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Claims covers many aspects of fraudulent claims - how they are perpetrated, red flags to look for in a claim, provides examples of fraudulent claims and the consequences for the perpetrators, and highlights the most egregious fraudsters in our annual Hall of Shame feature.
The following are a few examples of workers' compensation fraud committed by New Yorkers in 2010, according to the New York Alliance Against Insurance Fraud.
A Fargo, N.D. father and son have been charged with insurance fraud, theft, and illegally conducting an enterprise.
A Lynnwood, Wash. man is charged with two counts of insurance fraud after claiming that car thieves made off with his $33,000 collection of silk neckties.
Illinois Farmers Insurance Company has filed a five-count complaint against two Chicago area contractors alleging insurance fraud and conspiracy to the tune of $650,000.
The Ward Group has released its annual list of top 50 P&C insurance companies in the U.S., with nine new additions.
Three men have been charged in connection with the arson of a Georgia church. Two have admitted guilt, but the man who may have orchestrated the blaze continues to deny involvement.
In its latest ForeCAST analysis, the NICB reported a significant swell in both hail loss claims and hail loss questionable claims.
Willis Duncan alleged that he tripped over a box of motor oil in the automotive aisle at a Magic Mart located in Pike County, Ky., but an investigation revealed the real origin of the injury.
We explore the essential relationship between the claim professional and forensic expert, establishing five fundamental rules for adjusters in assigning work and managing costs within the claim process.
Certainly, we cannot address every aspect of what is currently happening in the subrogation arena in this article alone, but let's briefly discuss a particular concern that warrants awareness.
From TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom RPS | Risk Placement Services
The workers’ compensation market is shifting as wage growth, medical inflation, and regulatory changes reshape the landscape. Understanding these trends is essential for staying competitive. Download the latest market outlook to gain expert insights into key industry shifts, risk factors, and opportunities that could impact your strategy in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom RPS | Risk Placement Services
The workers’ compensation market is shifting as wage growth, medical inflation, and regulatory changes reshape the landscape. Understanding these trends is essential for staying competitive. Download the latest market outlook to gain expert insights into key industry shifts, risk factors, and opportunities that could impact your strategy in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
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