Texas Man Pleads Guilty To Buy-And-Burn Insurance Fraud Scheme
A Port Arthur, TX man has pleaded guilty to charges related to an elaborate insurance fraud scheme, which involved purchasing properties to purposefully damage for claims.
May 21, 2019
Fraud
Property
Texas
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 3s 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 didnt I think of that? Or maybe we think, why didnt 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 Attorneys 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 Michigans 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



