New law allows civil prosecution of fraud, mandates disclosure of expunged records for adjuster licensing, and expands antifraud duties to assigned claims plans.
Authorities say insurance claim funds were diverted and signatures forged, with elderly homeowners among the victims. Investigators believe more policyholders may be affected.
Nepali authorities say foreign climbers were funneled through staged rescues, questionable hospital treatment, and falsified records to trigger insurance payouts. The case offers a stark example of how coordinated fraud can exploit high-risk travel and medical claims.
New Verisk data shows widespread use of AI editing tools, growing fraud risks, and ongoing challenges for adjusters detecting manipulated claim evidence.
Insurer alleges a coordinated network used shell companies, inflated invoices, and non-fee-schedule billing codes to extract payments and evade detection.
Federal jury finds law firms and co-conspirators guilty in long-running scheme targeting commercial auto policies and inflating claims through staged accidents and unnecessary medical treatments.
Authorities say falsified paperwork helped give Pennsylvania titles to 65 stolen vehicles worth more than $3.8 million. The case highlights how title fraud can complicate ownership, recovery, and auto claims investigations.
California investigators say two Southern California towing company owners underreported payroll and paid workers off the books, leading to nearly $5.9 million in lost workers’ compensation premiums. The case also triggered a payroll tax evasion investigation.
The insurer claims a network of chiropractic clinics pushed identical treatments and relied on letters of protection to inflate injury claims tied to car accidents.
The state’s 2026 budget proposal would tighten serious injury standards, limit recovery for some plaintiffs, and reduce litigation exposure in motor vehicle cases.
Investigators say a planned rear-end collision involving a rental vehicle and a Porsche Cayenne led to nearly $39,000 in insurance payouts before claim inconsistencies and cellphone records exposed the alleged scheme.
