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.

AI is transforming insurance fraud detection, with leading companies like State Farm, Ping An, and IBM developing cutting-edge algorithms to identify fraudulent claims and protect insurers.

Adjusters share bizarre and unsettling stories from the field, ranging from surreal encounters to harrowing situations that shed light on the unpredictable nature of their work.

The owner of multiple towing companies in San Francisco has been charged again with federal insurance fraud, involving staged crashes and fraudulent claims, just weeks after a similar case was filed.

The NYC Department of Consumer and Worker Protection (DCWP) has secured over $600,000 in restitution and civil penalties from R.G. Ortiz Funeral Homes for exploiting grieving consumers, particularly in Spanish-speaking communities.