Coalition Against Insurance Fraud News

Calif. Appellate Court Revives Allstate Whistleblower Suit Against Radiology ‘Broker’

A California appellate court revived two whistleblower lawsuits filed by Allstate against a Los Angeles-area business owner who has no medical license but allegedly operated medical practices that referred auto and workers’ compensation claimants to radiologists in order to send …

Webinar Examines Good, Bad and Ugly of Litigation Financing

In insurance defense attorney Dennis Kass’ world, litigation financing firms lurk behind the scenes, pushing plaintiffs to undergo as much treatment as possible so lawyers can maximize the value of claims. “In a lot of ways, the plaintiffs become pawns …

Claims People: McLaren’s, Copperpoint, HNRK, Coalition Against Insurance Fraud

McLaren’s TPA Poaches 6 From Broadspire UK Global claims management provider McLarens expanded its third-party administration service with the addition of six new team members in London, all of them from Broadspire. The new hires follow the appointment in May …

Truckers and Insurers Form Partnership to Fight Tow Truck Scams

Insurers are teaming up with truckers to persuade state lawmakers to pass laws that they hope will cut down on fraud by tow truck operators. The Coalition Against Insurance Fraud announced Monday that it has formed a partnership with the …

Claims People: Davies, Global Risk and Coalition Against Insurance Fraud

Davies Appoints Business Development Officer and Senior VP Davies Claims Solutions has hired Glenn Backus as chief business development officer and Tyson Ware as senior vice president, head of adjusting and innovation. Backus has 25 years of experience in insurance, …

Friss: Fraud Investigations Rising Even as Claims Volumes Drop

Fraud inevitably rises after natural disasters and during economic downturns. The COVID-19 pandemic has brought both conditions to the entire globe at once. Fraud-prevention advocates have long been warning about the coming increase in fraudulent claims. Data from Friss, a …

Business People: Anti-Fraud Coalition, CRU Group, Liberty Co., Transcom

Fraud Fighting Group Names New Leader The Coalition Against Insurance Fraud announced that its general counsel, Matthew J. Smith, has been promoted to executive director. Smith replaces Dennis Jay, who retired after serving as executive director since the coalition was …

N.Y. High Court: Insurer that Reported Fraud Immune From Defamation Suit

A New York City doctor cannot pursue a defamation claim against an insurance company that filed a fraud complaint against him with the state’s medical licensing board, New York’s highest court ruled on Thursday. The New York Court of Appeals …

Survey Finds Carriers Turning to Analytics to Fight Growth in Fraud

Insurers believe that fraud in on the rise, and they are increasingly turning to advanced analytics to fight it, according to the results of a survey released Wednesday by the Coalition Against Insurance Fraud. The Coalition said the survey of …

CAIF Files Amicus Brief in Keodalah Case

Fraud fighting could be seriously compromised if a state court ruling allowing bad faith suits against insurer employees is allowed to stand, the Coalition Against Insurance Fraud warns Washington state’s highest court. The court ruling will cause a chilling effect. …