Nail Salon Owner Arrested on Multiple Arson and Insurance Fraud Charges
Town of Newburgh authorities and federal agents allege a local salon owner deliberately set an August 2022 fire at her own shop to collect insurance payouts amid severe financial distress.
June 19, 2025
Fraud
Legislation & Regulation
Litigation
Property
New York
AI Acceleration Signals Big Opportunities for Insurers as Adoption Surges
Mary Meeker’s new 340-page AI report reveals explosive growth, accelerating adoption, and decreasing costs—pointing to major advantages for insurers leveraging the technology.
June 10, 2025
Fraud
Insurance Industry
Risk Management
Technology
Illinois Doctor Faces Sentencing for Defrauding Medicaid and Insurance Providers
Dr. Mona Ghosh, a suburban Chicago physician, awaits sentencing after pleading guilty to submitting $1.5 million in false insurance and Medicaid claims.
June 4, 2025
Fraud
Insurance Industry
Life & Health
Litigation
Illinois
Investigators Say Central California Carjacking Was Staged as Insurance Fraud
A reported van theft involving $60,000 in merchandise near Madera, California was revealed to be a staged event for insurance money, authorities say.
June 4, 2025
Auto
Fraud
Insurance Industry
Property
California
Lafayette Parish Crash Leads to $10 Million Insurance Fraud Investigation
Authorities in Louisiana arrested three men accused of staging a crash that led to nearly $10 million in fraudulent insurance claims involving juveniles.
June 4, 2025
Auto
Fraud
Insurance Industry
Litigation
Louisiana
AI Uncovers Insurance Fraud Weeks Ahead of Traditional Detection Methods
New research shows AI tools can flag potentially fraudulent property and casualty claims just two weeks after filing, outperforming traditional investigation methods.
June 4, 2025
Fraud
Insurance Industry
Property
Technology
Arizona
Michigan
How AI Can Help Insurers Detect and Cut Down on Fraud
With advanced analytics and pattern recognition, AI could help P&C insurers save up to $160 billion annually by detecting both soft and hard fraud more effectively.
May 28, 2025
Fraud
Property
Risk Management
Technology
Warner Robins Insurance Agent Charged with Bank Fraud over Misuse of $220K in Client Funds
A former Alfa Insurance agent in Warner Robins faces federal charges for allegedly directing a client to withdraw $220K, which he used to pay others’ insurance premiums.
May 20, 2025
Fraud
Insurance Industry
Legislation & Regulation
Property
Georgia
Correction Officers Accused of Defrauding NYC Workers’ Comp System Through False Injury Claims
Three current and former Rikers Island correction officers are accused of faking on-duty injuries to claim nearly $1 million in workers’ compensation benefits.
May 20, 2025
Fraud
Insurance Industry
Litigation
Workers' Compensation
New York
Former California City Official Accused of Embezzling Nearly $200K in Insurance Fraud Scheme
A former assistant city manager in La Cañada Flintridge faces 34 felony charges for allegedly diverting nearly $200,000 in insurance claim checks to his personal account.
May 20, 2025
Fraud
Insurance Industry
Litigation
Risk Management
California
Former FBI Agent Unpacks How a Massive Health Insurance Scam Took Root in Pennsylvania and Spread Nationwide
A federal investigation into a sweeping health insurance fraud scheme that began in Reading, Pennsylvania, highlights how scammers stole millions from thousands of victims nationwide.
May 20, 2025
Fraud
Insurance Industry
Life & Health
Litigation
Pennsylvania
Pennsylvania Shuts Down Unlicensed Insurance Telemarketing Scheme with Nationwide Reach
A multiyear investigation by the Pennsylvania Insurance Department led to the indictment of four businessmen and two companies for defrauding consumers across the U.S.
May 20, 2025
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Pennsylvania
West Virginia Man Charged After Illegally Using Over $20K in Deceased Relative’s Workers’ Comp Payments
A Salt Rock resident faces multiple felony charges after admitting to using more than $20,000 in workers’ comp benefits sent in error to his deceased relative’s account.
May 20, 2025
Fraud
Insurance Industry
Litigation
Workers' Compensation
West Virginia
How Property and Casualty Insurers Can Combat Fraud with AI-Driven Multimodal Technology
AI-powered multimodal tech is helping property and casualty insurers detect fraud more accurately across the claims cycle, potentially saving billions and lowering premium costs.
May 13, 2025
Fraud
Insurance Industry
Property
Technology
Escrow Officer Sentenced to Prison for Orchestrating $350K Title Fraud Scheme in Texas
A McAllen, Texas escrow officer was sentenced to 24 months in prison for wire fraud after falsifying real estate documents and defrauding lenders and buyers of over $350,000.
May 13, 2025
Fraud
Insurance Industry
Litigation
Property
Texas
