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
AI’s Impact on Insurance: A Closer Look at Claims and Underwriting
Exploring the integration of AI in insurance, focusing on claims and underwriting, and its potential to redefine industry practices and profitability.
November 30, 2023
Fraud
Insurance Industry
Risk Management
Technology
FTX Investors Target Sports Entities in Crypto Fraud Lawsuit
Major League Baseball, Formula 1, and Mercedes-Benz racing team face lawsuit for allegedly aiding FTX's multi-billion-dollar crypto fraud.
November 29, 2023
Fraud
Legislation & Regulation
Litigation
Risk Management
Florida Man Sentenced for Workers’ Compensation Insurance Fraud in Construction Industry
Ramon Paz of Lakeland, Florida, receives a 33-month federal prison sentence for orchestrating a workers' compensation insurance fraud, impacting the construction sector.
November 21, 2023
Fraud
Legislation & Regulation
Liability
Workers' Compensation
Florida
Former Museum CEO Files Countersuit Over Basquiat Forgery Scandal in Florida
Amidst the forgery scandal involving Jean-Michel Basquiat paintings, the ex-CEO of a Florida museum countersues over allegations of wrongful termination and defamation.
November 17, 2023
Fraud
Liability
Litigation
Property
Florida
Vegas Casinos Hit by Major Cyberattacks: MGM and Caesars Face Severe Consequences
MGM Resorts and Caesars Entertainment face severe fallout from major cyberattacks, highlighting the critical importance of cybersecurity in today's digital age.
November 17, 2023
Fraud
Liability
Risk Management
Technology
Nevada
