Fraud News / Claims Pages / Page 2

Insurance Industry Leverages AI to Enhance Efficiency and Decision-Making

The insurance industry has rapidly adopted AI, enhancing operations across sales, underwriting, and risk management to optimize performance and profitability.

April 29 Insurance Thought Leadership Fraud Insurance Industry Technology Underwriting

Record Highs in Healthcare Fraud Losses in Early 2024 Spark Concern

Americans faced over $16 million in losses to healthcare fraud in the first quarter of 2024, marking a significant increase in fraudulent activities.

April 26 Healthnews Fraud Insurance Industry Legislation & Regulation Life & Health Florida

2024 Coalition Cyber Claims Report Reveals Key Cybersecurity Insights and Trends

The latest Coalition Cyber Claims Report highlights significant trends in cybercrime, emphasizing the importance of robust cyber defenses.

April 24 Coalition Fraud Insurance Industry Risk Management Technology

Globe Life Addresses DOJ Investigation and Rejects Fraud Allegations Amidst Stock Plunge

Globe Life has confirmed it is cooperating with a DOJ probe into sales practices while strongly denying fraud allegations by short-seller Fuzzy Panda Research.

April 24 WFAA Fraud Insurance Industry Life & Health Litigation Pennsylvania Texas

Former Military Financial Counselor Admits to Defrauding Bereaved Military Families

A former financial counselor for the army has pled guilty to a scheme defrauding families of fallen soldiers, impacting life insurance payouts.

April 23 Insurance Business Fraud Insurance Industry Legislation & Regulation Life & Health New Jersey

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