Insurance Giants Allstate And State Farm File Fraudulent Billing Suits Against Healthcare Providers

Two U.S. insurance giants have each filed a lawsuit against medical doctors as well as the pain management clinics of those healthcare providers. The doctors and clinics have been accused of submitting bills to the insurers for unnecessary medical procedures conducted on victims of vehicle crashes.
May 20, 2019 Fraud Life & Health

Tesla Dashcam Saves Model 3 Owner From Potential Insurance Scam

A Tesla owner is thanking his Model 3’s built-in dashcam after his vehicle helped him avoid a potential case of insurance fraud. Armed with recordings of a suspicious accident involving a cyclist who fled the scene, the Tesla owner was able to prove to his insurance company that he was not at fault.
May 20, 2019 Fraud Liability California

Longing To Be The Diaper King

Every once in a while, we come across a creative idea or concept and ponder, why didn’t I think of that? Or maybe we think, why didn’t I ponder of that?
May 17, 2019 Fraud Life & Health Weird

Workers’ Comp Fraud On the Rise In Massachusetts

It was a record year for workers’ compensation fraud in Massachusetts last year, where more cases of alleged fraud were referred to prosecutors than ever before.
May 16, 2019 Fraud Workers' Compensation Massachusetts

Georgia Insurance Commissioner Indicted In $2 Million Fraud Scheme

Georgia Insurance Commissioner Jim Beck was accused Tuesday by a federal grand jury of stealing more than $2 million from his former employer.
May 15, 2019 Fraud Georgia

GEICO Hits Nuclear Button Over Insurance Fraud

GEICO is redoubling its zero-tolerance policy towards fraud, by filing its second federal lawsuit in Arizona against an auto repair shop that has been suspected of filing fraudulent repair bills.
May 7, 2019 Auto Fraud Litigation Arizona

Pasadena Chiropractor, 14 Others Charged In $6 Million Auto Insurance Fraud, Kickback Scheme

A Pasadena-based chiropractor has been charged along with 14 others in an alleged $6 million insurance fraud and illegal kickback scheme involving automobile collision medical claims, the Los Angeles County District Attorney’s Office announced Friday.
May 6, 2019 Fraud Liability California

Allstate, State Farm Sue Medical Providers for Fraudulent Billing

Two insurance carriers filed separate lawsuits last week against medical doctors and their pain-management clinics, accusing them of submitting bills for unnecessary medical procedures performed on vehicle-accident victims.
May 1, 2019 Fraud

At $1.2 Billion, Massive Medicare Fraud Case May Just Be Tip Of Iceberg

A record Medicare fraud bust–totaling $1.2 billion in wasted tax dollars–may just be the tip of the iceberg in a case that keeps raising troubling and expensive questions.
May 1, 2019 Fraud Life & Health

No-Fault Insurance Fraud: Allstate Files Racketeering Suit Against Detroit Medical Clinics

Auto insurance giant Allstate claims in a new federal lawsuit that it fell victim to a racketeering conspiracy involving six metro Detroit patient treatment clinics, an MRI center and a medical transportation company that Allstate says acted together and made millions by abusing Michigan’s no-fault insurance system.
April 24, 2019 Auto Fraud Liability Litigation Michigan

Real Or Fake? Finding Workers’ Comp Fraud

Security cameras in a company cafeteria recently captured a brazen attempt to fake a workers’ compensation injury. The video shows that the man dumped a cup of ice onto the floor, disposed of the cup and then lay down on the floor as though he slipped on the ice. Prosecutors have charged the man with insurance fraud and theft by deception.
April 18, 2019 Fraud Workers' Compensation

Dozens Of Doctors In Appalachia Charged In Opioid Fraud Bust

Dozens of medical professionals in Appalachia, a region hard-hit by the U.S. opioid crisis, have been charged with writing hundreds of thousands of illegal prescriptions and committing health care fraud, federal prosecutors said on Wednesday.
April 18, 2019 Fraud Life & Health Alabama Kentucky Louisiana Ohio Pennsylvania

Getting Answers On Questionable Workers’ Compensation Claims

When investigating a workers compensation claim, the employer and insurer/servicing agent are given limited time to make a tough decision: accept or deny the claim.
April 8, 2019 Fraud Risk Management Workers' Compensation

Insurers’ Fraud Detection Technology Budgets On The Rise

Insurers’ anti-fraud approaches are maturing, according to the latest biennial study by the Coalition Against Insurance Fraud and SAS.
April 8, 2019 Fraud Technology

Dodge Charger Owner’s Fraud Scheme Exposed By Event Data Recorder

A Santa Barbara man faces a maximum of five years in prison after he was convicted of staging a vehicle accident in 2016.
April 3, 2019 Auto Fraud California
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