The threats that are posed by new technologies such as artificial intelligence (AI), which had consistently reduced since 2021, is now predicted to be a growing threat for the next 12 months ahead, according to Beazley’s latest Risk & Resilience report: Spotlight on: Cyber & Technology Risks 2023.
  July 14, 2023   Reinsurance News Fraud Technology

Most property insurance policies contain ‘Concealment or Fraud’ provisions. As the name suggests, these provisions penalize claimants for material misrepresentations or concealment by releasing insurers from payment obligations, regardless of whether relevant claims would otherwise be covered.
  July 13, 2023   JD Supra Fraud Litigation Property Florida

After an extensive four-year investigation, the owner of a Pennsylvania auto body repair business has been sentenced for filing nearly 300 false insurance claims which resulted in over $400,000 in fraudulent payouts.
  July 12, 2023   Claims Pages Staff Auto Fraud Pennsylvania

Verisk and the Coalition Against Insurance Fraud have recently published a study shedding light on the demographics and psychology of insurance fraud in the United States.
  July 6, 2023   Claims Pages Staff Fraud

With the insurance industry so focused on improving the customer experience, many have turned to behavioral economists for insights into how customers actually think, as opposed to how we think they think or how we want them to think. But... wow... behavioral economists sure aren’t doing much for their credibility.
  June 27, 2023   Insurance Thought Leadership Fraud Insurance Industry

A Kansas City, MO, man who formerly lived in Columbia, MO, pleaded guilty in federal court to his role in a $1.1 million insurance fraud conspiracy that involved false claims of injuries suffered in car accidents, as well as to his role in a conspiracy to fraudulently obtain COVID-19 relief benefits.
  June 23, 2023   AutoBodyNews Auto Fraud Liability Missouri

The U.S. Federal Deposit Insurance Corporation (FDIC) has warned the OKCoin exchange over fake insurance claims on its advertising materials and social media.
  June 22, 2023   CoinGeek Fraud Legislation & Regulation

Cybersecurity Ventures estimates cybercrime will take a $10.5 trillion toll on the global economy by 2025. If it were measured as a country, the underground cybercriminal economy would be the third largest in the world after the U.S. and China.
  June 20, 2023   Insurance Thought Leadership Fraud Risk Management Technology

The courtroom was impassioned, to say the least, and downright angry at what they were hearing. In our post-COVID-19 reality, the claimant in a workers’ compensation case was presenting lengthy testimony by video. The judge sat calmly as the claimant spoke about a seemingly horrific injury.
  June 15, 2023   CLM Magazine Fraud Workers' Compensation

Detectives with the Plano Police Department said suspected thieves stole more than $2.5 million worth of trucks and SUVs from around North Texas. Details about the alleged crimes, which reads like a crime series on a streaming platform, were detailed in an arrest probable cause affidavit.
  June 15, 2023   NBC DFW Auto Fraud Texas

Despite the industry’s stodgy reputation, insurance is often ahead of the curve, embracing new technologies that improve efficiency, enhance customer experience and increase profitability.
  June 13, 2023   Insurance Thought Leadership Fraud Insurance Industry Technology

Lawyers for the family of Alex Murdaugh’s late housekeeper Gloria Satterfield -- who died after a fall at the family’s home in 2018 -- have responded to Murdaugh’s motion to vacate his confession of stealing over $4 million in insurance money meant for Satterfield’s family.
  June 12, 2023   WCBD Fraud Liability South Carolina

According to court documents, on September 23, 2020, Denis Vladmirovich Molla falsely reported to the Brooklyn Center Police Department that his camper had been intentionally set on fire. He claimed that he witnessed three unidentified individuals near his residence at the time of the incident, accompanied by an explosion.
  June 12, 2023   Claims Pages Staff Auto Fraud Technology Minnesota

Florida’s Chief Financial Officer made an announcement regarding the arrest of Kiyuana Pasley, a former claim adjuster for Progressive Insurance. Pasley faces serious charges including one count of Organized Fraud, 11 counts of Insurance Fraud, and 11 counts of Grand Theft.
  June 5, 2023   Claims Pages Staff Fraud Florida

Houston law firm McClenny Moseley and Associates has been accused of a litany of questionable, and potentially illegal, practices in recent months. Now, a group of former employees of an estimating company say their former employers likely conspired with the firm to hike up the value of Hurricane Ida claims by exaggerating damages.
  May 30, 2023   The Advocate Fraud Litigation Property Louisiana Texas

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