Federal prosecutors allege a Pennsylvania medical equipment company submitted more than $1.3 billion in fraudulent claims to Medicare and other insurers, using stolen patient identities as part of an international fraud and money laundering operation.
A Loudoun County jury found Jacob Bogatin guilty of first-degree murder and multiple arson charges after investigators determined a 2025 townhome fire that killed his neighbor was intentionally set. Bogatin filed an insurance claim the following day.
A bipartisan House bill would establish federal criminal penalties for staged or fabricated vehicle crashes tied to fraudulent insurance claims, with prison terms increasing when the schemes cause serious injury or death.
Four contractors are accused of submitting fraudulent workers’ compensation insurance records while seeking Nassau County home improvement licenses. Separate labor enforcement cases have returned nearly $650,000 to 138 workers this year.
A Kern County jury convicted Daniel Montes of arson and automobile insurance fraud after prosecutors said he stripped and burned a Jeep Gladiator as part of a plan to generate an insurance claim. Jail calls and videos recovered from his phone helped expose the scheme.
Florida investigators say 41 insurance applications were submitted for luxury vehicles the applicant did not own, with an alleged payment-and-refund scheme resulting in more than $44,000 obtained from an insurer.
Two Charlotte brothers pleaded guilty after a Wake County sting used a ‘bait house’ to investigate intentional roof damage designed to generate repair work and support an insurance claim.
Maryland brokers accused in a multimillion-dollar health insurance fraud scheme say CareFirst’s own claims and enrollment records show the insurer detected suspicious activity too early for its lawsuit to proceed.
Prosecutors said participants deliberately caused highway collisions, claimed injuries and sought insurance payouts. Dashcam footage captured two of the staged crashes.
A Virginia insurance agent admitted diverting client premiums for personal use, causing policies to lapse or never take effect and leaving customers with coverage they believed was active.
Organized thieves carried out 75,000 thefts from U.S. freight rail networks in 2025, pushing railroads to invest millions in AI cameras, drones, fencing and law enforcement partnerships.
Florida authorities allege shell construction companies understated payroll and employee counts to obtain workers’ compensation coverage, then provided insurance certificates to uninsured subcontractors. Nearly $100 million in payroll was processed through the companies, according to investigators.
State investigators allege a North Carolina woman submitted 17 forged health insurance claims totaling more than $123,000. The investigation began after Blue Cross Blue Shield of North Carolina reported suspicious claims.
A South Florida fraud scheme manipulated lender-placed homeowners insurance policies, resulting in $6.6 million in illicit gains. The final defendant received nearly four years in prison, closing a case that highlights vulnerabilities in insurance placement and premium disbursement.
A former insurance agent received a six-month jail sentence after illegally selling annuity policies while his license was revoked. The case also follows an earlier conviction involving stolen client premiums and obstruction of justice.
