberships that grant access to exclusive resources, fraud tracking intelligence, amicus legal advocacy, research publications, networking events, and legislative monitoring tools. The organization also delivers consumer-facing education through scam alerts, fraud statistics, and the annual International Fraud Awareness Week campaign.

Product overview

The Coalition Against Insurance Fraud is a nonprofit alliance of over 320 organizations that serves as a national hub for collaboration, intelligence, and advocacy against insurance fraud. Rather than offering a unified technology product, the Coalition provides a portfolio of services including public education resources (scam alerts, fraud statistics), legislative tracking tools (Interactive Map), legal advocacy (Amicus Program), research publications (Journal of Insurance Fraud in America, FraudBlog, Fraud News Weekly, Coalition Quarterly), annual awareness campaigns (International Fraud Awareness Week), and member-only resources (Fraud Tracker, alerts, webinars). The organization focuses on outreach, advocacy, and research rather than developing commercial technology products.

Differentiator

Problem solved

Functional benefit

Products and services

• Coalition Membership Annual organizational membership for insurers, government agencies, consumer groups, law firms, and associate vendors. Provides access to exclusive resources, legislative support, networking events, fraud tracking intelligence, and collaborative anti-fraud initiatives.
• Amicus Curiae Program Legal support service that identifies significant insurance fraud cases and submits amicus briefs in state and federal courts to shape key rulings and establish precedents for the anti-fraud community. Available to Coalition members.
• Legislative Interactive Map Web-based tool that tracks insurance fraud legislation across states, providing updates on new fraud bills, regulations, and model acts as they develop. Used by insurers, regulators, and policymakers.
• Fraud Statistics & Research Publications Objective, credible research publications on insurance fraud trends, cost estimates, and consumer attitudes that inform policy and industry practice nationwide. Includes the Journal of Insurance Fraud in America, FraudBlog, Fraud News Weekly, and Coalition Quarterly.
• International Fraud Awareness Week (IFAW) Annual global campaign providing downloadable consumer resources, educational materials, and awareness content for anti-fraud education and outreach.
• Victim Impact Statement Program Resources and templates to help fraud victims craft effective victim impact letters for courts to support sentencing in fraud prosecutions.
• Coalition Hall of Shame Annual publication highlighting notable insurance fraud cases and bad actors in the industry to raise public awareness of fraud severity.
• Fraud Tracker Intelligence Dashboard Member-only intelligence dashboard tracking fraud trends, cases, and emerging schemes. Restricted to Coalition members.

Quantifiable outcome

• Insurance fraud costs U.S. consumers $308.6 billion annually according to Coalition research
• +2 more outcomes

Named customers11 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Partnerships

Two partnerships are on record, tiered core and minor.

• Wayne State UniversitycoreStrategic or Co-development PartnerPartnership with Wayne State University marketing students for social media competition initiative. Students create educational content on insurance fraud awareness for the Coalition's Instagram page @stopinsurancefraud. Phase Two involves transforming weekly educational themes into peer-focused posts, including content on per-person cost of insurance fraud ($932/year) and AI-driven fraud detection.
• Carpe DataminorGTM or Marketing PartnerCarpe Data is sponsoring Phase Two of the Coalition's social media competition as part of the insurance fraud awareness education and outreach initiative.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• National Insurance Crime Bureau (NICB): Nonprofit organization dedicated to combating insurance fraud and crime through intelligence sharing, investigations, and partnerships with insurers and law enforcement. NICB is a direct peer as both an insurance-industry-funded anti-fraud organization serving overlapping member constituencies.
• International Association of Insurance Fraud Investigators (IAIFI): Membership organization for insurance fraud investigators, providing training, certification, and investigator-focused resources. Directly comparable as a fraud-specific industry association serving SIU professionals and investigators.
• National Health Care Anti-Fraud Association (NHCAA): National nonprofit membership association focused on healthcare fraud prevention, bringing together insurers, regulators, and law enforcement. Directly comparable as a sector-specific anti-fraud alliance with a similar advocacy, education, and intelligence-sharing model.

Broad incumbents

• Insurance Information Institute (Triple-I): Insurance industry-funded nonprofit that provides research, education, and public-policy advocacy on a wide range of insurance topics. Comparable as a membership-funded industry association with overlapping research and government-affairs capabilities, though broader in scope than fraud alone.
• National Association of Insurance Commissioners (NAIC): U.S. state-based regulatory body that coordinates insurance regulation across 50 states. The Coalition is a current member/partner, but NAIC is a broader regulatory authority with overlapping influence on anti-fraud legislation and compliance standards.
• Property Casualty Insurers Association of America (PCI): Trade association representing property and casualty insurers with active advocacy on legislative and regulatory issues. Comparable as a member-funded P&C industry advocacy body with overlapping member base and policy priorities.
• National Association of Mutual Insurance Companies (NAMIC): Trade association representing mutual insurance companies with strong government-affairs and advocacy capabilities. Comparable as a member-driven insurance association engaged in legislative advocacy and policy research, though broader in scope than fraud.

Emerging players

• Carpe Data: AI-driven data analytics provider serving insurance fraud detection and underwriting. Listed as a Coalition partner (sponsor of social media competition) and representative of the emerging Insurtech/RegTech players addressing fraud through proprietary technology.
• Shift Technology: AI-native fraud detection and claims automation platform widely adopted by insurers. Adjacent competitor in the insurance fraud intelligence space, representing the commercial/technology side of anti-fraud work that the Coalition's research increasingly references.

Others

• Consumer Federation of America: National nonprofit consumer advocacy organization, a public member of the Coalition. Relevant as a fellow nonprofit advocacy organization engaged in consumer protection issues that intersect with insurance fraud.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Instagraminstagram.com/stopinsurancefraud
• Xx.com/Insurance_Fraud
• Facebookfacebook.com/insurancefraud

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Coalition Against Insurance Fraud