Federal prosecutors say the ex-football standout used telemedicine fronts and DME companies to bill Medicare and CHAMPVA for unnecessary orthotic braces, targeting vulnerable seniors.
Heavy investment in insurance AI continues to deliver limited returns as automation accelerates workflows without improving decision quality, explainability, or claims outcomes.
A new statute regulating consumer litigation funding and a key appellate ruling expanding discovery reshape fraud defenses and transparency in New York claims.
Frozen pipes, kitchen fires, icy walkways, and parking lot crashes make winter the busiest season for property and auto insurance claims. Here’s how adjusters can prepare.
A California officer faked a disabling injury while collecting benefits, only to be caught performing manual labor on his property. The case underscores the vigilance required in high-risk workers’ comp claims.
A total loss rep allegedly issued over 100 fraudulent checks in a scheme spanning multiple counties. Investigators detail how internal access was exploited.
The lawsuit aims to seize phishing infrastructure blamed for millions of fraudulent texts and widespread financial losses affecting U.S. consumers and insurers.
Insurer accuses two Brooklyn-based suppliers of billing for unnecessary and undelivered medical equipment through a kickback-fueled fraud scheme. The lawsuit seeks to block $2M in pending no-fault claims.
