
Roofers Under Fire for Acting as Unlicensed Adjusters After Iowa Sting Operation
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.
September 4, 2024
Fraud
Insurance Industry
Legislation & Regulation
Property
Iowa

Miami Rehab Clinic Owner and Staff Face Felony Charges in Alleged Insurance Fraud Bust
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.
September 4, 2024
Fraud
Insurance Industry
Liability
Litigation
Florida

AI’s Transformative Impact on Risk Assessment, Fraud Detection, and Efficiency in Insurance
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.
September 4, 2024
Fraud
Insurance Industry
Risk Management
Technology

Top Innovators in AI-Powered Insurance Fraud Detection
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.
September 3, 2024
Fraud
Insurance Industry
Technology
Underwriting

Strangest Claims and Encounters Shared by Insurance Adjusters
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.
August 29, 2024
Catastrophe
Fraud
Liability
Weird
Nevada
New Jersey
New Mexico

San Francisco Tow Company Owner Faces New Federal Insurance Fraud Charges
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.
August 29, 2024
Auto
Fraud
Insurance Industry
Litigation
California

NYC’s DCWP Secures Over $600,000 for Consumers Exploited by R.G. Ortiz Funeral Homes
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.
August 28, 2024
Fraud
Legislation & Regulation
Life & Health
Litigation
New York

Fanatics Expands Lawsuit to Include Marvin Harrison Sr. in Fraud Allegations Against Harrison Jr.
Fanatics has amended its lawsuit against Cardinals receiver Marvin Harrison Jr., now accusing both him and his father, Hall of Famer Marvin Harrison Sr., of fraudulently inducing the company into an agreement that Harrison Jr. allegedly never intended to honor.
August 27, 2024
Fraud
Insurance Industry
Liability
Litigation

Clearwater Cybersecurity Firm Duped by North Korean Hacker in Remote Work Scheme
A Clearwater cybersecurity firm unknowingly hired a North Korean hacker who used a stolen American identity and collaborated with a U.S.-based laptop farm to infiltrate the company, highlighting the risks associated with remote hiring practices.
August 19, 2024
Fraud
Litigation
Risk Management
Technology
Florida
Tennessee

Toronto Man Faces Over 100 Charges in Major Auto Fraud and ReVINing Investigation
A Toronto resident has been arrested and faces more than 100 charges in connection with an extensive auto fraud and reVINing scheme. Police warn potential buyers to check vehicle history reports carefully.
August 19, 2024
Auto
Fraud
Insurance Industry
Legislation & Regulation

Taco Truck Owner Arrested After Staging Robbery and Arson for Insurance Payout
A Visalia taco truck owner has been arrested for staging a robbery and arson in an attempt to defraud insurance companies. Surveillance footage and a linked accomplice led authorities to uncover the plot, resulting in charges of conspiracy, arson, and insurance fraud.
August 14, 2024
Auto
Fraud
Litigation
Property
California

SEC Targets NovaTech and Leaders in $650 Million Global Crypto Scheme
The SEC has charged NovaTech Ltd. and its principals with defrauding over 200,000 investors in a $650 million crypto scheme, targeting the Haitian-American community and relying on a multi-level marketing structure to solicit funds.
August 14, 2024
Fraud
Legislation & Regulation
Litigation
Technology
California
Florida
New York

Massive Data Breach Hits National Public Data, Exposing Nearly Three Billion Records
A breach at National Public Data has exposed 2.9 billion records, including names, addresses, and Social Security numbers, making it one of the largest data thefts ever reported.
August 8, 2024
Fraud
Litigation
Risk Management
Technology
California

Multimillion-Dollar Insurance Fraud Ringleader Admits Guilt in Spokane
William Oldham Mize, the mastermind behind a multimillion-dollar insurance fraud scheme involving staged accidents, pled guilty in Spokane Federal Court. The scheme spanned multiple states and involved numerous conspirators, resulting in over $6 million in fraudulent insurance claims.
August 8, 2024
Auto
Fraud
Insurance Industry
Litigation
California
Florida
Idaho
Nevada
Washington

Florida Extends Contract Rescission Period for Public Adjusters After Hurricane Debby
Following Hurricane Debby, Florida’s CFO issued an emergency order extending the period for property owners to cancel contracts with public adjusters from 10 to 30 days and implementing new regulations for adjuster conduct.
August 8, 2024
Catastrophe
Fraud
Legislation & Regulation
Property
Florida




