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Former Miami Claims Adjuster Arrested for Fraud

Florida’s Chief Financial Officer made an announcement regarding the arrest of Kiyuana Pasley, a former claim adjuster for Progressive Insurance. Pasley faces serious charges including one count of Organized Fraud, 11 counts of Insurance Fraud, and 11 counts of Grand Theft.
June 5, 2023 Fraud Florida


NICB Raises Alarm on Post-disaster Contractor Fraud

For its third annual Contractor Fraud Awareness Week, the National Insurance Crime Bureau (NICB) has chosen to highlight the issue of post-disaster contractor fraud. According to NICB, approximately 10% of the $92 billion catastrophe losses suffered by insurers in 2021 went towards post-disaster fraud.
May 24, 2023 Catastrophe Fraud

Wells Fargo to Pay $1B Settlement in Investor Lawsuit Over Fake Accounts Scandal

In a significant development, Wells Fargo has reached a settlement agreement to pay $1 billion to resolve a class action lawsuit accusing the bank of misleading investors about its progress in rectifying its practices following the notorious fake accounts scandal. If approved by the court, this settlement would rank among the largest recoveries ever obtained from a securities class action lawsuit, according to attorneys representing the plaintiffs.
May 18, 2023 Fraud Litigation


3 Key Uses for Generative AI

To bolster innovation, insurers are turning to a technology that, in its short lifetime, has already created massive changes in business and the world. Generative AI, a type of artificial intelligence that can create content, rather than simply analyzing existing data, has been at the core of experiments in trying to optimize insurer processes, predict risk and develop customized policies for individual customers.

Insurance Fraud: Get Your Story Straight

A woman from Coral Gables found herself caught in an insurance scam after an alert witness helped authorities unravel her deceitful plot. Silvia Maria Almeida, along with her passenger, Milton Yunielki Acosta, attempted to deceive the police by falsely reporting a collision between her black Mercedes-Benz and a pickup truck in Hialeah Gardens. However, their inconsistencies and a witness’s intervention exposed their fraudulent scheme.
May 15, 2023 Auto Fraud Florida




Identifying And Preventing Provider Fraud In Workers Comp Cases

Claimant fraud and premium fraud are two of the most well-known types of workers compensation fraud. In these cases, a worker may intentionally fake an injury (claimant fraud) or a business owner may misrepresent their employee headcount or incorrectly classify employees to obtain lower insurance premiums. Now, a lesser-known type is occurring with greater frequency: provider fraud.
April 20, 2023 Fraud Workers' Compensation