Sacramento Business Owner Fined Over $687K for Workers’ Comp Fraud
Jorge Maldonado, owner of Pro-Care Building Maintenance, has been ordered to pay nearly $700,000 in restitution for underreporting employee numbers to reduce workers' comp premiums.
April 29, 2024
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
California
Insurance Industry Leverages AI to Enhance Efficiency and Decision-Making
The insurance industry has rapidly adopted AI, enhancing operations across sales, underwriting, and risk management to optimize performance and profitability.
April 29, 2024
Fraud
Insurance Industry
Technology
Underwriting
Record Highs in Healthcare Fraud Losses in Early 2024 Spark Concern
Americans faced over $16 million in losses to healthcare fraud in the first quarter of 2024, marking a significant increase in fraudulent activities.
April 26, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Florida
2024 Coalition Cyber Claims Report Reveals Key Cybersecurity Insights and Trends
The latest Coalition Cyber Claims Report highlights significant trends in cybercrime, emphasizing the importance of robust cyber defenses.
April 24, 2024
Fraud
Insurance Industry
Risk Management
Technology
Globe Life Addresses DOJ Investigation and Rejects Fraud Allegations Amidst Stock Plunge
Globe Life has confirmed it is cooperating with a DOJ probe into sales practices while strongly denying fraud allegations by short-seller Fuzzy Panda Research.
April 24, 2024
Fraud
Insurance Industry
Life & Health
Litigation
Pennsylvania
Texas
Former Military Financial Counselor Admits to Defrauding Bereaved Military Families
A former financial counselor for the army has pled guilty to a scheme defrauding families of fallen soldiers, impacting life insurance payouts.
April 23, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
New Jersey
Florida Couple Arrested for Attempted Million-Dollar Lottery Fraud
A couple from DeFuniak Springs, Florida, was arrested for attempting to claim a $1 million lottery prize using an altered scratch-off ticket.
April 22, 2024
Fraud
Weird
Florida
Adjusters Discuss Challenges with Mitigation Company Charges and Negotiations
Adjusters on a professional forum share experiences and strategies for handling escalating bills from mitigation companies and their refusal to negotiate.
April 19, 2024
Education & Training
Fraud
Insurance Industry
Risk Management
Florida
Federal Court Orders Arbitration in GEICO Fraud Case Against Chiropractors
The Third Circuit Court of Appeals has ruled that claims of insurance fraud under New Jersey's PIP statute must go to arbitration, reversing previous decisions against three chiropractors.
April 19, 2024
Fraud
Insurance Industry
Legislation & Regulation
Litigation
New Jersey
Former Augusta National Employee Faces Charges for Stealing Masters Merchandise
An ex-employee of Augusta National Golf Club is accused of stealing millions in Masters golf merchandise over a thirteen-year period.
April 18, 2024
Fraud
Legislation & Regulation
Property
Risk Management
Florida
Georgia
Illinois
North Carolina Public Adjuster and Roofing Contractor Son to Face Charges in Insurance Scam
A North Carolina mother and her son are accused of defrauding over $20,600 through bogus insurance claims involving home repairs.
April 18, 2024
Fraud
Insurance Industry
Litigation
Risk Management
North Carolina
Connecticut Man Sentenced for $900K Medicaid Fraud Involving Unlicensed Counseling Claims
Ramon Apellaniz of East Hartford is sentenced to prison and must pay $900,000 after fraudulently billing Medicaid for unlicensed counseling services.
April 18, 2024
Fraud
Legislation & Regulation
Life & Health
Litigation
Connecticut
Workers’ Compensation Fraud Charges Filed in The Villages
A 74-year-old man faces felony fraud charges over a disputed worker's compensation claim in The Villages, Florida.
April 17, 2024
Fraud
Insurance Industry
Legislation & Regulation
Workers' Compensation
Florida
Michigan
Former NBA Player Sentenced in Health Insurance Fraud Case
Will Bynum, ex-Detroit Pistons guard, receives an 18-month prison sentence for his role in a major NBA insurance fraud scandal.
April 17, 2024
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Illinois
New York
Former Chiropractor Receives Over Half Century Sentence for Massive Workers’ Compensation Fraud
Former chiropractor sentenced to 54 years for orchestrating a $150 million workers' compensation fraud scheme in Riverside, California.
April 16, 2024
Fraud
Insurance Industry
Litigation
Workers' Compensation
California
