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New York Trains 270 Law Enforcement Officials to Combat Auto Insurance Fraud

New York Trains 270 Law Enforcement Officials to Combat Auto Insurance Fraud

Nearly 270 investigators from 55 agencies completed specialized training on staged crashes, fraud investigations, and financial crimes as New York prepares to implement new anti-fraud laws aimed at reducing auto insurance costs.
July 24 Auto Education & Training Fraud Legislation & Regulation New York

Massachusetts Insurance Brokers Sentenced in $962,000 Premium Theft and Fraud Scheme

Massachusetts Insurance Brokers Sentenced in $962,000 Premium Theft and Fraud Scheme

A Massachusetts couple who operated an insurance brokerage received federal prison sentences after admitting they stole nearly $1 million in premium payments and issued fake insurance documents, leaving dozens of clients without the coverage they believed they had.
July 24 Fraud Insurance Industry Legislation & Regulation Massachusetts

AI Insurance Fraud Cases Nearly Triple as Deepfakes and Fake Documents Challenge Claims Adjusters

AI Insurance Fraud Cases Nearly Triple as Deepfakes and Fake Documents Challenge Claims Adjusters

Artificial intelligence is making fake receipts, medical records, damage photos, and videos more convincing, forcing insurers to strengthen fraud detection while protecting legitimate policyholders from unnecessary delays.
July 23 Fraud Insurance Industry Technology

Former Maryland Police Officer Sentenced in Auto Insurance Fraud Scheme Using False Theft Reports

Former Maryland Police Officer Sentenced in Auto Insurance Fraud Scheme Using False Theft Reports

A federal judge ordered restitution after a former Maryland police officer admitted participating in a scheme that used false police reports and staged vehicle thefts to collect insurance payouts. The case also involved multiple law enforcement officers and several major auto insurers.
July 20 Auto Fraud Litigation Maryland

FBI Alleges $3.7B Medicare Fraud Scheme Impacted Houston Seniors

FBI Alleges $3.7B Medicare Fraud Scheme Impacted Houston Seniors

Federal prosecutors say shell medical equipment companies submitted billions in fraudulent insurance claims. The case underscores why policyholders and insurers should closely monitor billing activity for signs of fraud.
July 13 Fraud Insurance Industry Life & Health Florida Texas

California Driver Sentenced After Dashcam Exposes Road Rage Insurance Fraud

California Driver Sentenced After Dashcam Exposes Road Rage Insurance Fraud

Dashcam footage and an independent 911 witness helped investigators prove a California driver intentionally caused a collision before filing a fraudulent insurance claim. The driver received jail time, probation, and restitution after being convicted on multiple charges.
July 13 Auto Fraud Litigation California

5 Family Members Charged in $12.5 Million Florida Construction Fraud and Workers’ Compensation Scheme

5 Family Members Charged in $12.5 Million Florida Construction Fraud and Workers’ Compensation Scheme

Investigators allege five family members used shell construction companies to hide payroll, avoid workers' compensation premiums, and cash millions of dollars in payroll checks through unlicensed money service businesses.
July 13 Fraud Insurance Industry Legislation & Regulation Workers' Compensation Florida

Mechanic’s Camaro V8 Teardown Points to Possible Insurance Fraud Scheme

Mechanic’s Camaro V8 Teardown Points to Possible Insurance Fraud Scheme

A mechanic's teardown of a Chevrolet Camaro engine recovered after years underwater uncovered signs of prior repairs and prompted questions about whether the vehicle's theft claim and total loss were connected to a possible fraud scheme.
July 10 Auto Fraud Salvage

Minnesota Fines Health Insurance Company $150,000 After Fraud Investigation

Minnesota Fines Health Insurance Company $150,000 After Fraud Investigation

Minnesota regulators say Seguro Medico misled consumers about the scope of their health insurance coverage and violated multiple state insurance laws. The enforcement action follows guilty pleas in a related federal fraud case.
July 10 Fraud Insurance Industry Legislation & Regulation Life & Health Minnesota

How AI Is Changing Insurance Claims Fraud Detection

How AI Is Changing Insurance Claims Fraud Detection

Artificial intelligence is giving fraudsters new ways to manipulate claims, but insurers, TPAs, and defense attorneys are responding with AI-powered detection tools and traditional investigative techniques to identify suspicious evidence.
July 9 Auto Fraud Liability Technology Workers' Compensation

Police Allege False Classic Car Theft Was Part of Insurance Fraud Scheme

Police Allege False Classic Car Theft Was Part of Insurance Fraud Scheme

Police say a reported theft of a 1981 Fiat Spider was fabricated in an attempt to collect insurance proceeds. Investigators used license plate reader data and surveillance video to challenge the claim.
July 7 Auto Fraud New York

California Wildfire Contractor Fraud Leaves Homeowner Out $18,000

California Wildfire Contractor Fraud Leaves Homeowner Out $18,000

A California wildfire survivor says an unlicensed contractor took an $18,000 payment before abandoning the project. Insurance and fraud experts say similar scams are increasing after natural disasters across the United States.
July 7 Catastrophe Fraud Insurance Industry Property California

Oregon Warns of Life Insurance Fraud Ring Using Unauthorized Policy Applications

Oregon Warns of Life Insurance Fraud Ring Using Unauthorized Policy Applications

Licensed insurance agents allegedly used personal information gathered through telemarketing calls to submit life insurance applications without consumers' knowledge. Regulators say the scheme is generating significant losses for insurers and exposing older adults to additional fraud risks.
July 6 Fraud Legislation & Regulation Life & Health Oregon

Iowa Insurance Agent Charged in Alleged Identity Theft and Insurance Fraud Scheme

Iowa Insurance Agent Charged in Alleged Identity Theft and Insurance Fraud Scheme

Iowa investigators allege an insurance agent opened policies using the identities of at least 11 family members without their knowledge, generating more than $36,000 in commissionable premiums. The case includes 23 felony charges and one aggravated misdemeanor.
July 6 Fraud Insurance Industry Legislation & Regulation Iowa

Insurers Allege Bank of America Processed More Than $1 Million in Flagged Fraud Transfers

Insurers Allege Bank of America Processed More Than $1 Million in Flagged Fraud Transfers

Two insurers that reimbursed a New Jersey company for an alleged fraud loss are pursuing subrogation against Bank of America. The lawsuit claims the bank processed wire and ACH transfers after employees flagged them as fraudulent.
July 6 Fraud Litigation Subrogation Technology New Jersey
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