insurance fraud News

Owner of Mass. Physical Therapy Clinic Sentenced to 3 Years for $7M Auto Fraud Scheme

The owner of a Massachusetts physical therapy clinic who defrauded 24 auto insurers by submitting largely bogus treatment claims was sentenced Wednesday to three years in prison and ordered to pay $7,383,756 in restitution. Gyulnara Bayryshova, the 57-year-old owner of …

Collision Repair Shop Owner Ordered to Pay $435,000 in Restitution

The owner of a Pennsylvania collision repair shop who participated in the direct repair program for several insurers was ordered Monday to pay $435,246.69 in restitution and sentenced to probation for filing more than 300 false insurance claims. John Paul …

GEICO Suit Alleges $1.8M in Fraudulent Billings by New Jersey Healthcare Providers

Insurer GEICO is suing to recover more than $1.8 million in allegedly fraudulent and unlawful no-fault insurance charges it says it has paid to several New Jersey health centers since 2018. The charges were for a range of medical services …

Fla. State Police Say Auto Theft Crime Ring Issued Fake VINs, Phony Insurance

Florida law enforcement pushed back this week against a nationwide surge in auto thefts, announcing that 23 people were arrested for their alleged participation in a crime ring that forged vehicle identification numbers for stolen luxury vehicles. Arrest warrants have …

Fla. Claims Adjuster Charged with Filing $24K in Fraudulent Auto Claims

Florida investigators have charged a former Progressive Insurance claims adjuster with fraud, alleging that she used claimants’ identities to submit fraudulent auto claims, then pocketed almost $24,000 in settlements. Kiyuana R. Pasley, 41, of Homestead, was an adjuster at Progressive …

Viewpoint: Detecting Digital Deception in Claim Photos

More than 85% of Americans own a smartphone, meaning about 300 million people across the country have high-resolution digital cameras tucked into their pockets. The ubiquity of these devices has led to efficiencies in the claim-handling process for many property …

Surgeon, Lawyers Sentenced to Prison in Slip-and-Fall Scheme

A New York surgeon and two lawyers are the latest professionals to be sentenced for their roles in a massive massive trip-and-fall fraud scheme between 2013 and 2018 that exploited some of the most vulnerable citizens of the New York …

Miami Homeowner Charged with Defrauding Citizens by Claiming Old Damage

Florida authorities have charged a Miami man – who has a long record of criminal and civil cases under his name – with insurance fraud after investigators found that some $300,000 in claims were linked to pre-exiting damage to his …

Pain Management Doctor Sentenced to 3 Years for Slip-and-Fall Scheme

A New York-licensed pain management doctor has been sentenced to 36 months in prison for his participation in a scheme to obtain fraudulent insurance reimbursements and other compensation from fraudulent trip-and-fall accidents. Damian Williams, U.S. Attorney for the Southern District …

La. Supreme Court Suspends Hurricane Damage Lawyer

The Louisiana Supreme Court suspended indefinitely the law license of the attorney who manages McClenny Moseley & Associates’ office in New Orleans — the latest setback for a law firm that paid nearly $14 million for client leads and filed …