Fraud News / Claims Pages / Page 4

Florida Couple Arrested for Attempted Million-Dollar Lottery Fraud

A couple from DeFuniak Springs, Florida, was arrested for attempting to claim a $1 million lottery prize using an altered scratch-off ticket.

April 22 WEAR News Fraud Weird Florida

Adjusters Discuss Challenges with Mitigation Company Charges and Negotiations

Adjusters on a professional forum share experiences and strategies for handling escalating bills from mitigation companies and their refusal to negotiate.

April 19 Reddit Education & Training Fraud Insurance Industry Risk Management Florida

Federal Court Orders Arbitration in GEICO Fraud Case Against Chiropractors

The Third Circuit Court of Appeals has ruled that claims of insurance fraud under New Jersey’s PIP statute must go to arbitration, reversing previous decisions against three chiropractors.

April 19 Insurance Journal Fraud Insurance Industry Legislation & Regulation Litigation New Jersey

Former Augusta National Employee Faces Charges for Stealing Masters Merchandise

An ex-employee of Augusta National Golf Club is accused of stealing millions in Masters golf merchandise over a thirteen-year period.

April 18 Golf Digest Fraud Legislation & Regulation Property Risk Management Florida Georgia Illinois

North Carolina Public Adjuster and Roofing Contractor Son to Face Charges in Insurance Scam

A North Carolina mother and her son are accused of defrauding over $20,600 through bogus insurance claims involving home repairs.

April 18 WYFF4 Fraud Insurance Industry Litigation Risk Management North Carolina

Connecticut Man Sentenced for $900K Medicaid Fraud Involving Unlicensed Counseling Claims

Ramon Apellaniz of East Hartford is sentenced to prison and must pay $900,000 after fraudulently billing Medicaid for unlicensed counseling services.

April 18 Hartford Courant Fraud Legislation & Regulation Life & Health Litigation Connecticut

Workers’ Compensation Fraud Charges Filed in The Villages

A 74-year-old man faces felony fraud charges over a disputed worker’s compensation claim in The Villages, Florida.

April 17 Villages News Fraud Insurance Industry Legislation & Regulation Workers' Compensation Florida Michigan

Former NBA Player Sentenced in Health Insurance Fraud Case

Will Bynum, ex-Detroit Pistons guard, receives an 18-month prison sentence for his role in a major NBA insurance fraud scandal.

April 17 ESPN Fraud Insurance Industry Legislation & Regulation Life & Health Illinois New York

Former Chiropractor Receives Over Half Century Sentence for Massive Workers’ Compensation Fraud

Former chiropractor sentenced to 54 years for orchestrating a $150 million workers’ compensation fraud scheme in Riverside, California.

April 16 Riverside County District Attorney Fraud Insurance Industry Litigation Workers' Compensation California

Former MLB Player Charged in Staged Car Crash Insurance Fraud Case in Florida

Yuniesky Betancourt, former MLB shortstop, is charged with insurance fraud after allegedly staging a car crash to claim false injuries, facing up to 10 years in prison if convicted.

April 16 CBS Sports Auto Fraud Insurance Industry Legislation & Regulation Florida

Veteran Insurance Adjusters Express Concern Over Industry Practices and Integrity Issues

Seasoned insurance adjusters and industry professionals raise alarms about declining integrity and growing dissatisfaction within the insurance sector.

April 12 Reddit Fraud Insurance Industry Property Technology Georgia

Veteran Ferrari Mechanic Arrested on Multiple Charges Including Theft and Fraud

Donnie Callaway, a well-known mechanic specializing in vintage Ferraris, has been arrested in Arizona on charges of theft and fraud following a sting operation by a collector.

April 11 Robb Report Auto Fraud Litigation Property Arizona California

Kansas City Chiefs Superfan Ordered to Pay $10.8 Million for Bank Robbery Trauma

A judge has mandated that a Chiefs superfan, who committed multiple bank robberies, pay over $10 million for the distress caused during a 2022 robbery.

April 11 ESPN Fraud Liability Litigation Property Kansas Oklahoma

Insurance Fraud Scheme Uncovered in Florida Involving Homeowner and Public Adjuster

In Florida, a fraudulent insurance claim scheme involving a falsified homeowner signature has led to the arrest of two individuals.

April 11 Local10 Fraud Insurance Industry Legislation & Regulation Litigation Florida

AI in P&C Insurance Gains Consumer Trust for Improved Service, Yet Faces Skepticism in Decision-Making Roles

Insurity’s 2024 AI report highlights growing consumer confidence in AI for fraud detection and personalized services, while noting caution around its use in claims and underwriting.

April 11 Insurity Fraud Insurance Industry Technology