Predictive analytics and machine learning are reshaping insurance claims management by enhancing efficiency, detecting fraud, and improving customer satisfaction.

Two Jacksonville healthcare employees allegedly submitted over 40 false claims, defrauding their employer of $1.14 million from 2019 to 2023. Both face serious charges.

A recent report highlights that nearly all Americans have been targeted by digital scams, with billions lost annually to sophisticated cybercrime schemes.

A North Carolina insurance agent faces embezzlement charges after allegedly taking premiums without securing policies, following a history of regulatory penalties and surrendered licenses.

Four Southern California residents were arrested on suspicion of insurance fraud after allegedly submitting false claims that their cars were damaged by a bear, which officials say was a person in a bear costume.

A Denver police officer has been arrested and fired amid allegations of pre-employment insurance fraud related to a hit-and-run claim. The tip that led to the investigation reportedly came from her ex-boyfriend, leading to a criminal investigation and pending charges.

A Brooklyn man faces multiple charges after allegedly staging a car accident on the Belt Parkway, an event captured on dash cam that went viral on social media. Authorities say the incident endangered lives and remains under investigation for additional suspects.

In a new study, 35% of parents admit to "fronting" on car insurance policies for young drivers to save on rising premiums. Although common, fronting is illegal and can result in fines, policy cancellation, or criminal charges.

In 2024, hurricanes have left an estimated 347,000 vehicles with flood damage across the U.S., CARFAX reports. Experts caution that many may be resold, potentially concealing dangerous and costly water damage.

The latest LexisNexis "True Cost of Fraud" Study highlights increasing fraud costs in SNAP programs, emphasizing the impacts of EBT skimming, integrated eligibility systems, and operational delays on both staff and beneficiaries.

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.

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.

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.

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.

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.