Insurance Brokerage Executive Admits Role in $133M ACA Fraud Scheme Targeting Federal Subsidies
A Florida insurance executive admitted to orchestrating a $133 million scheme involving fraudulent ACA enrollments to collect commissions from taxpayer-funded health plan subsidies.
April 23
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Florida
Two Pennsylvania Women Charged with Filing False Insurance Claims After Alleged Fake Hit-and-Run
Authorities allege two women from eastern Pennsylvania fabricated a hit-and-run accident in Hanover to file fraudulent insurance claims worth $30,000.
April 23
Fraud
Insurance Industry
Liability
Litigation
Pennsylvania
Virginia
New Jersey Wildfire Grows to 8,500 Acres as Evacuations and Power Outages Mount
The Jones Road Wildfire near Toms River has burned 8,500 acres with less than 10% containment, prompting evacuations and threatening over 1,000 structures in Ocean County, New Jersey.
April 23
Catastrophe
Insurance Industry
Property
Risk Management
New Jersey
FBI Reports Global Cybercrime Losses Surpass $16 Billion in 2024
Cybercrime cost victims over $16 billion last year, driven by online scams like phishing and tech support fraud, with most complaints originating from the U.S.
April 23
Fraud
Insurance Industry
Risk Management
Technology
Neutral Pacific Waters Signal Potential Spike in Atlantic Hurricanes
With La Niña officially over and El Niño unlikely, the Atlantic may face an active hurricane season as neutral Pacific conditions remove key storm barriers.
April 21
Catastrophe
Insurance Industry
Property
Risk Management
Alabama
Florida
Louisiana
Mississippi
Texas
New York Court Blocks City’s Attempt to Recoup Firefighter Injury Payments After Retirement
A New York court has ruled that post-retirement pension supplements paid to an injured firefighter are not subject to reimbursement under workers’ compensation laws.
April 21
Liability
Litigation
Risk Management
Workers' Compensation
New York
Reimagining Claims with AI: A Practical Path from Manual to Autonomous Workflows
Insurance leaders are stepping into a new claims era—where AI-driven coworkers transform workflows, elevate adjuster roles, and future-proof operations through autonomy.
April 21
Education & Training
Insurance Industry
Risk Management
Technology
Illinois Supreme Court to Decide If Permitted Emissions Fall Under Pollution Exclusion in Insurance Dispute
The Seventh Circuit certified a key insurance question to the Illinois Supreme Court: Do emissions allowed by state permit trigger pollution exclusions in CGL policies?
April 21
Insurance Industry
Liability
Litigation
Illinois
How Agentic AI Is Transforming Insurance and Financial Services with Next Best Action Technology
Agentic AI is reshaping insurance and financial services by empowering digital coworkers to drive timely, compliant, and actionable decisions at scale.
April 18
Property
Risk Management
Technology
California
Homeowners Crowdsource Toxic Smoke Data After Eaton Fire Insurance Disputes
After insurers refused to pay for contamination testing, Eaton Fire survivors shared private test results online, exposing widespread toxic exposure and coverage gaps.
April 18
Catastrophe
Insurance Industry
Legislation & Regulation
Property
California
How Digital Payments Are Reshaping the Insurance Claims Experience
The insurance industry is navigating complex challenges to digitize payments, improve claims satisfaction, and meet the rising expectations of policyholders and vendors.
April 18
Auto
Insurance Industry
Technology
Workers' Compensation
Lemonade Data Breach Linked to Auto Insurance Quoting System Flaw
A technical glitch in Lemonade’s auto quote system led to the exposure of nearly 190,000 driver’s license numbers, highlighting cybersecurity risks in digital insurance platforms.
April 18
Auto
Insurance Industry
Legislation & Regulation
Technology
New York
Texas Widow Working Two Jobs Says Former Insurance Agent Took $9K in Premium Payments
A Friendswood, Texas woman says she lost nearly $9,000 after paying premiums via Venmo to a former insurance agent who had already surrendered his license.
April 18
Auto
Fraud
Insurance Industry
Property
Texas
Dog Bite Claims on the Rise as Insurers Tighten Homeowners Coverage
Dog bites led to $1.57 billion in homeowners liability claims in 2024 as insurers reassess coverage, with states like California and New York topping the list for cost and volume.
April 18
Insurance Industry
Legislation & Regulation
Liability
Property
Man Wanted After Allegedly Faking Supermarket Fall to File False Insurance Claim
Authorities in Kittitas County, WA are searching for a suspect accused of staging a fall in a grocery store to file false insurance claims totaling nearly $10,000.
April 18
Fraud
Insurance Industry
Litigation
Property
Washington
