fraudulent claims News

Requirements, Exceptions, and Considerations of an Insurer’s Right to Examinations Under Oath

An insurer’s right to examine its insured under oath in connection with evaluating a claim submitted under the insurer’s policy is well established under the law. Over 130 years ago, the United States Supreme Court in Claflin v. Commonwealth Insurance …

North Carolina Governor Criticized for Workers’ Comp Fraud Statement

Gov. Pat McCrory is taking heat after saying in his annual State of the State address earlier this week that nearly half of workers’ compensation claims paid to state employees are the result of abuse or fraud. “We all want …

More Staged Accidents Arrests in Florida

Three individuals in Fort Lauderdale were arrested for their involvement in a staged accident that resulted in fraudulent Personal Injury Protection (PIP) billings in excess of $80,000, according to an announcement by Florida Chief Financial Officer Jeff Atwater. He also …

Louisiana Parish Denies Allegations Over Gustav Cleanup

Attorneys say the Federal Emergency Management Agency’s threat to have Livingston Parish’s Hurricane Gustav debris removal monitors investigated for fraud is “gratuitous” and “improper.” FEMA has alleged that monitors hired by the parish to oversee the removal of leaning trees …

Florida Appeals Court Lifts Temporary Ban on Auto Law

A Florida appeals court on Wednesday cleared the way for the enforcement of a controversial auto insurance law that backers say was designed to curb fraudulent claims. The 1st District Court of Appeal ruled that Tallahassee Circuit Judge Terry Lewis …

7 Plead Guilty in Gulf Oil Spill Settlement Fraud

Seven people have pleaded guilty to stealing money from an oil spill settlement fund, Alabama Attorney General Luther Strange announced Monday. Five of the defendants were charged with theft of property. They’re collectively ordered to pay more than $20,000 in …

Ex-Construction Firm Worker Admits Role in Fraud

A Florida man who worked for a now-defunct southern New Jersey construction company has admitted his role in a scheme in which he purposely damaged homes he claimed had been hit by hail. New Jersey authorities announced Monday that 34-year-old …

6 Plead Guilty in Louisiana Insurance Fraud Scheme

Federal authorities say six defendants in an insurance fraud scheme have pleaded guilty. U.S. Attorney Stephanie A. Finley says the defendants entered their pleas Monday before U.S. District Judge S. Maurice Hicks Jr. in Shreveport. Finley says the members of …

Detroit Man Accused of Fraud in BP Oil Spill Case

A man who ran for Congress and Detroit mayor is going to trial on fraud charges related to the 2010 BP oil spill in the Gulf of Mexico. Duane Montgomery claimed his boat engine was damaged by tar balls from …

Florida Man Guilty of $1.2M Oil Spill Claims Fraud

A South Florida man is facing a potentially lengthy prison sentence after a jury convicted him of attempting to defraud the BP oil spill claims fund out of $1.2 million. A jury on Tuesday convicted 32-year-old Jean Mari Lindor of …