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Generative AI Creates New Challenges for Insurance Fraud Investigations

Generative AI Creates New Challenges for Insurance Fraud Investigations

Generative AI tools are making it easier to create fake claim evidence, while a new survey finds insurers have limited confidence in their ability to detect and prevent AI-driven fraud.
May 29 Auto Fraud Insurance Industry Property Technology

Louisiana Insurance Fraud Probe Targets $4M in Alleged False Crash Claims

Louisiana Insurance Fraud Probe Targets $4M in Alleged False Crash Claims

Louisiana investigators say four suspects made false statements tied to a 2025 crash involving a waste disposal truck. Authorities allege the fraudulent claims sought nearly $4 million in compensation.
May 28 Auto Fraud Litigation Louisiana

Insurance Executive Sentenced to 12 Years in $2 Billion Fraud Scheme

Insurance Executive Sentenced to 12 Years in $2 Billion Fraud Scheme

Federal prosecutors said insurance company reserves were diverted through affiliated entities, leaving thousands of policyholders still owed more than $1 billion while regulators uncovered bribery and fraud allegations.
May 28 Fraud Insurance Industry Legislation & Regulation Litigation Risk Management North Carolina

Contractor Hit With Potential $2M Judgment After Inflated Hail Claim Scheme

Contractor Hit With Potential $2M Judgment After Inflated Hail Claim Scheme

A Colorado jury found a contractor intentionally interfered with an insurance contract after allegedly inflating a church hail damage claim. The verdict highlights growing insurer scrutiny of contractor involvement in appraisal disputes and claim inflation.
May 28 Catastrophe Fraud Legislation & Regulation Litigation Property Colorado

Contractor Fraud Awareness Week Puts Focus on Storm Chasing Roofing Schemes

Contractor Fraud Awareness Week Puts Focus on Storm Chasing Roofing Schemes

As Contractor Fraud Awareness Week continues nationwide, roofing contractors, insurers, and adjusters are warning homeowners about storm chasing scams, inflated claims, and post-disaster fraud risks.
May 21 Catastrophe Fraud Insurance Industry Property Risk Management

AI-Generated Claim Fraud Forces Adjusters to Rethink Investigations

AI-Generated Claim Fraud Forces Adjusters to Rethink Investigations

Fraudsters are using AI to create convincing photos, invoices, medical records and identities. Adjusters need stronger verification, native files, field investigation and clear evidence before denying a claim.
May 18 Auto Fraud Insurance Industry Litigation Property

Georgia Agent Accused of Selling Fake Workers’ Comp Insurance

Georgia Agent Accused of Selling Fake Workers’ Comp Insurance

Georgia regulators say businesses may have received fraudulent workers' compensation certificates and believed they had valid coverage when they did not.
May 18 Fraud Insurance Industry Legislation & Regulation Workers' Compensation Georgia

Kentucky Man Accused of Staging UTV Theft in Alleged Insurance Fraud Scheme

Kentucky Man Accused of Staging UTV Theft in Alleged Insurance Fraud Scheme

Kentucky State Police say a Martin County man admitted he falsely reported a side-by-side stolen in an alleged attempt to collect insurance money. Investigators say neighbors and follow-up interviews helped uncover inconsistencies in the report.
May 13 Fraud Insurance Industry Litigation Property Kentucky

New York Man Accused of $400K Trucking Insurance Fraud Scheme

New York Man Accused of $400K Trucking Insurance Fraud Scheme

Federal prosecutors say a New York man filed false damage claims against trucking companies and insurers using fake names, repair shops and invoices.
May 13 Auto Fraud Insurance Industry Litigation New York

Dallas Financial Executive Convicted in $150 Million Insurance-Linked Fraud Scheme

Dallas Financial Executive Convicted in $150 Million Insurance-Linked Fraud Scheme

Federal prosecutors said Brad Heppner used shell companies, falsified records, and misleading debt transactions tied to GWG Holdings and Beneficient, leaving thousands of investors facing major losses.
May 13 Fraud Insurance Industry Legislation & Regulation Life & Health Litigation Texas

San Francisco Man Convicted in Insurance Fraud Scheme Linked to Rogue Tow Operator

San Francisco Man Convicted in Insurance Fraud Scheme Linked to Rogue Tow Operator

Federal prosecutors said the defendant helped file fraudulent claims involving wrecked and inoperable vehicles as part of a broader Bay Area towing fraud operation tied to arson, staged losses, and organized insurance scams.
May 11 Auto Fraud Insurance Industry Litigation Subrogation California

Nonprofit Officials Indicted in Alleged Insurance Fraud and Embezzlement Scheme

Nonprofit Officials Indicted in Alleged Insurance Fraud and Embezzlement Scheme

Prosecutors allege misuse of California wildfire prevention funds, insurance fraud, and money laundering tied to a six-year scheme exceeding $100,000.
May 5 Catastrophe Fraud Insurance Industry Litigation Property California

Public Adjuster Charged in $140K Insurance Payout Theft Case

Public Adjuster Charged in $140K Insurance Payout Theft Case

Pennsylvania prosecutors allege a public adjuster diverted insurance claim funds meant for homeowners and contractors after storm, flood and property damage claims.
April 30 Fraud Insurance Industry Legislation & Regulation Property Pennsylvania

Fake Auto Insurance Cards Surge in Texas, Driving Fraud Risk and Claims Costs

Fake Auto Insurance Cards Surge in Texas, Driving Fraud Risk and Claims Costs

Fraudulent policies are leaving drivers uninsured and shifting costs to legitimate claims through higher premiums and increased uninsured motorist filings.
April 30 Auto Fraud Insurance Industry Risk Management

People Risk 2026 Report: Workforce Trends Driving Insurance Claims Exposure

People Risk 2026 Report: Workforce Trends Driving Insurance Claims Exposure

New data shows how AI gaps, cyber behavior, labor shortages, and employee stress are driving higher claims frequency, severity, and operational risk.
April 30 Catastrophe Fraud Insurance Industry Liability Technology
Omega Forensic Engineering, IncMid-America Catastrophe ServicesWeller SalvageNationwide Overspray