Arizona Health Care Provider Settles Fraud Allegations for Nearly $10 Million
Atlantic Home Health Care LLC agrees to pay nearly $10 million to settle allegations of defrauding a federal health care program for Department of Energy employees.
January 11, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Arizona
Florida Check-Cashing Fraud Scheme Leads to Prison Sentences for Three Conspirators
Gabriela Inamagua, alongside her father and his former girlfriend, faces prison for a multi-million dollar fraud scheme involving shell companies and insurance deception.
January 4, 2024
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
Florida
Crawford & Company Experts Forecast Key 2024 Trends in Insurance Industry
Industry leaders at Crawford & Company share their insights on the evolving landscape of insurance in 2024, emphasizing technology, climate change, workforce dynamics, and fraud.
January 4, 2024
Catastrophe
Fraud
Technology
Contractor Charged for Defrauding Liberty Mutual of $9 Million in Insurance Premiums
Georgia contractor Jose Martinez faces charges for defrauding Liberty Mutual Insurance by underreporting payroll, impacting workers’ compensation premiums.
January 4, 2024
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
Navigating the Challenges of Surveillance in Insurance Claims
The use of surveillance in insurance, while valuable, carries intricate legal and ethical nuances, as highlighted in CLM’s 2023 Focus Conference.
December 27, 2023
Education & Training
Fraud
Liability
Technology
Uncovering the True Impact of Insurance Fraud at 2023 CLM Focus Conference
Understanding the real impact of insurance fraud, as experts reveal its staggering annual cost and debunk the myth of it being a victimless crime.
December 22, 2023
Fraud
Litigation
Property
Workers' Compensation
Physicians and Former Hospital Executive Settle for Over $880,000 in Kickback Scheme
Four doctors and a former hospital administrator settle allegations of receiving kickbacks for lab referrals, highlighting the importance of ethical medical practices.
December 21, 2023
Fraud
Legislation & Regulation
Liability
Life & Health
Massachusetts
Texas
New Jersey Man Pleads Guilty in Massive No-Fault Auto Insurance Fraud Scheme
Bradley Pierre’s guilty plea unveils a decade-long, $60-$70 million no-fault auto insurance fraud, involving medical clinics, bribes, and tax evasion in New York and New Jersey.
December 19, 2023
Auto
Fraud
Legislation & Regulation
Litigation
New Jersey
New York
Florida Adjusters Allege Insurance Companies Altered Damage Estimates, Demand Investigation
Independent claims adjusters in Florida allege several insurance companies have misleadingly altered wind damage estimates, sparking calls for an investigation into potential fraud.
December 14, 2023
Fraud
Insurance Industry
Legislation & Regulation
Property
Florida
Understanding the Fine Line Between Fraud and Red Flags in Workers’ Compensation Claims
Delving into the legal intricacies of fraud versus red flags in workers’ compensation, emphasizing the role of claims and risk managers in identifying potential fraudulent activities.
December 14, 2023
Education & Training
Fraud
Risk Management
Workers' Compensation
Former Georgia Agent Charged with Insurance Fraud and Forgery
A former insurance agent in Georgia faces charges for allegedly diverting a $3,500 premium payment to his personal account, sparking an investigation by the state’s insurance commissioner.
December 13, 2023
Fraud
Insurance Industry
Legislation & Regulation
Liability
Georgia
Swift Action by Auburn Police Leads to Recovery of 16 Stolen Rental Cars
Auburn Police demonstrate exceptional efficiency by recovering 16 stolen vehicles within 36 hours, working in collaboration with local businesses and state authorities.
December 12, 2023
Auto
Fraud
Massachusetts
Multi-Million-Dollar Insurance Fraud Ringleader Captured After Four Years as a Fugitive
After a lengthy pursuit, US Marshals arrest William Maze, the alleged leader of a vast insurance fraud operation, marking a significant breakthrough in the case.
December 4, 2023
Auto
Fraud
Legislation & Regulation
Florida
Nevada
Washington
Genesis Reference Laboratories Settles for Over $1 Million in False Claims Act Case Involving Kickbacks
Orlando-based Genesis Reference Laboratories agrees to a significant settlement to resolve allegations of illegal kickbacks, highlighting ongoing healthcare fraud issues.
December 4, 2023
Fraud
Legislation & Regulation
Life & Health
Florida
Missouri
New Jersey
Texas
Florida Crackdown on Roof Insurance Fraud Leads to Multiple Arrests
Florida authorities arrest individuals in a major roof insurance fraud scheme, highlighting the ongoing challenges in the industry.
December 4, 2023
Fraud
Legislation & Regulation
Property
Florida
