
Preventing Insurance Fraud in the Age of Big Data
Fraud detection, historically reliant on human analysts, is being revolutionized by big data and advanced analytics, enabling automated and enhanced detection methods.
June 4, 2024
Fraud
Insurance Industry
Risk Management
Technology

Detroit Man Sentenced to Over Five Years for Pandemic Unemployment Fraud
A Detroit Man was sentenced to 63 months in prison and ordered to pay $512,000 in restitution for committing unemployment fraud during the COVID-19 pandemic.
June 3, 2024
Fraud
Insurance Industry
Legislation & Regulation
Litigation
Michigan
New Jersey

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



