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Missouri Doctor Settles Health Insurance Fraud for $1.2M

Missouri Doctor Settles Health Insurance Fraud for $1.2M

Dr. Nehal Modh and Progressive Pain Management in Festus, Missouri, agreed to a $1.2 million settlement for submitting false Medicare and Medicaid claims. Whistleblower awarded $177,707.
June 13, 2024 Fraud Legislation & Regulation Life & Health Litigation Missouri

Delivery Drivers File Wage Claims Against Amazon

Delivery Drivers File Wage Claims Against Amazon

Thousands of Amazon Flex drivers have filed claims alleging misclassification as independent contractors, seeking unpaid wages and other financial compensation.
June 13, 2024 Insurance Industry Legislation & Regulation Litigation Workers' Compensation California Illinois Massachusetts Wisconsin

Liability Litigation Trends: Increased Claims and Attorney Representation

Liability Litigation Trends: Increased Claims and Attorney Representation

Attorney representation in liability claims has increased significantly, with litigation rates climbing in 2023. The trend is partly driven by a rush to file lawsuits in Florida before new tort reform measures took effect, according to Sedgwick's latest report.
June 13, 2024 Legislation & Regulation Liability Litigation Risk Management Florida

Woman Sues Ice Cream Company Over Lack of Real Pistachios

Woman Sues Ice Cream Company Over Lack of Real Pistachios

A woman from Long Island is suing Cold Stone Creamery, alleging that its pistachio ice cream contains no actual pistachios. The lawsuit could have significant implications for ice cream lovers across the country.
June 12, 2024 Fraud Legislation & Regulation Litigation New York

Major Workers’ Compensation Insurance Fraud Uncovered in California

Major Workers’ Compensation Insurance Fraud Uncovered in California

Two farm labor contractors in Kings County, California have been arraigned on multiple felony counts for allegedly underreporting $29.2 million in payroll to save on workers' compensation insurance premiums and taxes.
June 12, 2024 Fraud Legislation & Regulation Litigation Workers' Compensation California

Retired Fire Captain Arrested for Alleged Insurance Fraud

Retired Fire Captain Arrested for Alleged Insurance Fraud

A retired fire captain from Davie, Florida, faces charges of insurance fraud and criminal use of personal identification for allegedly submitting falsified lodging invoices related to a 2022 insurance claim.
June 12, 2024 Fraud Insurance Industry Liability Litigation Florida

CityMD Settles $12 Million Allegations Over False Claims for COVID-19 Testing

CityMD Settles $12 Million Allegations Over False Claims for COVID-19 Testing

CityMD settles allegations of submitting false claims for COVID-19 testing to a federal program for uninsured patients, paying $12.04 million to resolve the issue.
June 11, 2024 Fraud Legislation & Regulation Life & Health Litigation New Jersey New York

Texas Supreme Court Dismisses Stonewater Roofing’s Claims Against Insurance Regulations

Texas Supreme Court Dismisses Stonewater Roofing’s Claims Against Insurance Regulations

The Texas Supreme Court dismissed Stonewater Roofing's constitutional claims challenging state regulations requiring licensing for public insurance adjusters, upholding the Texas Department of Insurance's motion.
June 11, 2024 Insurance Industry Legislation & Regulation Litigation Risk Management Texas

Tesla’s False Advertising Case on Self-Driving Tech to Go to Trial

Tesla’s False Advertising Case on Self-Driving Tech to Go to Trial

A California judge rules that Tesla must face trial over accusations of false advertising related to its self-driving technology, following investigations and failed attempts to dismiss the case.
June 11, 2024 Fraud Legislation & Regulation Litigation Technology California

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme

Massachusetts Psychiatrist Sentenced to Prison for $19 Million Insurance Fraud Scheme

Gustavo Kinrys, a psychiatrist from Wellesley, Massachusetts, sentenced to 99 months in prison for a $19 million insurance fraud scheme used to finance luxury homes and purchase over $600,000 in high-end jewelry.
June 10, 2024 Fraud Insurance Industry Life & Health Litigation Massachusetts

Nuclear Verdicts Surge in Personal Injury and Wrongful Death Cases: A Decade in Review

Nuclear Verdicts Surge in Personal Injury and Wrongful Death Cases: A Decade in Review

A comprehensive study from the U.S. Chamber of Commerce Institute for Legal Reform highlights the rising trend of nuclear verdicts, their causes, and potential solutions over a ten-year period ending in 2022.
June 10, 2024 Legislation & Regulation Litigation Property Risk Management California Florida Georgia Illinois Missouri

Court Panel Recommends Distribution of $2.13 Billion in Opioid Crisis Legal Fees

Court Panel Recommends Distribution of $2.13 Billion in Opioid Crisis Legal Fees

Court-appointed panel allocates $2.13 billion in legal fees from opioid settlements, with leading firms set to receive substantial shares.
June 10, 2024 Fraud Life & Health Litigation Risk Management

Increasing TPLF and Securities Class Actions Heighten Insurer Risks

Increasing TPLF and Securities Class Actions Heighten Insurer Risks

Rising settlements and third-party litigation funding (TPLF) trends drive higher risks and costs for insurers, impacting policyholders and consumer prices.
June 10, 2024 Fraud Insurance Industry Litigation Risk Management

Reddit Adjusters Discuss Declining Storm Coverage Trends

Reddit Adjusters Discuss Declining Storm Coverage Trends

Insurance professionals on Reddit discuss how carriers are reducing storm damage coverage, impacting policies and the job market for adjusters.
June 7, 2024 Catastrophe Litigation Property Risk Management California Florida

North Carolina Insurance Agent Faces 74 Felony Charges for Identity Theft and Forgery

North Carolina Insurance Agent Faces 74 Felony Charges for Identity Theft and Forgery

A licensed insurance agent from Nash County has been charged with 74 felony counts, including identity theft and forgery, after allegedly forging life insurance applications to obtain funds illegally.
June 7, 2024 Fraud Insurance Industry Life & Health Litigation North Carolina
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