Two Colorado farmers, Patrick Esch and Ed Dean Jagers, settle for $6.5 million after defrauding federal crop insurance programs through rain gauge tampering.
AI in insurance claims processing enhances efficiency, reduces costs, and improves fraud detection, offering a better customer experience and streamlining operations.
A new report forecasts a significant rise in AI and machine learning usage in anti-fraud programs, with a nearly threefold increase anticipated by 2026.
The ransomware attack on Change Healthcare has not only disrupted US pharmacies but also sparked a potential $22 million ransom payment, raising concerns across the health care sector.
An $820,000 insurance claim was dismissed after evidence emerged of the claimant partaking in a Christmas tree throwing contest, contradicting her injury claims.
A sophisticated insurance fraud scheme in Everett involving over $1 million in false claims leads to multiple indictments, with two suspects still at large.
Bumble Inc. settles for $315,000 and agrees to revise its practices to meet New Jersey’s strict consumer protection and internet dating safety standards.
A tax preparer from Allen Park pleads guilty to using stolen identities for filing false unemployment claims during the pandemic, facing significant prison time.
New Jersey’s aggressive stance against Medicaid fraud results in a $6.4 million seizure, marking a significant victory for the state’s healthcare system integrity.
Starting in 2024, small businesses must disclose beneficial owner information to FinCEN under the Corporate Transparency Act, with exemptions applying to certain entities.