A professional soccer player’s workers’ compensation claim was revived after a court ruled her right knee injury could be related to a prior left knee injury from her playing days, despite earlier denials.
A group of farmers in Colorado and Kansas tampered with rain gauges to falsely report drought conditions, leading to a multimillion-dollar crop insurance fraud. Their actions resulted in both criminal penalties and civil settlements.
Social inflation is driving commercial casualty losses up by 11% over five years. Explore three key strategies—data utilization, early case assessment, and advanced technology—to manage this growing challenge.
A Nebraska couple faces felony charges for allegedly defrauding Geico out of nearly $80,000 by filing a false insurance claim on a stolen camper that was later found in Oklahoma.
The Department of Justice filed its first False Claims Act lawsuit under the Civil Cyber-Fraud Initiative, targeting contractors accused of noncompliance with DoD cybersecurity requirements.
A federal judge has allowed roughly 150 former workers over age 50 to pursue a class action lawsuit against X, alleging age discrimination in the company’s 2022 mass layoffs under Elon Musk’s ownership.
A Miami rehab clinic owner, along with two employees, are facing over two dozen felony charges after an undercover investigation revealed alleged insurance fraud and billing for unperformed services.
American Transit Insurance Co., a key insurer for NYC taxis and rideshare vehicles, faces insolvency, risking disruption for tens of thousands of drivers as regulators consider intervention.
General contractors in Florida face growing legal hurdles in apportioning fault to subcontractors due to the nondelegable duty of supervision, with courts increasingly placing full liability on the contractor.
Implementing early case assessment strategies is crucial for claims departments looking to reduce unnecessary litigation and lower overall costs. Discover five proven tactics to streamline your ERA process and improve outcomes.
The construction industry faces rising costs, labor shortages, and the adoption of new technologies as it prepares for the future, requiring strategic planning and innovation to navigate these challenges effectively.
Tennessee’s definition of "injury" for workers’ compensation, requiring proof that employment contributed more than 50% to the injury, has been upheld as constitutional by the state’s Supreme Court, despite a worker’s challenge.
The North Carolina Supreme Court upheld a ruling that a mailed cancellation notice met state requirements, effectively voiding a homeowner’s insurance policy weeks before a fire destroyed the property.
The owner of multiple towing companies in San Francisco has been charged again with federal insurance fraud, involving staged crashes and fraudulent claims, just weeks after a similar case was filed.
The NYC Department of Consumer and Worker Protection (DCWP) has secured over $600,000 in restitution and civil penalties from R.G. Ortiz Funeral Homes for exploiting grieving consumers, particularly in Spanish-speaking communities.
