Ohio Resident Sentenced to Five Years for $229K Insurance Fraud

An Ohio man has been sentenced for orchestrating a $229,000 insurance fraud scheme involving multiple companies and falsified claims, including property theft and fake medical expenses.
November 26, 2024 Fraud Insurance Industry Litigation Risk Management New York Ohio

New York Broker Pleads Guilty in $38 Million Nursing Home Tax Fraud Scandal

Joseph Schwartz, a New York insurance broker, pleaded guilty to charges of employment tax fraud and failing to file financial reports for nursing home facilities across 11 states.
November 20, 2024 Fraud Insurance Industry Legislation & Regulation Liability New Jersey New York

Mississippi Restaurant Fined $1.5M for Seafood Mislabeling Scheme

A Gulf Coast restaurant and co-owner face penalties after years of selling mislabeled imported seafood as premium local fish, defrauding customers and the seafood industry.
November 20, 2024 Fraud Legislation & Regulation Liability Risk Management Mississippi

Cargo Thefts Surge During Thanksgiving Holiday, Analysis Reveals

CargoNet reports a surge in cargo thefts during Thanksgiving, with high-risk areas and targeted goods revealing sophisticated criminal networks exploiting supply chain vulnerabilities.
November 20, 2024 Fraud Property Risk Management California Illinois

Rising Roof Claims Challenge Insurers Amid Severe Weather and Roofing Scams

Severe weather, inflation, and roofing scams are driving a surge in roof-related insurance claims, forcing the industry to adjust coverage and policy conditions to manage risks.
November 18, 2024 Catastrophe Fraud Insurance Industry Property Texas

Transforming Claims with Technology: Predictive Analytics and Machine Learning

Predictive analytics and machine learning are reshaping insurance claims management by enhancing efficiency, detecting fraud, and improving customer satisfaction.
November 18, 2024 Fraud Insurance Industry Risk Management Technology

Jacksonville Insurance Employees Arrested for $1.14M Fraud Scheme

Two Jacksonville healthcare employees allegedly submitted over 40 false claims, defrauding their employer of $1.14 million from 2019 to 2023. Both face serious charges.
November 18, 2024 Fraud Insurance Industry Legislation & Regulation Risk Management Florida

Cybercrime on the Rise: Most Americans Report Scam Attempts

A recent report highlights that nearly all Americans have been targeted by digital scams, with billions lost annually to sophisticated cybercrime schemes.
November 15, 2024 Fraud Insurance Industry Risk Management Technology

North Carolina Insurance Agent Faces Charges for Forgery and Embezzlement

A North Carolina insurance agent faces embezzlement charges after allegedly taking premiums without securing policies, following a history of regulatory penalties and surrendered licenses.
November 14, 2024 Fraud Insurance Industry Legislation & Regulation Liability North Carolina

Fake Bear Attack Insurance Scam Leads to Arrests in California

Four Southern California residents were arrested on suspicion of insurance fraud after allegedly submitting false claims that their cars were damaged by a bear, which officials say was a person in a bear costume.
November 14, 2024 Auto Fraud Litigation Risk Management Weird California

Ex-Boyfriend’s Tip Leads to Fraud Charges Against Denver Police Officer

A Denver police officer has been arrested and fired amid allegations of pre-employment insurance fraud related to a hit-and-run claim. The tip that led to the investigation reportedly came from her ex-boyfriend, leading to a criminal investigation and pending charges.
November 11, 2024 Fraud Insurance Industry Litigation Colorado

Brooklyn Man Charged with Insurance Fraud After Allegedly Staging Car Crash Caught on Viral Dash Cam Video

A Brooklyn man faces multiple charges after allegedly staging a car accident on the Belt Parkway, an event captured on dash cam that went viral on social media. Authorities say the incident endangered lives and remains under investigation for additional suspects.
November 11, 2024 Auto Fraud Litigation Risk Management New York

High Cost of Car Insurance Drives 35% of Parents to Commit Fraud

In a new study, 35% of parents admit to "fronting" on car insurance policies for young drivers to save on rising premiums. Although common, fronting is illegal and can result in fines, policy cancellation, or criminal charges.
November 7, 2024 Auto Fraud Legislation & Regulation Risk Management

2024 Hurricanes Leave Nearly 350,000 Cars Flood-Damaged, CARFAX Warns

In 2024, hurricanes have left an estimated 347,000 vehicles with flood damage across the U.S., CARFAX reports. Experts caution that many may be resold, potentially concealing dangerous and costly water damage.
November 5, 2024 Auto Catastrophe Fraud Risk Management Florida

Fraud Costs for SNAP Agencies Soar, Driven by EBT Skimming and System Complexities

The latest LexisNexis "True Cost of Fraud" Study highlights increasing fraud costs in SNAP programs, emphasizing the impacts of EBT skimming, integrated eligibility systems, and operational delays on both staff and beneficiaries.
October 23, 2024 Fraud Legislation & Regulation Risk Management Technology
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