A pending decision in Allstate v. Carteret Comprehensive Medical Care could determine whether complex auto insurance fraud claims belong in arbitration or Superior Court, with direct implications for PIP claims handling and insurer recovery efforts.
Paper checks still dominate insurance payments, but fraud data, workflow drag, and customer expectations are pushing carriers toward digital alternatives.
Two Ohio asphalt contractors agreed to pay $30 million to settle allegations they submitted falsified testing data on federally funded highway projects.
Losses tied to Venmo, Zelle and Cash App are climbing, pushing underwriters and claims teams to scrutinize controls, coverage limits and internal fraud exposure.
Gallagher Bassett’s 2026 Carrier Perspective report finds social inflation, medical costs, catastrophe losses and AI-driven fraud are compounding severity and workforce pressure for carriers.
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.
