NCIC Fraud Reporting Guidelines

Reporting fraud

If you suspect fraud that meets one of the above criteria, submit a complaint utilizing one of the following methods:

• Email at fraudcomplaints@ic.nc.gov,
• Call 1-888-891-4895 (in North Carolina),
• Fax: 919-715-0282 (Be sure to send it ATTENTION CRIMINAL INVESTIGATIONS & EMPLOYEE CLASSIFICATION DIVISON), or
• Mail the information to the Criminal Investigations & Employee Classification Division at:
      1233 Mail Service Center
      Raleigh, NC 27699-1233

Whether you submit the complaint via email, U.S. Mail, or call the fraud hotline, we will ask you to confidentially provide all of the information you have pertaining to the suspected fraud, including the following:

Complaint Checklist

Please provide as much of the following information as possible in matters that may involve fraud perpetrated by a claimant:

• Name and address of the person you suspect is committing fraud.
• Details about the improper or fraudulent activity you suspect such as:  exceeding physical limitations, working while receiving benefits, malingering, reporting false claims, or a staged accident in violation of N.C. Gen. Stat. § 97-88.2.
• Type of injury and date of injury (if known).
• Name of employer at the time the injury was sustained (if known).
• Documentation that supports your complaint such as: videos, photographs, payroll records, additional witnesses, falsified documents, activity level with a vivid description of activity. (Please indicate if you have this documentation.)
• Name of employer or if self employed business location, and contact information.
• Other general information pertaining to the suspected fraudulent activity.
• Your relationship or involvement with the suspected person(s).
• Other agencies this incident has been reported to.

If the target is an employer, the complainant should provide as much of the following information as possible:

• Name and address of company or business.
• Relationship to business owner or company if any (employee, former employee, partner, etc).
• Details about the improper or fraudulent activity you suspect, such as employer fails to secure workers’ compensation insurance in violation of N.C. Gen. Stat. § 97-94, employer deducts workers’ compensation premiums for employees wages in violation of N.C. Gen. Stat. § 97-21, employer threatens employee prosecution for purpose of coercing or attempting to coerce the employee into agreeing to compensation or forgo compensation in violation of N.C. Gen. Stat. § 97-88.2.
• Documentation that supports your complaint such as number of and names of employees, additional witnesses, or payroll records.
• Other general information pertaining to the suspected fraudulent activity.
• Other agencies this incident has been reported to.

If the target is a healthcare provider, attorney, or insurance agent/company, the complainant should provide as much of the following information as possible:

• Name and address of company or person suspected of committing fraud.
• Relationship to the company or suspected person.
• Details about the improper or fraudulent activity you suspect, such as health care provider who knowingly charges or otherwise holds an employee financially responsible for the cost of any services provided for a compensable injury involving of N.C. Gen. Stat. § 97-88.3 (c),
• Documentation that supports your compliant such as copies of records, additional witnesses, copies of billing statements, copies of payment records.
• Other general information pertaining to the suspected fraudulent activity.
• Other agencies this incident has been reported to.

This page was last updated 26 September 2019