Louisiana Insurance Commissioner Issues Cease-And-Desist Order To Law Firm Admittedly Committing Fraud

The Louisiana Department of Insurance (LDI) has found evidence that McClenny, Moseley & Associates (MMA), a Houston-based law firm, engaged in an illegal insurance scheme involving Alabama-based Apex Roofing and Restoration.
February 23, 2023 Fraud Legislation & Regulation Louisiana

New Orleans Businessman Conspired With Police Officer On Fraudulent Stolen Art Claim

Fouad Zeton, a restaurateur and former owner of a Lower Garden District mansion that has played host to a slew of New Orleans political fundraising events, is set to plead guilty to a federal wire fraud charge, court records show.
February 23, 2023 Fraud Louisiana

A Moment Of Truth For Tesla

It’s a sign of the times at Tesla that I need to specify which issue is the moment of truth that I refer to in the headline. I’m not talking about the high-profile lawsuit that began last week into whether CEO Elon Musk owes damages to investors who bought stock in 2018 when he tweeted, falsely, that he had "funding secured" to take the company private.
January 24, 2023 Auto Fraud Technology

Insurance Fraud Organizations Want Carjacking Tutorials Removed

The National Insurance Crime Bureau (NICB), together with the Coalition Against Insurance Fraud and the International Association of Special Investigation Units, has sent a joint letter to YouTube requesting the social media platform to take down all videos that provide ‘how to’ tutorials on carjacking Kia and Hyundai automobiles.
January 23, 2023 Auto Fraud

Arrested: Adjuster Kept Hurricane Ida Claims Payouts

Louisiana State Police arrested an insurance adjuster Thursday on charges of pocketing more than $592,000 that he obtained on behalf of seven Hurricane Ida victims in Orleans, St. Charles, St. John the Baptist and Tangipahoa parishes.
January 13, 2023 Fraud Property Louisiana

Fraudsters Convicted In $31M Personal Injury Litigation Scheme

Personal injury attorney, George Constantine, and orthopedic surgeon, Andrew Dowd, were convicted by a Manhattan federal jury on Friday, December 16, for knowingly profiting from a $31 million personal injury litigation scam.
January 5, 2023 Fraud Litigation New York

Class Action Lawsuits Set New Billion Dollar Settlement Records In 2022

In 2022, class action lawsuits, which can create crises for companies and organizations, set new records for the amount of settlements in product liability, consumer fraud, antitrust, and other cases. The total value of the settlements exceeded $63 billion.
January 5, 2023 Fraud Liability Litigation

The Legal Gymnastics Of Faked Car Accidents

As another year of the COVID-19 pandemic draws to an arduous close, consumers are feeling greater economic pressure in terms of inflation. Consequently, an unforeseen yet unsurprising byproduct has evolved: a fraudulent insurance epidemic, spurred by staged and fraudulent auto accidents.
January 3, 2023 Auto Fraud

Independent Adjusters In 3 States Accuse Carriers Of Changing Estimates, Fraud

Several adjusters recently told Florida’s House Commerce Committee that insurance carriers changed their estimates on damaged houses, which the committee chairman said should be investigated by the state attorney general since that’s an accusation of fraud.
December 30, 2022 Fraud Florida Texas

How Video Fast-Tracks Underwriting, Claims

A bright spot for small business insurers: Customer trust is on the rise. Fifty percent of small business owners trust their carriers more than they did pre-pandemic. That number jumps to 80% when the business owner has filed a claim
December 9, 2022 Fraud Property Technology Underwriting

Predictive Tools, Preventive Practices: Strategies For Winning The Battle Against Insurance Fraud

There’s no sugarcoating it: Insurance fraud hurts everyone. ‘As fraud is perpetrated, it increases claim costs, which increases overall risk, which increases premiums, which increases the cost of goods and services performed by the companies paying the premiums,’ said Jon Shifflett, AVP, investigative services, CIS, at AmTrust.
December 7, 2022 Fraud

Users Not Grasping Social Media Risks

After checking email and reading articles or books, using social media sites is the third most popular activity on the Internet, and the second most popular on mobile devices.
December 2, 2022 Fraud Risk Management

Monitoring Social Media For Fraud

Social media connects brands and businesses to their target audiences, driving greater awareness, revenue and loyalty. Among social media users, 86% follow brands and 57% are more likely to buy from those brands.
December 1, 2022 Fraud Risk Management

Resistant AI, Claim Technology Partner to Stop Fraudulent Insurance Claims

Resistant AI will deploy its AI-powered anti-fraud technology into InsurTech specialists Claim Technology to help it protect against fraudulent insurance claims.
Through this partnership, claims handlers will have the tools to spot forged documents to a level of forensic analysis that is impossible to detect with the human eye.
November 28, 2022 Fraud Technology

Court Finds Business Interruption Coverage for Losses Resulting From Fraudulent Email Scheme

A Minnesota federal district court has held that a software company is entitled to coverage for losses related to diverted billing emails under its business interruption coverage, rejecting the insurer’s argument that the phrase ‘business operations’ in the insuring clause referred only to income-generating activities.
November 22, 2022 Fraud Litigation Property
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