Fighting Back Against Fraud: Strategies for Insurers and Consumers Alike

43 - Fighting Back Against Fraud: Strategies for Insurers and Consumers Alike

July 02, 20253 min read

Fighting Insurance Fraud at Its Roots: A Deep Dive with Dwight Geddes of Metro Claims & Risk Mgmt.

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In this episode of The Claim Hunter, host Chris Tidball sits down with Dwight Geddes, Owner of Metro Claims & Risk Mgmt., to uncover the deeper layers of organized insurance fraud and what can be done to fight back. With decades of experience and boots-on-the-ground perspective, Dwight shares stories from the field, discusses the systemic nature of fraud in New York City, and challenges the industry to be more aggressive in investigations. If you're involved in insurance claims, risk management, or fraud prevention—this episode is a wake-up call you can’t afford to miss.


How Organized Insurance Fraud Really Operates—and What to Do About It

Dwight opens the conversation by walking us through his unconventional journey—from working with a plaintiff’s personal injury attorney to leading one of New York's most respected claims and risk firms. This insider experience gives him a clear view of both sides of the claims process. Through Metro Claims, he supports insurers across the country with in-depth investigations, fraud detection, and claims resolution.

New York City’s fraud landscape, he explains, is uniquely complex. The city’s size and diversity create an ideal breeding ground for fraud, especially staged accidents and inflated medical claims. Dwight details how organized crime groups, particularly the Russian mafia, exploit the system with sophisticated schemes often involving attorneys and medical professionals. Yet, despite clear patterns, many carriers are reluctant to pursue prosecution—opting instead to settle and move on.

Dwight challenges that norm. He advocates for a stronger, multi-tiered approach: investigate not just the claimant, but the entire supporting cast of enablers. From legal and medical collusion to fake billing practices, the fraud web is wide—and it will only be dismantled through coordinated, aggressive action across the industry. His advice: dig deeper, press harder, and stop normalizing opportunistic fraud as a cost of doing business.


About Dwight Geddes

Dwight Geddes is the Owner of Metro Claims & Risk Mgmt., a seasoned claims investigator, and a recognized thought leader in fraud prevention. His experience spans over 30 years in the claims industry, with a reputation for precision, accountability, and uncompromising investigation.

About Metro Claims & Risk Mgmt.

Metro Claims & Risk Mgmt. is a New York-based firm specializing in property, casualty, and auto claims handling. Serving insurers and self-insured entities across the U.S., they deliver deep investigative experience and a proactive approach to claims management and fraud detection.


Links Mentioned in This Episode


Key Episode Highlights

  • Inside the Fraud Network: How organized crime exploits the insurance system

  • Legal Reluctance: Why carriers often hesitate to prosecute—and what it costs them

  • Aggressive Claims Strategy: Investigating beyond the claimant to target enablers

  • Systemic Blind Spots: The underestimated volume of opportunistic fraud

  • Actionable Solutions: Building a multi-tiered fraud response framework


Conclusion

This episode sheds light on the dark underbelly of insurance fraud—one that’s often more organized, widespread, and overlooked than most are willing to admit. Through firsthand insights, Dwight Geddes calls the industry to a higher standard: one that prioritizes truth, accountability, and tough decisions. If insurers and risk managers want real change, it starts with seeing the full picture—and not being afraid to act on it.


To explore more about strategic claims investigation and insurance innovation, visit ChrisTidball.com.
If you’re a claims leader, risk expert, or fraud specialist ready to share your voice, apply to be a guest on The Claim Hunter podcast.

Chris Tidball is a seasoned insurance industry expert, best-selling author, and speaker with a passion for uncovering hidden financial opportunities in claims and subrogation. With decades of experience in claims management, fraud prevention, and recovery strategies, Chris has helped insurers, businesses, and individuals maximize their recoveries and streamline operations.

As the host of the Insurance Claims Innovation Podcast, Chris dives into cutting-edge strategies, expert insights, and real-world case studies that transform the way claims professionals approach subrogation and fraud detection. His work has been featured in leading industry publications, and he continues to drive innovation in the ever-evolving world of insurance and financial recovery.

Chris Tidball

Chris Tidball is a seasoned insurance industry expert, best-selling author, and speaker with a passion for uncovering hidden financial opportunities in claims and subrogation. With decades of experience in claims management, fraud prevention, and recovery strategies, Chris has helped insurers, businesses, and individuals maximize their recoveries and streamline operations. As the host of the Insurance Claims Innovation Podcast, Chris dives into cutting-edge strategies, expert insights, and real-world case studies that transform the way claims professionals approach subrogation and fraud detection. His work has been featured in leading industry publications, and he continues to drive innovation in the ever-evolving world of insurance and financial recovery.

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