Pennsylvania Insurance Commissioner Announces $40M+ In Restitution To Consumers In First Half Of 2017

Insurance Commissioner Teresa Miller today announced the Insurance Department reclaimed $40,244,992 for more than 28,000 consumers throughout the state during the first six months of 2017.
August 11, 2017 Legislation & Regulation Pennsylvania

Papaya Recall Grows Due To Salmonella Outbreak

A recall on papayas has been expanded to three brands, with more recalls possible, after the Food and Drug Administration narrowed in on the source of a salmonella outbreak that has been blamed for at least one death and has sickened over 100 more dating back to May.
August 8, 2017 Liability Life & Health Connecticut Delaware Iowa Kentucky Louisiana

Freight Train Cars Burn After Derailment In Pennsylvania

Rail cars carrying gas and sulfur on a CSX Corp freight train skidded off the tracks and burst into flames on Wednesday in a small Pennsylvania town, forcing hundreds of residents to flee their homes as firefighters fought the blaze.
August 3, 2017 Excess & Surplus Lines Pennsylvania

AI Claims Bot Allows Insurtech Company’s Adjusters To Focus On Customer Service

Pay-per-mile insurer Metromile has announced the launch of a new AI claims system designed to eliminate manual processes used to collect accident data and distribute payments to customers.
July 25, 2017 Auto Risk Management Technology California Illinois New Jersey Pennsylvania

Biggest Challenge To Workers Comp Prescription Cost Reform: Profit Motive

States that enacted reforms to rein in the high cost of drugs dispensed by physicians to injured workers are facing an uphill battle as some doctors are finding ways around the regulations, meaning these costs remain stagnant or are rising in some states, experts say.
July 20, 2017 Legislation & Regulation Workers' Compensation California Illinois Maryland Pennsylvania

Philadelphia Fire Department Official Charged With Insurance Fraud

Yolanda Stallings was an up-and-comer in the Philadelphia Fire Department. The website, which we’re told is in need of an update, calls her an “Executive Chief of Strategic Planning”. It shows the 14-year-veteran “…is the first African American female to serve on the PFD Executive Team as a high ranking official.”
July 19, 2017 Auto Fraud Pennsylvania

Pennsylvania Man Alters VIN, Falsely Claims Theft Of His Skid Steer

A Carbon County man lied to collect insurance in February when he reported his $42,000 construction vehicle stolen from an Upper Macungie Township work site, investigators said.
July 13, 2017 Excess & Surplus Lines Fraud Pennsylvania

Blue Cross the Country: Nationwide Addiction Treatment Scams Bilk Insurers

Drug users, desperate to break addictions to heroin or pain pills, are pawns in a sprawling national network of insurance fraud, an investigation by The Boston Globe and STAT has found.They are being sent to treatment centers hundreds of miles from home for expensive, but often shoddy, care that is paid for by premium health insurance benefits procured with fake addresses.
July 12, 2017 Fraud Life & Health Delaware Florida Pennsylvania Virginia

Gas Explosion Obliterates Pennsylvania Home, Kills Gas Worker

Authorities say a blast believed to have been a gas explosion leveled a Pennsylvania home, killing one utility worker and injuring at least one other employee.
July 3, 2017 Property Workers' Compensation Pennsylvania

Clues Led To Arson, Insurance Fraud Charges Against Auto Shop Owner

A DuBois man accused of torching his auto repair shop last year in hopes of cashing in on the insurance payment remains in jail, his charges bound to a higher court.
June 29, 2017 Fraud Property Pennsylvania

Bicyclist Charged With Seeking Insurance Windfall

After David Smith of Hempfield was struck and injured by a drunken driver while riding his bicycle 10 years ago, he sued and won a $50,000 settlement. Over the next decade, Smith attempted to position himself for another accident and another financial windfall, according to testimony the district attorney wants to present to jurors during the bicyclist’s trial next month. Smith is accused of eight separate incidents of obstructing traffic and creating a dangerous condition for motorists as he biked on various roadways.
June 27, 2017 Liability Litigation Pennsylvania

Pennsylvania Supreme Court Ruling Eliminates Benefits Cap For Severely Injured Workers

Thousands of injured workers statewide could receive more benefits after the Pennsylvania Supreme Court struck down a key part of the workers’ compensation law that has governed how the state assesses workplace injuries for the past 20 years.
June 27, 2017 Litigation Workers' Compensation Pennsylvania

State Push To Adopt Workers Comp Formularies Sees Mixed Results

Recent state efforts to adopt drug formularies in workers compensation have experienced obstacles despite evidence that they can produce good results for states grappling with opioid addiction and reduce prescription costs, according to experts.
June 23, 2017 Legislation & Regulation Workers' Compensation California Louisiana New York Pennsylvania

Home Sustains $750K In Damages After Lightning Strike

A storm moved through the region Monday afternoon bringing heavy winds, drenching rains, and powerful lightning. A lightning bolt resulted in a three-alarm fire in Pocopson Township, Chester County.
June 21, 2017 Property Pennsylvania

Electronics Damage Claim Leads To Insurance Fraud Charges

A Cecil Township man was arraigned Thursday on charges filed by a special agent with the state attorney general’s office for allegedly making a false insurance claim last August.
June 19, 2017 Fraud Pennsylvania
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