Insurance companies are turning to AI-powered technology and enhanced training programs to combat increasingly sophisticated fraudulent claims, aiming to minimize financial losses and improve claims handling efficiency.

Florida homeowners, devastated by Hurricane Ian, discovered their insurance reports had been altered to significantly lower payouts. Whistleblowers claim widespread fraud, accusing multiple carriers of manipulating damage assessments.

Shanel Tofaeono has been sentenced to over four years in prison after pleading guilty to staging a fake robbery of a luxury Sydney jewelry store as part of a $2.8 million insurance fraud scheme.

As elder fraud losses soar past $3.4 billion, cybersecurity risks grow more complex. Personal cyber insurance offers broader protection, covering identity theft, online fraud, and other cybercrimes targeting vulnerable populations.

In response to pandemic-era unemployment fraud, lawmakers propose solutions to improve fraud prevention and equity in UI systems, leveraging technology and data-sharing practices.

The 2024 Global Claims Fraud Survey from RGA reveals persistent fraud challenges, with 74% of insurers reporting steady or rising fraud cases, emphasizing the need for enhanced detection and prevention measures.

A Florida home inspector is accused of using identical stock photos in over 200 inspections, costing Citizens Property Insurance Corp. thousands in fraudulent premiums and reinspection costs.

Insurance fraud experts warn about exaggerated or false water damage claims, often linked to home renovations and fake sewage leaks, aimed at inflating insurance payouts.

Insurers and defense attorneys are increasingly turning to RICO lawsuits to fight fraudulent personal injury claims, with recent cases in Florida and New York highlighting the growing trend of staged accident schemes.

The surge in roof damage claims, driven by extreme weather and rising repair costs, is creating significant challenges for insurers, with increased fraud and evolving policy terms adding to the crisis.

A group of farmers in Colorado and Kansas tampered with rain gauges to falsely report drought conditions, leading to a multimillion-dollar crop insurance fraud. Their actions resulted in both criminal penalties and civil settlements.

A Nebraska couple faces felony charges for allegedly defrauding Geico out of nearly $80,000 by filing a false insurance claim on a stolen camper that was later found in Oklahoma.

Iowa’s Insurance Division issued cease-and-desist orders against four roofers for acting as unlicensed public adjusters, sparking debate on whether contractors can assist homeowners with their insurance claims. The state’s crackdown highlights growing concerns over fraud and misrepresentation in the wake of frequent windstorms and natural disasters.

A Miami rehab clinic owner, along with two employees, are facing over two dozen felony charges after an undercover investigation revealed alleged insurance fraud and billing for unperformed services.

Artificial intelligence is reshaping insurance by enhancing risk assessment, improving customer experience, and streamlining operations. However, ethical challenges, regulatory hurdles, and high costs remain obstacles.