Fraud News

Spotting Fraudulent Business Interruption Claims

Insurance – in any form, whether business, medical, workers’ compensation or auto – is the “safety net” that protects individuals and companies in case of damage, theft, injury, illness or loss. Fire, floods, earthquakes, tornadoes – even unanticipated freak accidents …

Feds: Doc Who Reviewed Thousands of Medical, Workers’ Comp Appeals is a Fraud

For years, Spyros Panos seemed like a successful orthopedic surgeon, seeing dozens of patients a day and bringing in millions of dollars in fees for his suburban New York medical group. In fact, he was inflating charges and billing for …

4 Tips to Successfully Use Social Media Discovery to Prove Insurance Fraud

Fraud steals $80 billion a year across all lines of insurance, according to the Coalition Against Insurance Fraud. The number of fraud cases has been rising over the last few years, primarily because of the increase of “soft” insurance fraud, …

Fraud News: Chiropractor Billing Scheme, Scammers Change Auto Policies

Colorado Woman Gets 2 Years in $5 Million Medical Billing Scheme A Colorado woman has been sentenced to about two years in federal prison for fraudulently billing insurance companies for $5 million by using unsuspecting chiropractors in the Louisville area. …

Mercury Insurance SIU Celebrates 40 Years of Crime Fighting

Mercury Insurance’s Special Investigations Unit (SIU), founded in 1978, is the company’s secret weapon against fraudulent insurance claims, which cost the average U.S. family $700 per year in increased premiums. The goal of the unit, which consists of 40 seasoned …

Fraud News: Arson, Falsified Date of Loss, Workers’ Comp Premium Fraud

Georgia Woman Charged With Arson, Insurance Fraud A Georgia woman has been charged with first‐degree arson for allegedly setting fire to her home and one count of insurance fraud for submitting a fraudulent insurance claim, according to an announcement by …

Fraud News: Fake Claim and Crash Date, Workers’ Comp Double Dipping

Former Liberty Mutual Employee Charged With Filing Fake Claim for Ring Jessica Epler was charged in Spokane Superior Court with second-degree attempted theft and filing a false insurance claim for a diamond ring. The case was investigated by Washington Insurance …

3 Types of Workers’ Comp Insurance Fraud and How to Prevent Them

Workers’ compensation insurance is a safety net for employees who are injured on the job, as well as for their employers. It pays for lost wages, medical expenses and other expenses and benefits incurred by an injured worker. Sometimes, however, …

Kansas Couple Claims Hospital Billing Scheme Widespread

A $90 million billing scheme found last year at a rural Missouri hospital spread to as many as 10 other hospitals, according to lawsuit filed by a couple from suburban Kansas City. James and Phyllis Shaffer are suing Jorge Perez …

Fraud News: Arson and Workers’ Comp Scam

North Carolina Family Charged With Insurance Fraud Officials have filed multiple charges against a North Carolina couple and their daughter in connection with two cases of arson at homes of people the wife knew. The N.C. State Bureau of Investigation …