Former insurance claims handler James Keating received a 20-month prison sentence for defrauding Allied World Insurance out of more than $1.4 million through shell companies and kickbacks.

The Maryland Insurance Administration recovered nearly $33.3 million in 2024 by assisting consumers with insurance disputes, fraud investigations, and regulatory enforcement efforts.

Experian’s Future of Fraud Forecast highlights five emerging threats for 2025, including AI-driven bot attacks, password spraying, cryptocurrency scams, and social media-fueled fraud schemes.

A Boca Raton dentist faces multiple felony charges for allegedly fabricating claims to defraud MetLife, Delta Dental, and Aetna of $157,000, according to investigators.

New York Attorney General Letitia James announced a $1.065 billion judgment against Yellowstone Capital for predatory lending, canceling over $534 million in small business debts nationwide.

New York Governor Kathy Hochul has proposed reforms to stabilize the city’s troubled taxi and rideshare insurance market after the collapse of its largest provider, American Transit Insurance Co.

A New York resident allegedly defrauded Medicaid, childcare assistance programs, and her car insurance provider by misrepresenting income and residency over several years.

Learn how to detect and mitigate bias in AI systems with practical tools and strategies, emphasizing fairness in decision-making for insurance fraud detection and beyond.

An Austin-based small group health insurer settles allegations of fraudulent billing practices, emphasizing the need for transparency and ethical standards in health insurance claims.

A California school board trustee has been indicted for allegedly misusing public funds and filing a false insurance claim. A jury trial is set for March.

Cargo theft incidents surged 27% in 2024, reaching 3,625 reported cases in the U.S. and Canada. California and Texas were hit hardest, with criminals shifting to high-value targets like electronics and copper.

Agentic AI is reshaping claims management by automating repetitive tasks, supporting desk adjusters, and addressing challenges like workforce gaps, scalability, and customer satisfaction.

California authorities, including Insurance Commissioner Ricardo Lara, are addressing rising fraud cases after wildfires, deploying resources to protect survivors and prosecute scammers.

Artificial intelligence is revolutionizing the insurance industry, enhancing efficiency and accuracy, but its adoption requires overcoming technical, ethical, and regulatory challenges.

A Florida couple allegedly orchestrated an $11 million insurance fraud scheme through unauthorized dental practices, deceiving patients and insurers to fund a luxury lifestyle.