“Materiality” Key in Determining Fraud
By Bryan Harrison
“This suspicion I think exists - does it make a difference to the claim?” This question, and others like it, were posed by guest speaker, Kevin Rainbolt, at the January 10, 2007 EBCA luncheon meeting. “If not, it’s probably ‘abuse’, not ‘fraud’,” he explained.
Rainbolt, the Western Regional SIU Manager for AIG, stated early on that his company is one of only a few that has a “pure fraud investigative team.” Getting prosecutions on even “slam-dunk” cases can still be a difficult task. “L.A. County has about 80% of the fraud fighting budget in California,” he explained.
He gave a fast-paced and informative presentation, keeping a close watch on his limited time. His talk prompted input from other adjusters, questions, and discussion from the crowd.
“We couldn’t do what we do without the vendors; whether it’s Cause & Origin or Restoration, the vendors are the ones in the trenches,” he stated.
The latest trend in vehicle fraud, he said, has to do with I.D. theft. “New cars are being sold to people, often illegal aliens, with fake I.D.’s. They’re then being driven to Mexico.
He encouraged all fraud-fighters to keep on your local and state government officials to increase funding for prosecution.

Friendly competitors: Kim MacFarlane of PW Stephens, and Jaime Tamayo of Environmental Remedies, Inc.
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Dick Audley, who’s given so much service to EBCA with his past legal reviews, was onhand. |
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EBCA Past President,
Bob Tucknott |
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