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
Amtrak Health Plan Defrauded of $12 Million by Over 100 Employees and Medical Providers
Over 100 Amtrak employees joined forces with medical providers in a fraudulent health insurance scheme that cost the company more than $12 million, a new report finds.
May 12, 2025
Fraud
Insurance Industry
Legislation & Regulation
Risk Management
Connecticut
Delaware
District Of Columbia
Maryland
New Jersey
Insurers Prioritize Claims Over Underwriting in Anti-Fraud Tech Use
While most U.S. insurers use technology to detect claims fraud, fewer are leveraging these tools for underwriting or internal fraud, a new survey reveals.
May 12, 2025
Fraud
Insurance Industry
Technology
Underwriting
Cybercrime Rings Are Stealing Billions in Government Aid Using Stolen American Identities
Organized cybercriminals, including foreign nation-state actors, are exploiting U.S. aid programs using stolen identities, with losses potentially nearing $1 trillion annually.
May 12, 2025
Catastrophe
Fraud
Legislation & Regulation
Technology
Nationwide Auto Theft Ring Busted as Queens DA Charges 20 in $4.6M Scheme
Prosecutors say a sophisticated criminal network used social media to resell 126 stolen cars in a multi-state operation that spanned from New York to Tennessee.
May 9, 2025
Fraud
Litigation
Risk Management
Technology
Massachusetts
New Jersey
New York
Tennessee
Allstate Becomes One of the First Major Insurers to Explore Quantum Computing Through Chicago Quantum Exchange
Allstate partners with the Chicago Quantum Exchange to explore how quantum computing could transform risk analysis, fraud detection, and customer service in insurance.
May 8, 2025
Fraud
Insurance Industry
Risk Management
Technology
Illinois
Indiana
Wisconsin
Sedgwick Enhances Claims Accuracy and Fraud Detection with Verint Trust Bot AI
Sedgwick has adopted the Verint Trust Bot to speed up insurance claims processing and enhance fraud detection using patented behavioral analytics and explainable AI.
May 7, 2025
Fraud
Insurance Industry
Technology
