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.
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.
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.
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.
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.
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.
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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.
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.
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.
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.
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.