Miami Construction Suppliers Charged in Major Workers’ Compensation Fraud Case
Miami-area labor suppliers face charges for underreporting payroll and cheating insurers out of over $220,000 in workers' compensation premiums.
January 30, 2024
Fraud
Insurance Industry
Litigation
Workers' Compensation
Florida
Illinois Man Admits to Arson Scheme for Insurance Fraud
Rufis Jefferson pleads guilty to multiple felonies in a calculated arson-for-hire scheme, aiming to defraud insurance companies through deliberately set fires.
January 23, 2024
Fraud
Insurance Industry
Litigation
Property
Illinois
Missouri
Texas Law Firm Faces Over $10 Million Judgment for Hurricane Claim Fraud
McClenny, Moseley & Associates, a Texas law firm, is ordered to pay over $10 million for fraudulent activities related to hurricane insurance claims.
January 23, 2024
Catastrophe
Fraud
Litigation
Property
Louisiana
Texas
Iowa Man Sentenced to Prison for Committing Insurance Fraud on Rental Properties
Timothy Daryle Sletten receives a 21-month prison sentence for defrauding State Farm Insurance through fraudulent property damage claims in Iowa.
January 19, 2024
Fraud
Litigation
Property
Iowa
Combating Insurance Fraud in Canada: The Digital Identity Solution
As insurance fraud rates rise in Canada, digital identity verification emerges as a key tool for balancing fraud prevention with customer experience.
January 17, 2024
Fraud
Insurance Industry
Risk Management
Technology
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
