Drug Maker Accused Of Misleading Insurance Companies To Sell Expensive Opioid

When Insys Therapeutics got approval to sell an ultra-powerful opioid for cancer patients with acute pain in 2012, it soon discovered a problem: finding enough cancer patients to use the drug.
September 13, 2017 Fraud Life & Health

Theft Ring Stretching From California To Maryland Stopped A Decade Later

Law enforcement agencies broke up a decade-old theft ring that stretched from California to Frederick, Maryland. The thieves used what’s called booster bags, shopping bags with liners to block anti-theft devices.
September 12, 2017 Fraud Property California Illinois Maryland Minnesota Oregon

Kentucky Court Upholds Right Of Insurers To Use Examinations Under Oath

Insurance companies have a right to compel claimants to be interviewed under oath, the state’s supreme court ruled today. The ruling reversed a lower court decision last year that said insurers have no such right because examinations under oath (EUOs) are not specifically written into the state’s no-fault law.
September 1, 2017 Auto Fraud Litigation Kentucky

Colorado AG Charges Police Officer With Insurance Fraud, Theft

Silt police Cpl. Michael Taylor has been charged with insurance fraud and other financial crimes, Colorado Attorney General Cynthia H. Coffman said in a news release. Taylor was indicted by the Colorado Statewide Grand Jury on three counts of felony insurance fraud, three counts of felony forgery and three counts of felony theft.
August 30, 2017 Fraud Property Colorado

Public Adjuster Indicted For Phony Claims After 2012 Hail Storms

A Travis County grand jury indicted a public insurance adjuster and charged her with negotiating phony insurance claims after the 2012 hail storms in the Rio Grande Valley, the district attorney’s office announced on Thursday.
August 25, 2017 Fraud Property Texas

Minnesota Chiropractors Face New Charges In $20M Insurance Fraud Case

More charges have been filed against several chiropractors accused of being involved with parallel fraud schemes that allegedly swindled insurance companies out of more than $20 million, the Minnesota Department of Commerce announced Thursday.
August 18, 2017 Auto Fraud Liability Minnesota

They Got Hurt At Work — Then They Got Deported

At age 31, Nixon Arias cut a profile similar to many unauthorized immigrants in the United States. A native of Honduras, he had been in the country for more than a decade and had worked off and on for a landscaping company for nine years.
August 16, 2017 Fraud Legislation & Regulation Risk Management Workers' Compensation Florida

Auto Insurance Fraud Ringleader Sent To Prison

A traffic collision, for most people, is a traumatic experience. For some criminals, it’s a money-making enterprise. The ringleader in one of the Sacramento area’s largest auto insurance fraud cases was recently sentenced to 10 years in state prison, and detectives are asking the public’s help in finding three suspects who remain at large.
August 15, 2017 Auto Fraud California

Hill Hearing Reignites Question: What’s Federal Anti-Fraud Role?

Franklin Roosevelt signed the McCarran-Ferguson Act in 1945. This groundbreaking law has led to the regulation of insurance — including insurance fraud — to the states rather through federal oversight.
August 14, 2017 Fraud Legislation & Regulation

Family of Fraudsters Netted $2.9 In Life Insurance Scam

A Mason family has been charged in a $2.9 million life insurance scheme in which prosecutors say they bought policies for a relative who had severe medical conditions but hid those conditions from the insurer.
August 11, 2017 Fraud Life & Health Ohio

Think Differently: How Claims Departments Are Becoming Innovation Breeding Grounds

Channeling Apple’s iconic marketing slogan in a headline (some would argue a more grammatically correct version) necessarily means turning to the company’s legendary leader Steve Jobs for one of his memorable quotes on innovation: “To turn really interesting ideas and fledgling technologies into a company that can continue to innovate for years, it requires a lot of discipline.”
August 10, 2017 Auto Fraud Property Risk Management Technology

Californian Pleads Guilty In Multimillion Dollar Workers’ Comp Scheme

The Los Angeles County District Attorney’s Office recently announced that a Redondo Beach woman accused of participating in a $150 million workers’ compensation insurance fraud scheme recently pleaded guilty.
August 1, 2017 Fraud Workers' Compensation California

Meet Your New Star Eyewitness: Wearable Devices

Wearable devices come in all shapes and sizes with varying features. Valued at $11 billion, Fitbit is the leader of the wearable device revolution. Fitbit currently offers eight different fitness trackers, ranging in price from $60 to nearly $200. Largely known for counting the steps you take, wearables now have all kinds of abilities.
August 1, 2017 Auto Fraud Liability Litigation Property

Engineer Receives 28 Months For Nearly $200K Disability Fraud

A Spotsylvania jury has recommended a 28-month prison for a county man who defrauded an insurance company out of nearly $200,000 in disability payments while he was working in another state.
August 1, 2017 Fraud Life & Health Virginia

Man Indicted For Insurance Scams Involving Aircraft, Autos And A Boat

The pilot of a Beech Baron involved in a highly publicized ditching in the Gulf of Mexico in 2012 has been indicted for insurance fraud. Theodore Wright and two other men, Shane Gordon and Raymond Fosdick, have been charged with several counts as part of a larger investigation that also involved an old Citation, an exotic car and a boat.
July 31, 2017 Auto Excess & Surplus Lines Fraud Marine Texas
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