
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

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



