Insurers are expanding their use of AI, telematics, digital identity verification, and predictive analytics as fraud schemes become more complex and costly across multiple lines of business.
Generative AI tools are making it easier to create fake claim evidence, while a new survey finds insurers have limited confidence in their ability to detect and prevent AI-driven fraud.
Louisiana investigators say four suspects made false statements tied to a 2025 crash involving a waste disposal truck. Authorities allege the fraudulent claims sought nearly $4 million in compensation.
Federal prosecutors said insurance company reserves were diverted through affiliated entities, leaving thousands of policyholders still owed more than $1 billion while regulators uncovered bribery and fraud allegations.
A Colorado jury found a contractor intentionally interfered with an insurance contract after allegedly inflating a church hail damage claim. The verdict highlights growing insurer scrutiny of contractor involvement in appraisal disputes and claim inflation.
As Contractor Fraud Awareness Week continues nationwide, roofing contractors, insurers, and adjusters are warning homeowners about storm chasing scams, inflated claims, and post-disaster fraud risks.
Fraudsters are using AI to create convincing photos, invoices, medical records and identities. Adjusters need stronger verification, native files, field investigation and clear evidence before denying a claim.
Georgia regulators say businesses may have received fraudulent workers’ compensation certificates and believed they had valid coverage when they did not.
Kentucky State Police say a Martin County man admitted he falsely reported a side-by-side stolen in an alleged attempt to collect insurance money. Investigators say neighbors and follow-up interviews helped uncover inconsistencies in the report.
Federal prosecutors said Brad Heppner used shell companies, falsified records, and misleading debt transactions tied to GWG Holdings and Beneficient, leaving thousands of investors facing major losses.
Federal prosecutors said the defendant helped file fraudulent claims involving wrecked and inoperable vehicles as part of a broader Bay Area towing fraud operation tied to arson, staged losses, and organized insurance scams.
Pennsylvania prosecutors allege a public adjuster diverted insurance claim funds meant for homeowners and contractors after storm, flood and property damage claims.
Fraudulent policies are leaving drivers uninsured and shifting costs to legitimate claims through higher premiums and increased uninsured motorist filings.
