insurance fraud News

As Insurance Fraud Surges, Insurers Fight Back by Automating Detection

Insurance fraud is rising and more insurers are responding forcefully by automating investigations with skilled technology, according to a study of insurer technology usage by the Coalition Against Insurance Fraud. More than 60 percent of insurers say fraud has climbed …

Using Graph Analysis to Root Out Complex Fraud Rings

A new form of predictive analytics offers the ability to detect fraud committed by a group or ring in real time. According to Philip Rathle, vice president of products for California-based Neo4j, graph analysis dates back to 2000, when the …

Fraud News Around the Nation

Louisiana Man Sentenced Nearly 5 Years for Insurance Theft A federal prosecutor says a Lafayette, La., man has been sentenced to four years and eight months in prison for stealing more than a million dollars from his sister’s insurance settlement. …

Fraud News Around the Nation

Insurer Accuses Tennessee Recording Studio of Fraud After Fire An insurance company that paid more than $2.8 million in claims after an arson fire damaged an historic Memphis, Tenn., music recording studio has now accused a rock music label company …

Auto Insurers Need to Focus on Increasing EMG Abuse, Fraud

Electromyography (EMG), a diagnostic procedure used to assess muscle and nerve damage, has become a major area of concern and a potential gateway for medical fraud and abuse, particularly in auto insurance. Dr. John E. Robinton, medical director of Neurodiagnostics …

Texas Workers’ Comp Fraud Unit Boasts 40 Investigations Since Inception

Since its establishment five months ago, the new in-house fraud unit at the Texas Division of Workers’ Compensation has opened more than 40 investigations and hired additional fraud investigators to extend its reach. “It’s a huge benefit to have a …

Fraud News Around the Nation

RV Salesman Caught on Camera in Workers’ Comp Scam Must Repay State Over $81,000 A Washington recreational vehicle salesman who claimed he couldn’t work because of an on-the-job injury has been ordered to pay back more than $81,000 in state …

Fraud News Around the Nation

Texas Health Clinic Owner Pleads Guilty to Insurance Fraud The owner of a Houston, Texas, health clinic pled guilty to insurance fraud after billing for medical services – often provided to injured employees – despite having no licensed medical staff …

Sentencing Set for Man Charged in 2010 Hitching Post Fire, Insurance Fraud

Sentencing has been set for a New Jersey man who pleaded guilty to insurance fraud charges in connection with the 2010 arson of the Hitching Post Inn, a landmark Cheyenne hotel that was a popular place for Wyoming lawmakers to …

Fraud News Around the Nation

Washington Couple Gets Jail Time in Workers’ Comp Scam Officials say a married couple who owned and operated a now defunct foreign-language interpreter service just north of Seattle has been sentenced to jail for a fraudulent billing scheme. The Washington …