Fraud News

Adjuster’s Comment About ‘Homeys’ Enough to Allow Discrimination Claim to Proceed

A claims adjuster’s comments about “homeys” and “you people” when talking to a South Chicago property owner were enough to merit further proceedings on a discrimination claim against State Farm Fire & Casualty Co. However, several counts that alleged a …

Greek Shipowner Torched Tanker in $77 Million Fraud, Judge Says

A Greek shipowner orchestrated a plan for men posing as pirates to attack and set fire to his tanker, in an elaborate fraud to seek $77 million in insurance money, a London judge found. In 2011, Marios Iliopoulos lured the …

Maryland Pet Stores Sue to Block State Ban on Dog, Cat Sales

SILVER SPRING, Md. — Pet stores are suing to block a Maryland law that will bar them from selling commercially bred dogs and cats, a measure billed as a check against unlicensed and substandard “puppy mills.” The stores’ federal lawsuit, …

Study Links Cheating on Spouse with Professional Misconduct

People who cheat on their spouses are a lot more likely to engage in misconduct in the workplace, according to a new academic study. The researchers looked at the records of police officers, financial advisers, white-collar criminals and senior executives …

Identity Theft Stings, but Hard to Pin on Specific Attacks

NEW YORK — Equifax 2017. Marriott 2018. Capital One 2019. Data breaches through hacking attacks are distressingly common these days, and personal details about you can lead to identity theft, such as credit cards and loans in your name. But …

ViewPoint: Why Artificial Intelligence is Critical to True Claims Automation

Once thought of as highly traditional and reluctant to change, insurers today are rethinking everything. The rise of digital-first carriers, with an ethos borrowed from their ecommerce and ebanking cousins, has generated an intense interest from incumbent carriers to focus …

Families Defrauded by Unregulated Service Dog Trainers

About the photo: This photo shows Mark Mathis, owner of Ry-Con Service Dogs, during a training session with Ella Peluso and her service dog, Puzzle 2. It was taken May 23, 2018, at Ry-Con’s former facilities in Raleigh, N.C. APEX, …

Corruption Claims, Mailbox Send Hawaii Power Couple to Trial

He was Honolulu’s Rolex-wearing police chief, an avid surfer who chatted with beat cops in Pidgin, Hawaii’s creole language. She was his deputy city prosecutor wife, who drove a Maserati and led an elite unit targeting career criminals while showering …

Allstate, State Farm Sue Medical Providers for Fraudulent Billing

Two insurance carriers filed separate lawsuits last week against medical doctors and their pain-management clinics, accusing them of submitting bills for unnecessary medical procedures performed on vehicle-accident victims. State Farm Mutual Auto Insurance Co. filed suit in the U.S. District …

Claims Examiner’s Scam Allegedly Cost California Health Care Provider $7 Million

A former senior claims examiner for the Kaiser Permanente health plan in California was booked into jail last week on a mail fraud charge stemming from $7 million in invoices that he approved from five private investigation firms. Federal prosecutors …