Lawmakers Push for UI Fraud Prevention While Improving Equity and Access
In response to pandemic-era unemployment fraud, lawmakers propose solutions to improve fraud prevention and equity in UI systems, leveraging technology and data-sharing practices.
September 18, 2024
Fraud
Insurance Industry
Legislation & Regulation
Technology
Alabama
Kentucky
New Jersey
Vermont
Fraud Trends and Prevention: Key Findings from RGA’s 2024 Global Claims Fraud Survey
The 2024 Global Claims Fraud Survey from RGA reveals persistent fraud challenges, with 74% of insurers reporting steady or rising fraud cases, emphasizing the need for enhanced detection and prevention measures.
September 16, 2024
Fraud
Insurance Industry
Life & Health
Technology
Florida Home Inspector Accused of Reusing Photos in 200+ Insurance Inspections, Costing $88,000
A Florida home inspector is accused of using identical stock photos in over 200 inspections, costing Citizens Property Insurance Corp. thousands in fraudulent premiums and reinspection costs.
September 13, 2024
Fraud
Insurance Industry
Legislation & Regulation
Property
Florida
Investigators Sound Alarm on Fraudulent Water Damage Claims
Insurance fraud experts warn about exaggerated or false water damage claims, often linked to home renovations and fake sewage leaks, aimed at inflating insurance payouts.
September 13, 2024
Catastrophe
Fraud
Litigation
Property
California
Florida
Insurers Boost Use of RICO Lawsuits to Combat Staged Personal Injury Claims
Insurers and defense attorneys are increasingly turning to RICO lawsuits to fight fraudulent personal injury claims, with recent cases in Florida and New York highlighting the growing trend of staged accident schemes.
September 11, 2024
Auto
Fraud
Liability
Litigation
Florida
New York
Roof Damage Claims Surge Nationwide Amid Extreme Weather and Rising Costs
The surge in roof damage claims, driven by extreme weather and rising repair costs, is creating significant challenges for insurers, with increased fraud and evolving policy terms adding to the crisis.
September 11, 2024
Fraud
Legislation & Regulation
Property
Risk Management
Alabama
Arkansas
Florida
Illinois
Minnesota
Farmers’ Fraud Scheme: Tampered Rain Gauges Led to Million-Dollar Crop Insurance Scandal
A group of farmers in Colorado and Kansas tampered with rain gauges to falsely report drought conditions, leading to a multimillion-dollar crop insurance fraud. Their actions resulted in both criminal penalties and civil settlements.
September 9, 2024
Fraud
Insurance Industry
Litigation
Risk Management
Colorado
Kansas
Nebraska Couple Charged with Defrauding Geico in $80,000 Camper Insurance Scheme
A Nebraska couple faces felony charges for allegedly defrauding Geico out of nearly $80,000 by filing a false insurance claim on a stolen camper that was later found in Oklahoma.
September 5, 2024
Fraud
Insurance Industry
Litigation
Property
Nebraska
Oklahoma
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
