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Insurance Executive Pleads Guilty to $1.5 Million Fraud Scheme

Insurance Executive Pleads Guilty to $1.5 Million Fraud Scheme

James Keating pleads guilty to defrauding Allied World Insurance Company of nearly $1.5 million. Keating, a former Assistant Vice President and surety bond claims handler, carried out the fraud while working for Allied World and later U.S. Fire Insurance Company.
July 31, 2024 Fraud Insurance Industry Liability Litigation Connecticut Pennsylvania

Oil and Gas Activity Likely Caused West Texas Earthquakes

Oil and Gas Activity Likely Caused West Texas Earthquakes

Recent damaging earthquakes in West Texas are likely caused by oil and gas activity, according to the USGS.
July 31, 2024 Catastrophe Legislation & Regulation Litigation Risk Management New Mexico Oklahoma Texas

Alaska Supreme Court Clarifies Workers’ Compensation Coverage in Friendship-Based Employment Case

Alaska Supreme Court Clarifies Workers’ Compensation Coverage in Friendship-Based Employment Case

The Alaska Supreme Court ruled that hiring a friend for work on another friend's property does not exempt the employer from workers' compensation coverage, rejecting the so-called "buddy exemption."
July 30, 2024 Legislation & Regulation Litigation Risk Management Workers' Compensation Alaska

Historic $3.75M Workers’ Rights Settlement Benefits Over 1,200 D.C. Construction Workers

Historic $3.75M Workers’ Rights Settlement Benefits Over 1,200 D.C. Construction Workers

In a landmark settlement, more than 1,200 construction workers in Washington D.C. will receive restitution for lost compensation and sick leave, marking the largest workers' rights deal in the city's history.
July 30, 2024 Fraud Legislation & Regulation Litigation Workers' Compensation District Of Columbia Maryland Virginia

Man Faces Charges in Houston Roofing Fraud Case

Man Faces Charges in Houston Roofing Fraud Case

A Galveston County, Texas man is charged with felony criminal mischief for allegedly damaging a roof to file a fraudulent storm damage insurance claim, authorities report.
July 30, 2024 Fraud Insurance Industry Litigation Property Texas

Alabama Woman Charged with Defrauding College and Local Businesses of Thousands

Alabama Woman Charged with Defrauding College and Local Businesses of Thousands

An Alabama woman faces charges for allegedly defrauding insurance companies, a local community college, and businesses of approximately $77,000, according to a Houston County Grand Jury indictment.
July 30, 2024 Fraud Insurance Industry Legislation & Regulation Litigation Alabama

California’s Park Fire Among Largest in State History, Consuming Nearly Half the Size of Rhode Island

California’s Park Fire Among Largest in State History, Consuming Nearly Half the Size of Rhode Island

The Park Fire in Northern California has grown to over 383,000 acres, making it the fifth-largest wildfire in state history, affecting four counties and threatening thousands of structures.
July 30, 2024 Catastrophe Insurance Industry Litigation Property California

Insurance Industry Faces Record-High Claims Costs Due to Legal System Abuse

Insurance Industry Faces Record-High Claims Costs Due to Legal System Abuse

Legal system abuse, including frivolous lawsuits and inflated claims, significantly raises insurance claims costs, impacting policyholders, insurers, and agents, as highlighted by Triple-I.
July 30, 2024 Insurance Industry Liability Litigation Risk Management

Adjuster Cautionary Tale: Courtroom Embarrassment Over Chat Message

Adjuster Cautionary Tale: Courtroom Embarrassment Over Chat Message

A recent post on Reddit's adjusters subreddit shared a cautionary tale about the risks of casual, off-the-cuff remarks in professional communications. In this instance, a fire claim involving a homeowner's pet parrot escalated to the courtroom, where an unfortunate message by an adjuster was read aloud, much to his embarrassment.
July 29, 2024 Litigation Property Risk Management Technology

Take-Two Interactive Identifies Negative Review Campaigns as Major Risk

Take-Two Interactive Identifies Negative Review Campaigns as Major Risk

Take-Two Interactive's SEC filing highlights various risks including negative review campaigns, which could result in loss of players, revenue, and increased marketing costs.
July 29, 2024 Insurance Industry Litigation Risk Management Technology

Former Adjuster Admits to $268K Auto Insurance Fraud Scheme

Former Adjuster Admits to $268K Auto Insurance Fraud Scheme

A former claims adjuster from Aurora has confessed to stealing over $268,000 from her employer by filing fraudulent auto insurance claims, resulting in felony theft charges for her and two accomplices.
July 29, 2024 Auto Fraud Insurance Industry Litigation Colorado Florida

Atrium Health Sued for Alleged Breach of Medicare Program Contract

Atrium Health Sued for Alleged Breach of Medicare Program Contract

ApexHealth is suing Atrium Health, claiming a breach of contract related to a Medicare Advantage program, resulting in losses exceeding $62 million.
July 29, 2024 Insurance Industry Legislation & Regulation Life & Health Litigation North Carolina

Maryland Woman Faces Charges for Alleged $180K Insurance Fraud

Maryland Woman Faces Charges for Alleged $180K Insurance Fraud

A Maryland woman is accused of filing fraudulent insurance claims worth over $180,000, using false damage photos and documents in her submissions to USAA.
July 29, 2024 Fraud Insurance Industry Litigation Property Maryland

Berkshire Hathaway Insurer and Cannabis Company Clash Over $1.3 Million Claim

Berkshire Hathaway Insurer and Cannabis Company Clash Over $1.3 Million Claim

National Fire and Marine Insurance Co. denies coverage for Theraplant's $1.3 million business income loss claim, citing policy exclusions and differing interpretations of coverage terms.
July 29, 2024 Insurance Industry Litigation Property Risk Management Connecticut

Florida Woman’s Concrete Blockade Floods Entire Neighborhood, Ignites Fierce Community Backlash

Florida Woman’s Concrete Blockade Floods Entire Neighborhood, Ignites Fierce Community Backlash

A Florida neighborhood is experiencing severe flooding after a resident poured concrete into a crucial drainpipe on her property, prompting county intervention and ongoing disputes with the HOA.
July 26, 2024 Legislation & Regulation Litigation Property Risk Management Florida
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