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

Snowflake Data Breach Exposes Ticketmaster and Others

Snowflake’s data breach impacts Ticketmaster and numerous organizations, with hackers demanding $500,000 for stolen data.
June 3, 2024 Fraud Insurance Industry Risk Management Technology

Clinic Owner and Associates Charged in Insurance Fraud Scheme

Authorities in Miami-Dade County charge six individuals with orchestrating a staged crash insurance fraud scheme following an undercover operation in the Miami area.
May 31, 2024 Fraud Insurance Industry Legislation & Regulation Litigation Florida

Trio Pleads Guilty to Wire Fraud in Home Improvement Store Scheme

Donovan Young, Aaron Young, and James Hoffman face up to 20 years in federal prison for their involvement in a wire fraud conspiracy defrauding home improvement stores.
May 31, 2024 Fraud Legislation & Regulation Litigation Property South Carolina

Real Estate Fraud Scheme Leads to Prison Sentence for North Carolina Man

Dennis S. Lepka, Jr. was sentenced to six and a half years in federal prison for orchestrating a fraudulent real estate scheme, targeting vulnerable communities and causing significant financial losses.
May 31, 2024 Fraud Legislation & Regulation Litigation Property North Carolina South Carolina

Insurance Adjusters Discuss Re-filing Claims for Unrepaired Damage

Insurance adjusters on Reddit are engaging in a detailed discussion about handling situations where policyholders file new claims for damage to their property that was previously claimed but not repaired.
May 30, 2024 Fraud Insurance Industry Property

Montana Plumber Sentenced for Insurance Fraud to Begin House Arrest

A Montana plumber was sentenced to five years in prison, suspended for five years of probation, and a 30-day term of house arrest for presenting a falsified insurance certificate.
May 29, 2024 Fraud Insurance Industry Legislation & Regulation Litigation Montana

Tennessee Man Receives Federal Prison Sentence for Crop Insurance Fraud

David Garrett Manion of Lafayette, Tennessee, has been sentenced to 3 years and 6 months in federal prison for defrauding the federal crop insurance program. The scheme, which took place from 2016 to 2022, also resulted in a restitution order of $3.5 million.
May 29, 2024 Fraud Legislation & Regulation Litigation Risk Management Kentucky Tennessee

How to Avoid Ransomware Attacks in the Insurance Industry

Ransomware breaches can devastate insurance providers financially and reputationally. With attacks becoming more sophisticated, it’s crucial for providers to prevent data breaches proactively.
May 29, 2024 Fraud Insurance Industry Risk Management Technology

Florida Men Charged with Fraud in Staged Auto Accident Scheme

Four men in Miami-Dade County are facing charges for allegedly staging a car accident and submitting fraudulent insurance claims, resulting in payouts totaling over $50,000.
May 24, 2024 Auto Fraud Insurance Industry Litigation Florida

Janitorial Company Owners Face Charges for $2.4 Million Payroll Fraud

A janitorial company in San Bernardino, California, is under scrutiny as its owners face multiple felony counts for allegedly underreporting over $2.4 million in payroll to evade workers’ compensation premiums and payroll taxes.
May 24, 2024 Fraud Insurance Industry Litigation Workers' Compensation California

How AI Jim is Revolutionizing Claims Processing at Lemonade

Discover how Lemonade’s AI Jim is transforming the insurance claims process with unprecedented speed and accuracy.
May 24, 2024 Fraud Insurance Industry Risk Management Technology

Cargo Theft Expected to Increase Over Memorial Day Weekend

Prepare for a spike in cargo thefts this Memorial Day weekend with these essential tips from CargoNet.
May 24, 2024 Fraud Property Risk Management Technology California Florida Georgia Texas

Twin Doctors Admit Guilt in $45 Million Healthcare Fraud

Twin pain management doctors in Texas confessed to a $45 million healthcare fraud involving fake corticosteroid injections, facing up to 10 years in prison.
May 23, 2024 Fraud Insurance Industry Legislation & Regulation Litigation Texas

Massachusetts Doctor Sentenced for Health Care Fraud and Opioid Overprescription

Dr. Olarewaju James Oladipo receives 16 months in prison for defrauding health care programs and overprescribing opioids.
May 23, 2024 Fraud Legislation & Regulation Life & Health Litigation Massachusetts
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