insurance fraud News

CAIF’s 2015 Insurance Fraud Hall of Shame Inductees

Blown up houses, staged wrecks and bogus spine surgeries were among the damage inflicted by nine convicted scammers newly selected to the Insurance Fraud Hall of Shame. They were enshrined by the Coalition Against Insurance Fraud. The Hall of Shame …

Florida Man Arrested For Stealing Nearly $100,000 From Elderly Hurricane Sandy Victim

A Naples, Fla., man was arrested earlier this month for allegedly stealing two insurance claim payments totaling more than $96,000 from an elderly New Jersey business owner. The Florida Division of Insurance Fraud, which operates under the direction of Chief …

Montana Man Convicted of Framing Detective in Arson

A Montana man was acquitted of arson in a fire set outside his parents’ house but convicted of trying to make it look like a Yellowstone County sheriff’s detective was responsible for setting the blaze. Lionel Ellison, 56, was found …

Unlicensed Worker Performed Surgeries in Workers’ Comp, Healthcare Insurance Fraud Scam

A physician assistant who wasn’t licensed or trained to perform surgery operated on hundreds of patients while the orthopedic surgeon who billed for the procedures schemed with colleagues to hide a massive insurance fraud conspiracy, Los Angeles prosecutors said. Prosecutors …

California Orthopedic Doctor Charged in $150M Insurance Fraud Scam

An orthopedic surgeon was charged as the ringleader in one of the state’s biggest health fraud schemes, which included unnecessary operations by an untrained assistant that scarred patients forever, according to indictments unsealed Tuesday. Dr. Munir Uwaydah and 14 associates, …

New York Music Store Owners Charged With Arson, Insurance Fraud

A married couple who owned a music store and pawn shop in New York’s capital region has been charged with burning it down for insurance money after an investigator examining the claim noticed signs of arson. Gary and Audrey Lane …

Better Data Sharing Key to Fighting Growing Problem of Cross Over Fraud

More than 84 percent of fraud mitigation professionals interviewed see fraud that crosses multiple industries in their investigations, according to a newly released LexisNexis Fraud Mitigation Study. The study revealed that multi-industry fraud has a moderate to high financial impact …

Sixth Circuit Court Predicts Kentucky Will Reject the Adoption of Reverse Bad Faith

Reverse bad faith refers to a cause of action which would allow the insurance company to assert a counterclaim for affirmative relief against an insured who brought a frivolous, bad faith action. Steven Plitt and Jordan R. Plitt, 1 Practical …

South Florida Beloved by Retirees and Fraudsters

Psssst – Need a phony ID? A fraudulent tax refund? Insurance money from a sham car crash? Florida may have just what you’re looking for. Since the first settlers hacked their way into the mangrove tangles and drained much of …

Guilty Plea for New Jersey Man Involved in Hitching Post Arson

A New Jersey man intends to plead guilty to a federal charge stemming from the 2010 arson fire that destroyed the Hitching Post Inn in Cheyenne, Wyoming, according to court records. Falgun Dharia of Flanders, New Jersey, pleaded not guilty …