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Health Care Fraud Crackdown Targets $6.5 Billion in Alleged False Claims

Health Care Fraud Crackdown Targets $6.5 Billion in Alleged False Claims

Federal prosecutors announced charges against hundreds of defendants in alleged Medicare, Medicaid, wound care, opioid, hospice, and behavioral health fraud schemes. Investigators credited advanced data analytics and coordinated enforcement efforts for identifying the cases.
June 23 Fraud Legislation & Regulation Life & Health Risk Management Technology

CareFirst Files RICO Lawsuit Over Alleged $50 Million Health Insurance Fraud

CareFirst Files RICO Lawsuit Over Alleged $50 Million Health Insurance Fraud

A federal lawsuit claims hundreds of ineligible individuals were enrolled in Maryland-based health plans through an alleged scheme involving fraudulent residency information and referral networks.
June 23 Fraud Insurance Industry Life & Health Litigation Maryland

AI May Soon Bypass Current Cybersecurity Systems, Five Eyes Alliance Says

AI May Soon Bypass Current Cybersecurity Systems, Five Eyes Alliance Says

The Five Eyes intelligence alliance says advanced AI models could surpass current cybersecurity protections within months, increasing risks for businesses, insurers, and critical infrastructure operators.
June 23 Insurance Industry Risk Management Technology

Verisk: U.S. Property and Casualty Industry Combined Ratio Improves to 92.4%

Verisk: U.S. Property and Casualty Industry Combined Ratio Improves to 92.4%

Improved personal auto results and lower catastrophe losses helped U.S. property and casualty insurers return to strong underwriting profitability. Claims severity and litigation-related costs remain significant concerns for carriers.
June 23 Auto Catastrophe Insurance Industry Legislation & Regulation Litigation

Apple and Tesla Data Exposed in Massive Electronics Cyber Breach

Apple and Tesla Data Exposed in Massive Electronics Cyber Breach

A ransomware group claims it leaked more than 630GB of files stolen from Tata Electronics, triggering questions about supply chain cyber risk, intellectual property exposure, and insurance coverage obligations.
June 23 Insurance Industry Risk Management Technology Underwriting

Chesapeake Bay Residents Brace for Severe Thunderstorms, Flooding and Power Outages

Chesapeake Bay Residents Brace for Severe Thunderstorms, Flooding and Power Outages

Extreme heat, damaging winds, power outages and flash flooding are becoming familiar parts of summer across Maryland's Chesapeake Bay region. Residents and property owners are weighing the cost of preparedness against increasing weather risks.
June 22 Catastrophe Property Risk Management Maryland

What Claims Professionals Need to Know About the 2026 Hurricane Season

What Claims Professionals Need to Know About the 2026 Hurricane Season

Forecasters expect fewer Atlantic storms due to El Niño conditions, but growing property values, flood coverage gaps and elevated catastrophe exposure continue to challenge insurers, brokers and claims professionals.
June 22 Catastrophe Insurance Industry Property Risk Management Technology

How Saharan Dust Could Reduce Hurricane Formation Across the Atlantic Basin

How Saharan Dust Could Reduce Hurricane Formation Across the Atlantic Basin

A large plume of dry air and dust from Africa is reducing conditions favorable for tropical storm formation across the Atlantic, though hurricane risks remain as the season progresses.
June 22 Catastrophe Property Risk Management

Houston-Area Clinic Owner Accused in $906 Million Medicare and Tricare Fraud Scheme

Houston-Area Clinic Owner Accused in $906 Million Medicare and Tricare Fraud Scheme

Federal prosecutors allege a Houston-area clinic owner and co-conspirators submitted hundreds of millions of dollars in fraudulent Medicare and Tricare claims tied to medically unnecessary allograft procedures. Investigators say the scheme generated nearly $300 million in government payments and involved kickbacks and patient referrals.
June 22 Fraud Insurance Industry Legislation & Regulation Life & Health California Hawaii Nevada Texas

AI-Powered Health Insurance Fraud Forces Carriers to Strengthen Defenses

AI-Powered Health Insurance Fraud Forces Carriers to Strengthen Defenses

Health insurers are investing in voice authentication, deepfake detection, and advanced analytics as criminals use AI-generated records, synthetic identities, and automated calls to exploit healthcare systems.
June 22 Fraud Insurance Industry Life & Health Risk Management Technology

Moody’s: US Uninsured Flood Losses Could Top $1 Trillion as Flood Protection Gap Widens

Moody’s: US Uninsured Flood Losses Could Top $1 Trillion as Flood Protection Gap Widens

A Moody's analysis found that uninsured residential flood losses could exceed $1 trillion in an extreme flood scenario, with most counties carrying significant protection gaps and growing exposure beyond FEMA flood maps.
June 22 Catastrophe Insurance Industry Property Risk Management Technology

Adjuster Shortage Accelerates AI Adoption Across Insurance Claims Operations

Adjuster Shortage Accelerates AI Adoption Across Insurance Claims Operations

As experienced adjusters retire and hiring challenges persist, insurers are deploying AI to improve correspondence, training, quality control, and claims handling capacity while keeping decision-making in human hands.
June 22 Education & Training Insurance Industry Risk Management Technology

79% of Global Data Center Capacity Faces Elevated Climate Risk

79% of Global Data Center Capacity Faces Elevated Climate Risk

As data center construction accelerates worldwide, new research finds that flood, heat, wildfire, wind, and drought exposures are becoming significant drivers of operating costs, insurance demand, and long-term asset performance.
June 22 Catastrophe Insurance Industry Property Risk Management Technology Virginia

Novo Nordisk Rejects $25M Ransom After Hackers Steal 1.3TB of Sensitive Data

Novo Nordisk Rejects $25M Ransom After Hackers Steal 1.3TB of Sensitive Data

Hackers claim they spent more than two months inside the pharmaceutical company's network before stealing 1.3 terabytes of data. The breach highlights growing cyber extortion risks facing large organizations and their insurers.
June 19 Insurance Industry Liability Risk Management Technology

Hypothetical Category 4 Hurricane Reveals Hawaii’s Catastrophic Risk Exposure

Hypothetical Category 4 Hurricane Reveals Hawaii’s Catastrophic Risk Exposure

A Hawaii weather team's simulation of a direct hurricane strike on Pearl Harbor highlights the potential for catastrophic wind damage, storm surge losses, and major challenges for emergency responders, insurers, and property owners.
June 19 Catastrophe Insurance Industry Property Risk Management Hawaii
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