Insurance Rep Accused of Issuing 126 Fraudulent Checks in Georgia
A total loss rep allegedly issued over 100 fraudulent checks in a scheme spanning multiple counties. Investigators detail how internal access was exploited.
December 18
Fraud
Insurance Industry
Legislation & Regulation
Georgia
Google Sues Darcula Cybercrime Group Over Massive Scam Text Campaign Targeting Americans
The lawsuit aims to seize phishing infrastructure blamed for millions of fraudulent texts and widespread financial losses affecting U.S. consumers and insurers.
December 18
Fraud
Legislation & Regulation
Technology
2026 Claims Outlook Shows Regulatory Expansion Driving Cyber Claims Complexity and Expenses
As cyber and AI regulation expands, insurers and panel providers face increased claim costs and demand for specialized expertise next year.
December 18
Catastrophe
Fraud
Insurance Industry
Legislation & Regulation
Liability
GEICO Sues Over $2.7M Medical Equipment Fraud Tied to Kickbacks
Insurer accuses two Brooklyn-based suppliers of billing for unnecessary and undelivered medical equipment through a kickback-fueled fraud scheme. The lawsuit seeks to block $2M in pending no-fault claims.
December 15
Fraud
Insurance Industry
Legislation & Regulation
New York
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.
December 15
Fraud
Insurance Industry
Legislation & Regulation
Property
North Carolina
Water Damage, Theft Top List of Small-Business Insurance Claims in Hartford Report
The Hartford’s analysis of 1 million small-business policies shows rising costs for fire, injury, and water damage claims, with risk mitigation strategies gaining traction.
December 11
Fraud
Liability
Property
Risk Management
AI and Ontologies Are Fixing Insurance’s Data Quality Crisis
Semantic ontologies and AI-powered validation tools are transforming how insurers clean and structure their data, improving underwriting, fraud detection, and claims accuracy.
December 11
Fraud
Insurance Industry
Legislation & Regulation
Risk Management
Technology
AI Set to Become Insurers’ Core Infrastructure in 2026
SAS forecasts AI’s shift from auxiliary tool to operational core, reshaping claims, underwriting, and fraud detection as insurers face mounting climate, economic, and regulatory pressure.
December 5
Fraud
Insurance Industry
Technology
Underwriting
Georgia Auto Crash Rate Twice the National Average as Insurance Costs Spike
A sharp rise in vehicle wrecks, complex repair costs, and fraud complaints is stressing Georgia’s auto insurance market, prompting legislative calls and insurer resistance.
November 26
Auto
Fraud
Insurance Industry
Georgia
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.
November 24
Fraud
Legislation & Regulation
Risk Management
Technology
Federal Jury Convicts Two in ACA Subsidy Fraud Involving Homeless Enrollees
A South Florida jury found two men guilty of exploiting ACA subsidies by enrolling homeless individuals in plans they didn’t qualify for, generating millions in commissions.
November 19
Fraud
Insurance Industry
Legislation & Regulation
Life & Health
Arizona
Florida
Texas
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.
November 13
Fraud
Legislation & Regulation
Litigation
Property
Technology
Predictive Spending Data Gives Insurers New Insight Into Policyholder Risk
A new model tracks U.S. household spending and employment patterns to predict financial strain, policy lapses, and claims risk more accurately than traditional credit-based methods.
November 13
Auto
Fraud
Insurance Industry
Property
Technology
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.
November 11
Fraud
Property
Risk Management
California
Auto Insurance Fraud in Texas Triggers RICO Lawsuit from Allstate
Allstate claims Texas medical clinics orchestrated a massive auto injury fraud scheme that could reshape how insurers pursue suspected fraud.
November 11
Auto
Fraud
Legislation & Regulation
Litigation
Technology
Texas
