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PG&E Is Dubious Of Fire Victim’s Claim For A 500-Pound Emerald

PG&E Corp. says it has found suspicious monetary claims by victims of California’s wildfires, including one from a man who says a 500-pound (227-kilogram) emerald worth $280 million was destroyed at his home a year ago in the most destructive and deadliest wildfire in state history.
November 19, 2019 Fraud Liability Property California

Adjusters, Agent Involved In Kentucky Crop Insurance Fraud Scheme

An insurance agent took cash kickbacks as part of a scheme with farmers to file false claims of crop damage, a federal grand jury has charged.
November 15, 2019 Fraud Kentucky

Windshield Fraud Along Florida’s I-4 Corridor Fuels Insurance Battle

An effort to crack down on alleged fraud in the auto-glass repair industry, particularly along the Interstate 4 corridor, is spurring an insurance battle in the state Legislature.
November 13, 2019 Auto Fraud Legislation & Regulation Florida

Arsonists Planted Smoke-Damaged Possessions As Part Of Multi-Million Dollar Fraud Scheme

A 48-year-old San Jose man pleaded guilty this week to orchestrating a series of fires as part of a scheme to collect millions of dollars in damages, authorities said.
November 11, 2019 Fraud Property California

Flagged For Fraud: Suspected Staged Accidents Involving 18-Wheelers Under Federal Investigation

The United States district attorney’s office is looking into federal insurance fraud cases surrounding staged accidents in the New Orleans area.
November 6, 2019 Excess & Surplus Lines Fraud Liability Litigation Louisiana

Judge Rules Against Nathan Carman Regarding Boat Insurance Claim

A federal judge has ruled against Nathan Carman regarding an insurance policy for his sunken boat. Carman was rescued off the coast of Massachusetts in September 2016. His mother Linda was also on the boat but hasn’t been seen since.
November 4, 2019 Fraud Litigation Rhode Island

Baltimore Businessman Convicted Of Fraud, Arson After Receiving $15 Million Insurance Payout

A Lutherville-Timonium resident was convicted by a federal jury Monday for conspiring to defraud insurers of more than $15 million by setting fire to his Baltimore-based business in 2015, the Maryland U.S. Attorney’s Office announced.
October 30, 2019 Fraud Property Maryland

Utahn Reports Truck Stolen After Losing It While Drunk

A local man is in jail for allegedly filing a false insurance claim after losing his truck while intoxicated. Joseph Michael Harrington, 41, of Washington City, faces one second-degree felony count of filing a false or fraudulent insurance claim, along with two misdemeanor charges for providing a written false statement and for reporting a fraudulent emergency to police, fire or medical, according to the probable cause statement filed in support of the arrest.
October 29, 2019 Auto Fraud Utah

Knocking Down The Door Of Fraud: How To Pursue Affirmative Litigation, And Knowing When To Change Course

Investigating and litigating singular fraud cases for first- and third-party claims used to be the mainstay of special investigation units. While these tactics can be relatively successful, there is still a whole world of abuse and misrepresentation stemming from medical providers, durable medical equipment suppliers, diagnostics entities, premium fraudsters, auto body shops, copy service providers, and more.
October 28, 2019 Education & Training Fraud Litigation

Motocross Racer Alleging Workplace Injury Convicted Of Workers’ Compensation Fraud

Montana Attorney General Tim Fox announced this week a Three Forks man charged with fraudulently collecting workers’ compensation benefits from the Montana State Fund has pled guilty.
October 28, 2019 Fraud Workers' Compensation Montana

Insurers Win Court Battle Over Bogus Pirate Attack Fraud

"The improbable can happen. But when a number of improbabilities occur consecutively within a short period of time it is very difficult to accept that they are coincidences."
October 8, 2019 Fraud Litigation Marine

Former Sheriff’s Deputy Collected More Than $200K In Workers’ Comp Fraud

A Zanesville man and former county deputy sheriff must reimburse the Ohio Bureau of Workers’ Compensation nearly $235,000 in restitution following his felony conviction for workers’ compensation fraud Monday in a Franklin County courtroom.
September 23, 2019 Fraud Workers' Compensation Ohio

‘Fraud Follows The Money’: Identity Theft, Price Gouging And Fake Insurance Claims Plague Disaster Relief Efforts

As the scale and frequency of major disasters escalate, millions of dollars in federal, state and insurance payments intended for recovery efforts are being stolen by fraudsters taking advantage of chaos and the pipeline of aid flowing into the stricken areas.
August 27, 2019 Catastrophe Fraud Property

Inside The Twisted, Worldwide Hunt For A $7 Million Stolen Car

Joe Ford, car detective, searches the world for stolen rare automobiles on the black market. The case he’s on now could set him up for life—if he’s not outsmarted by a skilled network of criminals and cheats.
August 23, 2019 Auto Fraud

GE Accused Of Hiding Billions In Losses In Its Insurance Business

An accountant who gained fame for blowing the whistle on Bernie Madoff’s Ponzi scheme has accused General Electric of hiding nearly $40 billion in losses in its long-term care insurance business.
August 19, 2019 Fraud Life & Health
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