Research · 2025
2025 Online Fraud Insights Report
Injury fraud is evolving faster than traditional detection can keep up with. Carpe Data’s latest research highlights where injury fraud is most likely to occur, how it shows up online, and when it is most often detected.
8%
of monitored open injury claims surfaced fraud evidence in 2024
500K+
fraudulent claims uncovered since 2016 across 10M+ claims processed
$500M+
reclaimed for Carpe carrier partners to date
82.7%
of online fraud evidence is surfaced on social platforms
What you will learn
Three Findings from Continuous Monitoring of Open Injury Claims in 2024
01
Disability claims had the highest fraud flag rate.
How do workers’ comp and auto compare? The 2024 referral rates split out by line of business, with the dominant alert categories for each.
02
35% of fraud evidence online is found within 60 days of loss.
What about the other 65%? Detailed month-by-month timing data through 24 months after first notice of loss, and why static, point-in-time checks miss it.
03
Younger claimants generate the most fraud alerts.
Where are they oversharing and how are they giving themselves away? Platform mix and contradiction patterns broken down across six age bands.
Since 2016 we have processed more than 10 million claims, uncovered evidence of fraud in 500,000 of them, and reclaimed more than half a billion dollars for carrier partners.
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