Woman Sues Ice Cream Company Over Lack of Real Pistachios

A woman from Long Island is suing Cold Stone Creamery, alleging that its pistachio ice cream contains no actual pistachios. The lawsuit could have significant implications for ice cream lovers across the country.
June 12, 2024 Fraud Legislation & Regulation Litigation New York

Major Workers’ Compensation Insurance Fraud Uncovered in California

Two farm labor contractors in Kings County, California have been arraigned on multiple felony counts for allegedly underreporting $29.2 million in payroll to save on workers’ compensation insurance premiums and taxes.
June 12, 2024 Fraud Legislation & Regulation Litigation Workers' Compensation California

Retired Fire Captain Arrested for Alleged Insurance Fraud

A retired fire captain from Davie, Florida, faces charges of insurance fraud and criminal use of personal identification for allegedly submitting falsified lodging invoices related to a 2022 insurance claim.
June 12, 2024 Fraud Insurance Industry Liability Litigation Florida

CityMD Settles $12 Million Allegations Over False Claims for COVID-19 Testing

CityMD settles allegations of submitting false claims for COVID-19 testing to a federal program for uninsured patients, paying $12.04 million to resolve the issue.
June 11, 2024 Fraud Legislation & Regulation Life & Health Litigation New Jersey New York

Tesla’s False Advertising Case on Self-Driving Tech to Go to Trial

A California judge rules that Tesla must face trial over accusations of false advertising related to its self-driving technology, following investigations and failed attempts to dismiss the case.
June 11, 2024 Fraud Legislation & Regulation Litigation Technology California

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme

Gustavo Kinrys, a psychiatrist from Wellesley, Massachusetts, sentenced to 99 months in prison for a $19 million insurance fraud scheme used to finance luxury homes and purchase over $600,000 in high-end jewelry.
June 10, 2024 Fraud Insurance Industry Life & Health Litigation Massachusetts

Court Panel Recommends Distribution of $2.13 Billion in Opioid Crisis Legal Fees

Court-appointed panel allocates $2.13 billion in legal fees from opioid settlements, with leading firms set to receive substantial shares.
June 10, 2024 Fraud Life & Health Litigation Risk Management

Increasing TPLF and Securities Class Actions Heighten Insurer Risks

Rising settlements and third-party litigation funding (TPLF) trends drive higher risks and costs for insurers, impacting policyholders and consumer prices.
June 10, 2024 Fraud Insurance Industry Litigation Risk Management

North Carolina Insurance Agent Faces 74 Felony Charges for Identity Theft and Forgery

A licensed insurance agent from Nash County has been charged with 74 felony counts, including identity theft and forgery, after allegedly forging life insurance applications to obtain funds illegally.
June 7, 2024 Fraud Insurance Industry Life & Health Litigation North Carolina

North Carolina Battles Rising Insurance Fraud Since Pandemic

North Carolina has experienced a significant increase in insurance fraud since the COVID-19 pandemic, with seniors being heavily targeted by scams. State officials are urging vigilance and reporting to combat the issue.
June 5, 2024 Fraud Insurance Industry Legislation & Regulation Risk Management North Carolina

Transforming Insurance Claims with Artificial Intelligence

At Carrier Management’s annual InsurTech Summit, Frank Giaoui of Optimalex Solutions and Shane Riedman of Verisk explored how artificial intelligence (AI) is revolutionizing property/casualty insurance claim processing.
June 4, 2024 Fraud Insurance Industry Risk Management

New Jersey Man Sentenced for Leading Major No-Fault Insurance Fraud in New York

Bradley Pierre has been sentenced to 10 years in prison for orchestrating a $60 million fraud targeting No-Fault automobile insurance companies, marking one of the largest such frauds in New York history.
June 4, 2024 Fraud Insurance Industry Legislation & Regulation Litigation New Jersey New York

Preventing Insurance Fraud in the Age of Big Data

Fraud detection, historically reliant on human analysts, is being revolutionized by big data and advanced analytics, enabling automated and enhanced detection methods.
June 4, 2024 Fraud Insurance Industry Risk Management Technology

Detroit Man Sentenced to Over Five Years for Pandemic Unemployment Fraud

A Detroit Man was sentenced to 63 months in prison and ordered to pay $512,000 in restitution for committing unemployment fraud during the COVID-19 pandemic.
June 3, 2024 Fraud Insurance Industry Legislation & Regulation Litigation Michigan New Jersey

Preventing Medicare Fraud: Everyone’s Responsibility

Join Medicare Fraud Prevention Week to learn and share actions to prevent fraud, errors, and abuse in Medicare. Running from June 3 through June 9, this event is hosted by the Administration for Community Living and the Senior Medicare Patrol (SMP).
June 3, 2024 Education & Training Fraud Life & Health Risk Management
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