Adjusters on a professional forum share experiences and strategies for handling escalating bills from mitigation companies and their refusal to negotiate.
April 19
Reddit
Education & Training
Fraud
Insurance Industry
Risk Management
Florida
The Third Circuit Court of Appeals has ruled that claims of insurance fraud under New Jersey’s PIP statute must go to arbitration, reversing previous decisions against three chiropractors.
April 19
Insurance Journal
Fraud
Insurance Industry
Legislation & Regulation
Litigation
New Jersey
An ex-employee of Augusta National Golf Club is accused of stealing millions in Masters golf merchandise over a thirteen-year period.
April 18
Golf Digest
Fraud
Legislation & Regulation
Property
Risk Management
Florida
Georgia
Illinois
A North Carolina mother and her son are accused of defrauding over $20,600 through bogus insurance claims involving home repairs.
April 18
WYFF4
Fraud
Insurance Industry
Litigation
Risk Management
North Carolina
Ramon Apellaniz of East Hartford is sentenced to prison and must pay $900,000 after fraudulently billing Medicaid for unlicensed counseling services.
April 18
Hartford Courant
Fraud
Legislation & Regulation
Life & Health
Litigation
Connecticut
A 74-year-old man faces felony fraud charges over a disputed worker’s compensation claim in The Villages, Florida.
April 17
Villages News
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
Florida
Michigan
Will Bynum, ex-Detroit Pistons guard, receives an 18-month prison sentence for his role in a major NBA insurance fraud scandal.
April 17
ESPN
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Illinois
New York
Former chiropractor sentenced to 54 years for orchestrating a $150 million workers’ compensation fraud scheme in Riverside, California.
April 16
Riverside County District Attorney
Fraud
Insurance Industry
Litigation
Workers' Compensation
California
Yuniesky Betancourt, former MLB shortstop, is charged with insurance fraud after allegedly staging a car crash to claim false injuries, facing up to 10 years in prison if convicted.
April 16
CBS Sports
Auto
Fraud
Insurance Industry
Legislation & Regulation
Florida
Seasoned insurance adjusters and industry professionals raise alarms about declining integrity and growing dissatisfaction within the insurance sector.
April 12
Reddit
Fraud
Insurance Industry
Property
Technology
Georgia
Donnie Callaway, a well-known mechanic specializing in vintage Ferraris, has been arrested in Arizona on charges of theft and fraud following a sting operation by a collector.
April 11
Robb Report
Auto
Fraud
Litigation
Property
Arizona
California
In Florida, a fraudulent insurance claim scheme involving a falsified homeowner signature has led to the arrest of two individuals.
April 11
Local10
Fraud
Insurance Industry
Legislation & Regulation
Litigation
Florida
Insurity’s 2024 AI report highlights growing consumer confidence in AI for fraud detection and personalized services, while noting caution around its use in claims and underwriting.
April 11
Insurity
Fraud
Insurance Industry
Technology
An analysis reveals the U.S. cities most affected by insurance fraud, with Atlanta leading and diverse factors contributing to the issue across the nation.
April 10
The Zebra
Fraud
Insurance Industry
Legislation & Regulation
Risk Management
Georgia
Illinois
Michigan
Missouri
Nevada
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