
Lawmakers Push for Unemployment Insurance Reforms After Pandemic Fraud
In response to massive fraud during the COVID-19 pandemic, U.S. lawmakers are advocating for reforms to restore confidence and integrity in the unemployment insurance program.
June 13, 2024
Fraud
Insurance Industry
Legislation & Regulation
Risk Management
California
Illinois

Texas Man Sentenced for $2 Million Unemployment Insurance Fraud
Frank Sherman of Garland, Texas, received a two-year prison sentence and must pay nearly $2.3 million in restitution for his involvement in an unemployment insurance fraud scheme.
June 13, 2024
Fraud
Insurance Industry
Legislation & Regulation
Litigation
California
Nevada
Texas

Missouri Doctor Settles Health Insurance Fraud for $1.2M
Dr. Nehal Modh and Progressive Pain Management in Festus, Missouri, agreed to a $1.2 million settlement for submitting false Medicare and Medicaid claims. Whistleblower awarded $177,707.
June 13, 2024
Fraud
Legislation & Regulation
Life & Health
Litigation
Missouri

Woman Sues Ice Cream Company Over Lack of Real Pistachios
A woman from Long Island is suing Cold Stone Creamery, alleging that its pistachio ice cream contains no actual pistachios. The lawsuit could have significant implications for ice cream lovers across the country.
June 12, 2024
Fraud
Legislation & Regulation
Litigation
New York

Major Workers’ Compensation Insurance Fraud Uncovered in California
Two farm labor contractors in Kings County, California have been arraigned on multiple felony counts for allegedly underreporting $29.2 million in payroll to save on workers’ compensation insurance premiums and taxes.
June 12, 2024
Fraud
Legislation & Regulation
Litigation
Workers' Compensation
California

Retired Fire Captain Arrested for Alleged Insurance Fraud
A retired fire captain from Davie, Florida, faces charges of insurance fraud and criminal use of personal identification for allegedly submitting falsified lodging invoices related to a 2022 insurance claim.
June 12, 2024
Fraud
Insurance Industry
Liability
Litigation
Florida

CityMD Settles $12 Million Allegations Over False Claims for COVID-19 Testing
CityMD settles allegations of submitting false claims for COVID-19 testing to a federal program for uninsured patients, paying $12.04 million to resolve the issue.
June 11, 2024
Fraud
Legislation & Regulation
Life & Health
Litigation
New Jersey
New York
Tesla’s False Advertising Case on Self-Driving Tech to Go to Trial
A California judge rules that Tesla must face trial over accusations of false advertising related to its self-driving technology, following investigations and failed attempts to dismiss the case.
June 11, 2024
Fraud
Legislation & Regulation
Litigation
Technology
California

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme
Gustavo Kinrys, a psychiatrist from Wellesley, Massachusetts, sentenced to 99 months in prison for a $19 million insurance fraud scheme used to finance luxury homes and purchase over $600,000 in high-end jewelry.
June 10, 2024
Fraud
Insurance Industry
Life & Health
Litigation
Massachusetts

Court Panel Recommends Distribution of $2.13 Billion in Opioid Crisis Legal Fees
Court-appointed panel allocates $2.13 billion in legal fees from opioid settlements, with leading firms set to receive substantial shares.
June 10, 2024
Fraud
Life & Health
Litigation
Risk Management

Increasing TPLF and Securities Class Actions Heighten Insurer Risks
Rising settlements and third-party litigation funding (TPLF) trends drive higher risks and costs for insurers, impacting policyholders and consumer prices.
June 10, 2024
Fraud
Insurance Industry
Litigation
Risk Management

North Carolina Insurance Agent Faces 74 Felony Charges for Identity Theft and Forgery
A licensed insurance agent from Nash County has been charged with 74 felony counts, including identity theft and forgery, after allegedly forging life insurance applications to obtain funds illegally.
June 7, 2024
Fraud
Insurance Industry
Life & Health
Litigation
North Carolina

North Carolina Battles Rising Insurance Fraud Since Pandemic
North Carolina has experienced a significant increase in insurance fraud since the COVID-19 pandemic, with seniors being heavily targeted by scams. State officials are urging vigilance and reporting to combat the issue.
June 5, 2024
Fraud
Insurance Industry
Legislation & Regulation
Risk Management
North Carolina

Transforming Insurance Claims with Artificial Intelligence
At Carrier Management’s annual InsurTech Summit, Frank Giaoui of Optimalex Solutions and Shane Riedman of Verisk explored how artificial intelligence (AI) is revolutionizing property/casualty insurance claim processing.
June 4, 2024
Fraud
Insurance Industry
Risk Management

New Jersey Man Sentenced for Leading Major No-Fault Insurance Fraud in New York
Bradley Pierre has been sentenced to 10 years in prison for orchestrating a $60 million fraud targeting No-Fault automobile insurance companies, marking one of the largest such frauds in New York history.
June 4, 2024
Fraud
Insurance Industry
Legislation & Regulation
Litigation
New Jersey
New York



