Fraud News

Men Indicted for Causing Train Wreck in Insurance Fraud Scheme

Two men in South Carolina face seven federal charges after authorities say they parked a car on train tracks, causing an Amtrak train to derail, then came back and claimed they were injured in the crash. Prosecutors say 33-year-old James …

Device Reputation Aids UK Insurer in Busting Crash for Cash Scheme

As insurance fraud continues to evolve more aspects of the crime involve digital technology. In the UK, where a considerable amount of policies are generated through online transactions, much can be learned about the customer through the devices used to …

York Reports $1.5M in Workers’ Comp Restitution to California Public Entities

York Risk Services Group, a third party administrator, announced their return of more than $1.5M in workers’ comp restitution to public entity clients in California by fighting workers’ compensation fraud. Of that amount, more than $1M was returned to clients …

Jewelry Expert Testifies in $20M Insurance Fraud Fires Case

A local GOP fundraiser charged in a $20 million insurance scheme after three mansion fires in five years cursed and discussed the Mafia while meeting with a jewelry appraiser about her claims, the appraiser testified Tuesday. Claire Risoldi’s “salty language” …

Fireman’s Fund Pays $44M to Settles Crop Insurance Fraud Charges

Fireman’s Fund Insurance Co. has agreed to pay $44 million to settle allegations under the False Claims Act that it knowingly issued insurance policies that were ineligible under the U.S. Department of Agriculture’s (USDA) federal crop insurance program and falsified …

Media Portrayal of Workers’ Comp Fraud Impacts Real Life Claims

The depiction of workers’ compensation fraud in television shows has impacted the public’s perception of the crime, said two experts during a session on the subject at the Combined Claims Conference held recently in Orange County, California. While workers’ comp …

Georgia Residents Arrested for Staging Car Crash

Insurance Commissioner Ralph Hudgens says seven central Georgia residents accused of staging a car crash have been charged with insurance fraud. An investigation by Hudgens’ Fraud Division revealed that on September 5, 2013, Kokeythia B. Glover, Stephanie James, Alicia Bell, …

New Jersey Bill Making it a Crime to Falsely Register Cars in Other States Heads to Governor

New Jersey drivers who lie about where they garage and drive their vehicles to illicitly lower their auto premiums are a big step closer to facing stiff new penalties for being caught, according to the Coalition Against Insurance Fraud. A …

Missouri Man Pleads Guilty to Role in Arson, Fraud Plot Involving Overinsured Homes

A man implicated in an arson-and-fraud scheme when his clothes caught fire during a house blaze he helped set has pleaded guilty to federal conspiracy and other charges. John S. Wayne, 31, of Kansas City, Missouri, entered the pleas Monday …

Commentary: Strategies to Keep SIU Focus on Point

Like a prize fighter waiting for the opportunity to land the right punch, Special Investigative Units (SIU) investigate questionable cases with the goal of shutting down a fraudulent claim or scheme. Such focus can lead to a concentration of effort …