Michigan Physician Charged with Disability Insurance Fraud
A Sylvan Lake physician has been charged for allegedly filing fraudulent disability claims, resulting in over $300,000 in unwarranted payments.
March 13, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Michigan
Jacksonville Funeral Home Director Faces Insurance Fraud Charges
A former funeral home director in Jacksonville pleads not guilty to charges centered around false insurance claims and theft, highlighting the need for stricter oversight.
March 13, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Florida
New York Car Theft Ring Dismantled in Major Law Enforcement Operation
Nine members of a sophisticated car theft ring in Westchester County, NY, have pleaded guilty, marking a significant victory for law enforcement against organized crime.
March 13, 2024
Auto
Fraud
Legislation & Regulation
Technology
New York
Pennsylvania
Colorado Farmers Agree to Pay Over $6.5 Million in Fraud Case Involving Federal Crop Insurance
Two Colorado farmers, Patrick Esch and Ed Dean Jagers, settle for $6.5 million after defrauding federal crop insurance programs through rain gauge tampering.
March 13, 2024
Fraud
Legislation & Regulation
Colorado
Two Convicted in Workers’ Compensation Fraud Cases in New York
New York Inspector General’s office secures guilty pleas in cases of workers’ compensation fraud, recovering over $50,000 in misappropriated funds.
March 11, 2024
Fraud
Legislation & Regulation
Workers' Compensation
New York
Revolutionizing Insurance Claims Handling with Artificial Intelligence
AI in insurance claims processing enhances efficiency, reduces costs, and improves fraud detection, offering a better customer experience and streamlining operations.
March 11, 2024
Fraud
Risk Management
Technology
Rapid Growth in AI Adoption for Anti-Fraud Initiatives Predicted Through 2026
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.
March 6, 2024
Fraud
Insurance Industry
Technology
Ransomware Assault on Change Healthcare Leads to $22 Million Payment and Sector-Wide Alarm
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.
March 5, 2024
Fraud
Life & Health
Technology
Survey Exposes Lack of Awareness Among Americans Regarding Litigation Costs and Their Impact
Over 60% of Americans are unaware of the added household costs due to litigation tactics, highlighting the need for legal system reforms.
March 5, 2024
Fraud
Insurance Industry
Legislation & Regulation
Liability
Insurance Claim Denied After Irish Woman Caught in Athletic Feat Post-Accident
An $820,000 insurance claim was dismissed after evidence emerged of the claimant partaking in a Christmas tree throwing contest, contradicting her injury claims.
March 4, 2024
Auto
Fraud
Litigation
Major Insurance Fraud Ring Busted in Everett, Six Indicted
A sophisticated insurance fraud scheme in Everett involving over $1 million in false claims leads to multiple indictments, with two suspects still at large.
February 27, 2024
Fraud
Litigation
Risk Management
Massachusetts
Rhode Island
Bumble Inc. Agrees to $315,000 Settlement with New Jersey Over Dating Safety Law Violations
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.
February 23, 2024
Fraud
Legislation & Regulation
Risk Management
Technology
New Jersey
Texas
Tax Preparer Admits to Pandemic Unemployment Insurance Fraud Scheme
A tax preparer from Allen Park pleads guilty to using stolen identities for filing false unemployment claims during the pandemic, facing significant prison time.
February 21, 2024
Fraud
Legislation & Regulation
Risk Management
Michigan
Major Medicaid Fraud Case Ends with $6.4 Million Seizure in New Jersey
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.
February 14, 2024
Fraud
Legislation & Regulation
Property
New Jersey
FTC Reports Record-Breaking $10 Billion Lost to Fraud in 2023
For the first time, consumer fraud losses have hit the $10 billion mark in 2023, with investment scams leading the way, according to FTC data.
February 13, 2024
Fraud
Legislation & Regulation
Technology
