Workers’ Comp Ghost Policies Are Increasing Risks for Small Businesses

Ghost policies, a type of fraudulent workers’ comp coverage, are leaving businesses and employees exposed to high risks, especially in states where such policies remain legal.
October 21, 2024 Fraud Legislation & Regulation Risk Management Workers' Compensation Colorado North Carolina

Caught Red-Handed: Watch This Shocking Insurance Scam Unravel Thanks to a Dash Cam

A brazen insurance fraud attempt on a busy Queens highway was foiled by a dash cam, capturing every moment the scammers realized their scheme was being recorded—proof that a dash cam could save you from a costly setup.
October 21, 2024 Auto Fraud Litigation Technology New York

California Workers’ Comp Fraud Scheme Targets $100 Million in Fraudulent Claims

Authorities in California have charged four individuals in a $100 million workers’ compensation fraud scheme involving illegal referrals, fraudulent billing, and medical providers, following a three-year investigation.
October 21, 2024 Fraud Legislation & Regulation Litigation Workers' Compensation California

Florida’s New Rule Brings Major Changes for Public Adjusters and Insurance Estimators

Florida’s Emergency Rule 69BER24-4 introduces stricter ethical guidelines and transparency requirements for all insurance adjusters, particularly impacting public adjusters, with the aim of reducing unethical practices in the claims process.
October 21, 2024 Fraud Legislation & Regulation Litigation Property Florida

How Generative AI Is Transforming the Insurance Industry

Generative AI has the potential to revolutionize the insurance industry by streamlining operations, enhancing customer service, and improving risk management. However, insurers must address ethical, regulatory, and data challenges to fully unlock its benefits.
October 11, 2024 Fraud Insurance Industry Risk Management Technology Colorado

Cyber Claims in 2024 Surge with Ransomware and AI as Key Drivers

Ransomware severity spiked, driving a 14% increase in claims, while AI contributed to rising business email compromise cases in the first half of 2024.
October 11, 2024 Fraud Property Technology

Former Insurance Agent Convicted for Fraud After Stealing Nearly $200,000 in Premiums

A former insurance agent from Mission Viejo has been convicted on 90 counts of insurance fraud, theft, and elder abuse after stealing nearly $200,000 in premium payments and leaving 32 clients without coverage.
October 11, 2024 Fraud Insurance Industry Litigation Property California

Louisiana Homeowners Targeted by Roofing Contractor in Alleged Insurance Fraud Scheme

A Louisiana couple was allegedly targeted by a fraudulent contractor who caused intentional roof damage, misrepresenting it as storm-related in an attempt to file an inflated insurance claim.
October 11, 2024 Fraud Insurance Industry Litigation Property Louisiana

AI-Powered Data Tools from Carpe Data Revolutionize Insurance Fraud Detection

Carpe Data uses AI and analytics to enhance fraud detection in insurance claims, reducing loss expenses, improving operational efficiency, and speeding up claims resolution.
October 4, 2024 Fraud Insurance Industry Technology Workers' Compensation California

Australian Woman Faces Prison After Faking Death for Insurance Payout

A woman in Australia pleaded guilty to fraud after faking her own death to claim over $718,000 in insurance funds. Despite elaborate efforts involving false documents and stolen identities, her scheme unraveled, leading to her arrest.
October 4, 2024 Fraud Insurance Industry Life & Health Litigation

Tennessee Officials Warn of Post-Storm Contractor Scams

Tennessee ranks 16th in fraud, and state officials are urging residents impacted by Hurricane Helene to beware of contractor scams, advising them to verify contractor credentials and insurance.
October 4, 2024 Catastrophe Fraud Insurance Industry Property Tennessee

Digital Payment Trust Eroded by Cyber Scams Amid Growing Global Transactions

As digital payments grow globally, cyber scams are increasingly undermining trust in the system. Chubb’s survey reveals how fraud affects user confidence and how insurance can help restore it.
October 4, 2024 Fraud Insurance Industry Risk Management Technology

Tennessee School District Duped Out of $3.4 Million in Curriculum Vendor Scam

A rural Tennessee school district was swindled out of over $3 million when a finance officer unknowingly wired funds to a fraudster impersonating a legitimate curriculum vendor, part of a growing wave of email scams targeting schools.
October 1, 2024 Education & Training Fraud Litigation Technology Arizona Ohio Tennessee Texas

Florida Insurers Face Fraud Allegations as New Storm Claims Loom, CBS Highlights Adjusters’ Concerns

As Florida prepares for new storm-related claims, CBS News’ "60 Minutes" investigates allegations by adjusters that insurers manipulated damage estimates from Hurricane Ian to underpay policyholders.
October 1, 2024 Catastrophe Fraud Litigation Property Florida

Small Businesses Face Rising Threats from AI-Driven Scams

A survey reveals that a quarter of small business owners have been targeted by AI-generated scams, using tactics like email, voice, and video impersonation, exposing them to significant fraud risks.
October 1, 2024 Fraud Insurance Industry Risk Management Technology
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