North Carolina Resident Charged with 54 Felonies in $1.8 Million Travel Insurance Fraud Case

A North Carolina resident allegedly forged medical and travel documents to defraud insurers of nearly $1 million and attempted to steal close to another $900K between 2020 and 2024.

Four Pharmacists Sentenced for $13 Million Health Care Fraud Scheme

Four pharmacists were sentenced for defrauding Medicare, Medicaid, and private insurers of over $13 million by billing for medications they never dispensed at multiple pharmacies.

Pennsylvania Man Sentenced to Prison for $1.4 Million Insurance Fraud Scheme

Former insurance claims handler James Keating received a 20-month prison sentence for defrauding Allied World Insurance out of more than $1.4 million through shell companies and kickbacks.

North Carolina Sting Catches Roofer Damaging Roof for $30K Insurance Claim

State investigators and Farm Bureau staged a bait house to catch a roofing contractor fabricating wind and hail damage in an alleged insurance fraud attempt.

Florida Couple Accused of Running $11 Million Insurance Fraud Scheme via Unauthorized Dental Practices

A Florida couple allegedly orchestrated an $11 million insurance fraud scheme through unauthorized dental practices, deceiving patients and insurers to fund a luxury lifestyle.

Massachusetts Insurance Brokers Accused of Stealing Over $700K from Clients

A Massachusetts couple has been charged with wire fraud for allegedly stealing over $700,000 in client premiums through their insurance firm and issuing fake coverage documents.

Georgia Countertop Manufacturer Fined for Exposing Workers to Dangerous Silica Dust

OSHA cited Brazilian Stone Design LLC with seven serious violations after determining employees were exposed to unsafe levels of respirable crystalline silica on the job.

Capital One Reaches Settlement with Social Media Creators over Affiliate Marketing Dispute

Capital One has agreed to settle a lawsuit filed by social media creators who claimed its shopping extension redirected affiliate commissions from their content.

Illinois Doctor Faces Sentencing for Defrauding Medicaid and Insurance Providers

Dr. Mona Ghosh, a suburban Chicago physician, awaits sentencing after pleading guilty to submitting $1.5 million in false insurance and Medicaid claims.

AI Uncertainty in Insurance: Coverage Gaps, Casualty Risks, and E&S Innovations

AI-native businesses push insurers to rethink liability forms and create new facilities as casualty risks evolve. Judgment and human expertise remain critical amid tech disruption.

Georgia Fraud Investigation Results in Over 180 Felony Charges Against Eight Individuals

Authorities in Chatham County charged eight people with over 180 felonies after they allegedly used an elderly victim’s personal information to commit identity theft and insurance fraud.

Inside the Auto Glass Fraud Crisis

Auto glass scams are costing U.S. drivers billions, fueled by deceptive ‘free’ repairs and AOB schemes. Insurers and lawmakers are responding with pre-inspection programs and tougher penalties.

Former Insurance Agent Charged in $250K Life Insurance Scam Targeting Multiple States

A former Connecticut insurance agent allegedly defrauded nine victims across multiple states through fake policies, forged documents, and impersonated professionals.

USAA Faces $15M Final Judgment in Katrina Bad-Faith Case After Mississippi High Court Refuses Rehearing

The Mississippi Supreme Court has closed the door on an 18-year dispute, upholding nearly $15M in penalties against USAA for bad-faith claim handling after Hurricane Katrina.

Maryland Insurance Administration Recovers Over $33 Million for Policyholders in 2024

The Maryland Insurance Administration recovered nearly $33.3 million in 2024 by assisting consumers with insurance disputes, fraud investigations, and regulatory enforcement efforts.

Citizens Insurance Pauses Flood Coverage Proof During NFIP Shutdown

Florida’s state-run Citizens Property Insurance Corporation has announced a temporary deferral of its flood insurance documentation requirement due to the federal government shutdown.

GEICO Takes Legal Action Against Brooklyn Pharmacy for $3.5 Million in Alleged No-Fault Insurance Fraud

GEICO alleges a Brooklyn pharmacy exploited New York’s No-Fault system by billing over $3.5 million for medically unnecessary pain creams and violating a prior court injunction.

Why AI-Driven Claims Management Is the New Standard

Insurers are racing to adopt AI as customer churn rises and expectations soar. Manual claims processes are no longer enough.

Tech-Enabled Litigation Instigation: The Hidden Threat Fueling Insurer Failures and Delayed Claims

A new Demotech report details how covert, tech-enabled legal tactics misdirect policyholders, delay legitimate claims, and trigger insurer insolvencies in disaster-hit regions.

Wine Server Defends Against Liability in Fatal Drunk Driving Crash After Work Event

A liquor server and distributor argue they aren’t liable for a woman’s fatal crash following a mandatory wine tasting, claiming she was responsible for her own actions.

Why Maryland Has the Highest Car Insurance Rates in the Nation

Maryland drivers pay the highest auto insurance rates in the U.S., with premiums driven by urban congestion, repair costs, extreme weather, and frequent claims.

Key Loss Adjusting Trends Shaping Property Claims in 2025

Sedgwick’s 2025 Loss Adjusting Insights Report explores the top nine trends—from tariffs and tech to legislation and climate change—reshaping property claims today.

Louis Vuitton Reports Data Breach Affecting Customer Information

Louis Vuitton Korea disclosed a data breach from unauthorized access to its system, exposing select customer information while assuring no financial data was compromised.

California Retail Theft Crackdown Recovers $190M in Stolen Goods

A surge in arrests and multi-agency efforts are curbing organized retail theft across California, with major implications for insurers and commercial property claims.

Tampa Contractor Sentenced to 4 Years, Ordered to Pay $55M for Fraud and Safety Violations

A Tampa-based contractor was sentenced to four years in prison and ordered to pay over $55 million in restitution for fraud, tax evasion, and workplace violations that led to an employee’s death.

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