Professional Insurance Adjusting And Insurance Fraud

Insurers tend to forget that the promises made by an insurance policy are essentially kept by the professional claims person. A professional claims staff is a cost-effective method to avoid litigation.
February 8, 2021 Education & Training Fraud

The Most Common Pandemic Insurance Fraud Schemes

Insurance fraud isn’t the most splashy form of crime and it rarely dominates the news cycle. But it does impact your wallet every day.
January 21, 2021 Auto Fraud Liability Property

Claims Processor Sentenced For Role In $8.4M Fraud Ring

Six people – five from Indiana and one from Michigan – have been sentenced for their roles in a fraud scheme that defrauded both a bank and an insurance company.
January 19, 2021 Fraud Indiana

Claims Adjuster Used Stolen Funds To Support Gambling Addiction

A former ICBC insurance adjuster who defrauded the Crown corporation of over $420,000 to pay for a gambling addiction has been sentenced to two years in jail.
January 13, 2021 Fraud

Avoiding Culture Clashes

Conducting a potential fraud investigation of a company’s own insured is a sensitive task. It can be further complicated by not taking into account an insured’s cultural background, which in some cases can make conduct look suspicious even when it’s not. On the other hand, cultural practices may also provide clues about actual improper conduct.
December 14, 2020 Fraud

Surveillance Reveals Insurance Fraud Group Staged Accidents, Strategically Smashed Vehicles

At least a dozen people in New Rochelle and the Bronx were indicted Wednesday in a cunning car fraud scheme to collect insurance by strategically smashing vehicles and submitting big-buck bills while scrimping on the actual repairs, prosecutors said.
December 10, 2020 Auto Fraud New York

Florida Attorneys Investigated For Illegal Solicitation Of Insurance Claims

It can happen to anyone: Someone knocks on your door and says they’re a repairman or an insurance expert and can fix damage to your home at no cost to you. They might say they can get you a new roof. Or a new kitchen.

Your insurance company will get the bill, they’ll say, and you won’t be out a penny.

Watch out. You’re about to be sucked into a thriving insurance scam that’s enriching a handful of law firms, threatening the financial stability of Florida’s home insurance industry and driving up annual premiums for millions of homeowners who have never filed a claim.

A newly filed complaint against one of the state’s most notorious insurance attorneys lays out the alleged scheme.

After you agree to accept their help, your visitor will hand you their tablet or cellphone and ask for your signature, saying it’s needed to hire their company. You’ll sign it without scrolling up.
December 7, 2020 Fraud Property Florida

State Farm, Cops Believe Judge Candidate Is Insurance Fraudster

An attorney in New Iberia, LA running for District Court Judge for Division ‘H’ in the 16th Judicial District is under investigation for her alleged role in an auto insurance fraud scheme.
November 30, 2020 Fraud Louisiana

Attorney Indicted, Key Witness Murdered As FBI Turns Up The Heat In Louisiana Insurance Fraud Investigation

Dozens of staged accidents. Scores of hustlers. Millions of dollars paid to settle fraudulent lawsuits with fake injury claims.
November 24, 2020 Fraud Liability Louisiana

Shameless Schemers, Class Of 2020

As microbes march across America, the parallel pathogen of insurance crime also continues prowling for victims. Look no farther than the newest avatars of avarice, the Insurance Fraud Hall of Shame.
November 10, 2020 Fraud

CA Claims Adjuster And Chiropractor Co-Conspirator Arrested In $1.6 Million Fraud

Claims adjuster Agop Sarafian of La Crescenta, and chiropractor Shahe Topjian, D.C. of Granada Hills were recently arrested on felony insurance fraud charges after allegedly conspiring to defraud Sarafian’s employer, the State Compensation Insurance Fund (State Fund), by setting up fake workers’ compensation lien payments to receive undeserved insurance payouts of over $1.6 million.
November 3, 2020 Fraud Workers' Compensation California

Surveillance Video Spoils Man’s Slip-And-Fall Claim

A man from Riviera Beach is accused of insurance fraud after surveillance video tripped up his story and demand for more than $250,000.
October 22, 2020 Fraud Florida

17 Tobacco Farmers Settle Civil Claims In Widespread Crop Insurance Fraud Investigation

Seventeen tobacco farmers have agreed to resolve civil allegations that they violated the False Claims Act, a federal law that prohibits submitting false or fraudulent claims for payment to the government.
October 20, 2020 Fraud Georgia

Police Chief Crushed By Falling Corpse Faces Workers’ Compensation Fraud Charges

If ever there was a headline that made you look at an article, the one appended to this post is probably it. This story has it all.
October 20, 2020 Fraud Workers' Compensation Washington

N.C. Information System Advances Insurance Fraud Investigations

This year North Carolina has seen a 90 percent increase in efficiency for managing cases related to insurance fraud. The key to the state’s success is a new tool called the Insurance Crimes Investigation System (ICIS), which was implemented in March after well more than a year of design and development.
October 15, 2020 Fraud
SOS Ladder AssistMid-America Catastrophe ServicesAspen Claims ServiceU.S. ForensicWeller Salvage