Fraud News

GSK Faces Whistleblower Suit From Lab That Found Zantac Risk

GSK Plc is facing a whistleblower lawsuit that could potentially cost it billions of dollars from the laboratory that revealed the presence of a probable carcinogen in Zantac, the heartburn medication that the UK drugmaker invented and turned into a …

NICB: Contractor Fraud Costs U.S. Residents Billions Yearly

With 28 separate natural disaster events costing at least $1 billion and totaling more than $93 billion in catastrophe losses, 2023 was a historic year for billion-dollar weather and climate disasters in the U.S. That’s a big enough figure. However, …

16 Nabbed in Florida Sting Operation for Failing to Get Workers’ Comp Coverage

A sting operation in Manatee County, Florida, has led to the arrest of 16 men who were working without a contractor’s license and without securing workers’ compensation insurance on their employees. The sting was led by the Manatee Sheriff’s office …

Auto Insurer’s $10M Fraud Claims Against Doctors Are Subject to Arbitration, Court Rules

A federal appeals court has sided with three chiropractors in ruling that claims under New Jersey’s personal injury protection statute concerning insurance fraud are subject to arbitration. GEICO has lost its bid to pursue litigation alleging fraud against the chiropractors. …

Beyond the Claim: How Social Canvassing is Transforming Insurance Fraud Detection

In today’s digital era, insurers are leveraging social media to gather insights and evidence that could potentially support or jeopardize a person’s claim. Recently, in the Irish town of Ennis, Kamila Grabska won a Christmas Tree Throwing competition. A photo …

Vintage Ferrari Owners’ Favorite Mechanic Charged With Theft, Fraud

Few mechanics post photos of themselves on Venetian canals, brag about buying $30,000 artworks or frequent the George V Hotel in Paris and Chateau Marmont in Los Angeles. But this was the life Donnie Callaway portrayed via social media to …

Massachusetts Couple Charged With $627K in Workers’ Compensation Fraud and More

A Hopkinton, Massachusetts couple has been arrested and charged in connection with separate schemes to defraud their workers’ compensation insurance carriers, the Small Business Administration (SBA) and their mortgage lender. According to the U.S. Attorney, Ronaldo Solano and Adriana Solano …

Colorado Farmers Must Pay $6.5M for Defrauding Federal Crop Insurance Programs

Two Colorado Farmers must pay more than $6.5 Million for defrauding federal crop insurance programs, according to U.S. Attorney Cole Finegan. Finegan’s office announced that Patrick Esch and Ed Dean Jagers of Springfield, Colorado, agreed to pay the sum to …

Fidelity Investigations: A Comprehensive Guide to Successful Claims Outcomes (Part 2)

Editor’s note: This is the second of a two-part series. The first part of the story ran on Claims Journal on March 4. Throughout the fidelity claims handling process, issues or challenges may arise for which parties involved must reconcile. …

Fidelity Investigations: A Guide to Successful Claims Outcomes

Editor’s note: This is the first of a two-part article. Fidelity/crime/financial institution bonds, in a general sense, cover an insured from the willful theft of property, money, and securities by one of their employees or an outside third-party carried out …