With Hammers and Wood, Auto Body Shop Owner Intentionally Damaged Cars

Instead of repairing cars, the owner of two auto body repair shops is accused of intentionally causing damage to vehicles in order to get higher insurance payments.
April 2, 2019 Auto Fraud Massachusetts

New Jersey Men Used Phony Accounts For Stolen Insurance Payouts

Attorney General Gurbir S. Grewal and the Office of the Insurance Fraud Prosecutor announced that four Mercer County men and six of their associated businesses were charged today with first-degree conspiracy and money laundering in connection with a bank scheme involving the deposit of nearly $1.4 million in phony or forged checks related to insurance claims.
March 28, 2019 Fraud Property New Jersey

U.S. Agency Error Exposes 2.3M Disaster Survivors To Fraud: Watchdog

The U.S. Federal Emergency Management Agency (FEMA) exposed 2.3 million disaster survivors to possible identity theft and fraud by improperly sharing sensitive personal information with an outside company, according to an internal government watchdog.
March 25, 2019 Catastrophe Fraud Litigation

It’s Groundhog Day For WC Claims Handling

Why have attempted fixes via legislation and technology failed to fulfill promises for decades, for almost a generation of workers?
March 20, 2019 Fraud Legislation & Regulation Technology Workers' Compensation

Texas Hospital Ex-CEO Pleads Guilty In Fraud Scheme

The former CEO of a Texas community hospital has pleaded guilty to defrauding three health insurers in a pass-through billing scheme involving laboratory services, the Department of Justice said.
March 13, 2019 Fraud Life & Health Texas

Detroit Body Shop Owner Charged With Illegal Towing, Fraudulent Repair Scheme

Federal authorities for the first time have publicly named the man who allegedly bribed Detroit police officers in one of several alleged illegal towing schemes being investigated in Metro Detroit.
March 5, 2019 Auto Fraud Michigan

Senior Level Former Coal Company Official in Kentucky Charged for Defrauding Regulators About Risks To Miners

United States Attorney Russell M. Coleman announced the charging of an additional former supervisor and safety official from Armstrong Coal, in addition to the eight previous officials charged by a federal grand jury, for conspiracy to defraud an agency of the United States government by deceit, trickery, and dishonest means.
February 28, 2019 Fraud Workers' Compensation Kentucky

Damaged-Car Photos Route Fraud Investigators To Easy Street

A wise mechanic will tell one not to buy a damaged, used car. And a wise prosecutor will also tell one not to post photos of said car on social media and then file an insurance claim.
February 27, 2019 Auto Fraud Utah

Body Shop Owner Charged After Defrauding Elderly Woman Of $2M

An auto repair company owner is charged after reportedly defrauding an elderly Mesa woman of $2,000,000. The Arizona Attorney General has charged Donaldo Parra, age 44, with fraudulent schemes and theft.
February 21, 2019 Auto Fraud Arizona

Florida Woman Posed As An Adjuster, Arrested Twice For Scamming Hurricane Irma Victims

An Orange City woman arrested in January for scamming Hurricane Irma victims was arrested a second time on Monday in Brevard County and accused of committing the same crime, state officials said.
February 19, 2019 Fraud Property Florida

Getting Technological: Like Other Business Processes, Fraud Investigation Tactics Must Evolve With Technology

There was a day when we used typewriters to type documents, stored our records in filing cabinets, and took photos with our 35mm cameras. Those processes evolved as technology advanced at an exponential rate. Insurance companies—which had previously been slow to adopt new methods—had to adapt quickly to remain competitive.
February 19, 2019 Fraud Technology

Comp Official Allegedly Stretched Day Of Leave Into Yearlong Loot

As a district manager for New York State Workers’ Compensation Board and a tax specialist, Luis Torres should have known that continually accepting accidentally sent payroll tax reimbursements for over one year, stemming from a one-day workers compensation claim, was stealing.
February 11, 2019 Fraud Workers' Compensation New York

PIP Fraud: NY Accident Victims Were Sent To NJ Providers For Higher Payments

The owner of a Saddle Brook surgery center where poor sterilization and other deficiencies may have exposed patients to HIV and hepatitis owns another North Jersey surgery center that has been alleged in a lawsuit to have defrauded an auto-insurance company of millions of dollars.
February 8, 2019 Fraud Liability Litigation New Jersey New York

Pennsylvania Socialite Convicted Of Filing $13 Million In Fraudulent Claims

A Buckingham socialite known for her lavish lifestyle could spend the rest of her life in state prison after she was convicted Tuesday of filing nearly $13 million in false insurance claims following a 2013 fire at her family’s 10-acre estate.
February 7, 2019 Fraud Property Pennsylvania

Life For Life: Woman Sentenced Over Murder In Insurance Scheme

It took only 15 minutes inside a Leon County courtroom Wednesday to bring 18 years of mystery surrounding the disappearance of Mike Williams to finality.
February 7, 2019 Fraud Life & Health Florida
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