West Virginia Man Charged After Illegally Using Over $20K in Deceased Relative’s Workers’ Comp Payments

A Salt Rock resident faces multiple felony charges after admitting to using more than $20,000 in workers’ comp benefits sent in error to his deceased relative’s account.
May 20 Fraud Insurance Industry Litigation Workers' Compensation West Virginia

How Property and Casualty Insurers Can Combat Fraud with AI-Driven Multimodal Technology

AI-powered multimodal tech is helping property and casualty insurers detect fraud more accurately across the claims cycle, potentially saving billions and lowering premium costs.
May 13 Fraud Insurance Industry Property Technology

Escrow Officer Sentenced to Prison for Orchestrating $350K Title Fraud Scheme in Texas

A McAllen, Texas escrow officer was sentenced to 24 months in prison for wire fraud after falsifying real estate documents and defrauding lenders and buyers of over $350,000.
May 13 Fraud Insurance Industry Litigation Property Texas

Amtrak Health Plan Defrauded of $12 Million by Over 100 Employees and Medical Providers

Over 100 Amtrak employees joined forces with medical providers in a fraudulent health insurance scheme that cost the company more than $12 million, a new report finds.
May 12 Fraud Insurance Industry Legislation & Regulation Risk Management Connecticut Delaware District Of Columbia Maryland New Jersey

Insurers Prioritize Claims Over Underwriting in Anti-Fraud Tech Use

While most U.S. insurers use technology to detect claims fraud, fewer are leveraging these tools for underwriting or internal fraud, a new survey reveals.
May 12 Fraud Insurance Industry Technology Underwriting

Cybercrime Rings Are Stealing Billions in Government Aid Using Stolen American Identities

Organized cybercriminals, including foreign nation-state actors, are exploiting U.S. aid programs using stolen identities, with losses potentially nearing $1 trillion annually.
May 12 Catastrophe Fraud Legislation & Regulation Technology

Nationwide Auto Theft Ring Busted as Queens DA Charges 20 in $4.6M Scheme

Prosecutors say a sophisticated criminal network used social media to resell 126 stolen cars in a multi-state operation that spanned from New York to Tennessee.
May 9 Fraud Litigation Risk Management Technology Massachusetts New Jersey New York Tennessee

Allstate Becomes One of the First Major Insurers to Explore Quantum Computing Through Chicago Quantum Exchange

Allstate partners with the Chicago Quantum Exchange to explore how quantum computing could transform risk analysis, fraud detection, and customer service in insurance.
May 8 Fraud Insurance Industry Risk Management Technology Illinois Indiana Wisconsin

Sedgwick Enhances Claims Accuracy and Fraud Detection with Verint Trust Bot AI

Sedgwick has adopted the Verint Trust Bot to speed up insurance claims processing and enhance fraud detection using patented behavioral analytics and explainable AI.
May 7 Fraud Insurance Industry Technology

Burger King Faces Federal Court over Whopper Size Misrepresentation Claims

A federal judge in Florida ruled that Burger King must face a lawsuit accusing the company of falsely advertising the Whopper’s size and ingredients in promotional materials.
May 7 Fraud Insurance Industry Litigation Risk Management Florida

Man Charged in Australia Drowning Case as Life Insurance Claims Raise Suspicion

A man returning from overseas has been charged with murdering his wife during a 2020 kayaking trip after police linked over $1 million in life insurance claims to the death.
May 6 Fraud Liability Litigation Risk Management

FBI Warns of Rising Discount Medical Insurance Scams Costing Victims Thousands

The FBI warns consumers about discount medical insurance scams that falsely promise savings but leave victims with unpaid medical bills and unauthorized charges.
May 6 Fraud Legislation & Regulation Life & Health Risk Management

Woman Sentenced to Prison for $650,000 Crop Insurance Fraud Scheme

Jatinderjeet ‘Jyoti’ Sihota will serve one year in prison for orchestrating a crop insurance fraud scheme that led to over $650,000 in fraudulent payouts in California.
April 29 Fraud Insurance Industry Litigation Property California

Four Charged in Southern California Workers Compensation Fraud Scheme

California officials charged four people with felony conspiracy and unlawful referrals in a $14.5 million workers’ compensation fraud scheme targeting Spanish-speaking workers.
April 28 Fraud Insurance Industry Legislation & Regulation Workers' Compensation California

How Property and Casualty Insurers Can Combat Fraud with AI-Driven Multimodal Technologies

Property and casualty insurers can leverage AI-powered multimodal fraud detection to protect their bottom lines, lower costs for policyholders, and reduce fraudulent claims.
April 28 Fraud Insurance Industry Property Technology

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