Artificial intelligence is aiding insurers and employers in reducing workers comp costs by identifying difficult and fraudulent claims, but it remains a tool for claims handlers rather than a replacement.
A survey in Ireland and the UK by Aviva finds four in ten respondents might exaggerate home insurance claims for extra compensation, with a majority supporting stricter penalties for fraud.
Nearly 200 individuals, including 13 from New Jersey, have been charged in a $2.75 billion health care fraud scheme that targeted Medicare, Medicaid, TRICARE, and private insurers.
The Alameda County District Attorney’s Consumer Justice Bureau has filed a lawsuit against several home insurance carriers in California, including Farmers Insurance Exchange.
In response to massive fraud during the COVID-19 pandemic, U.S. lawmakers are advocating for reforms to restore confidence and integrity in the unemployment insurance program.
Frank Sherman of Garland, Texas, received a two-year prison sentence and must pay nearly $2.3 million in restitution for his involvement in an unemployment insurance fraud scheme.
Dr. Nehal Modh and Progressive Pain Management in Festus, Missouri, agreed to a $1.2 million settlement for submitting false Medicare and Medicaid claims. Whistleblower awarded $177,707.
A woman from Long Island is suing Cold Stone Creamery, alleging that its pistachio ice cream contains no actual pistachios. The lawsuit could have significant implications for ice cream lovers across the country.
Two farm labor contractors in Kings County, California have been arraigned on multiple felony counts for allegedly underreporting $29.2 million in payroll to save on workers’ compensation insurance premiums and taxes.
A retired fire captain from Davie, Florida, faces charges of insurance fraud and criminal use of personal identification for allegedly submitting falsified lodging invoices related to a 2022 insurance claim.
CityMD settles allegations of submitting false claims for COVID-19 testing to a federal program for uninsured patients, paying $12.04 million to resolve the issue.
A California judge rules that Tesla must face trial over accusations of false advertising related to its self-driving technology, following investigations and failed attempts to dismiss the case.
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.
