claims fraud News

Social Media Investigations Are a Winning Strategy for Insurers

If you’re a plaintiff in an injury lawsuit against your insurer, you might want to ask your wife not to post videos online of you frolicking in a swimming pool. An Instagram post by a woman that showed her husband, …

Pennsylvaina Auto Body Shop Owner Accused of $426K in False Insurance Claims

The owner of a Chalfont, Pennsylvania auto body repair shop submitted 289 false insurance claims over several years to four insurance companies, pocketing more than $426,000 in payouts, according to the Bucks County district attorney. District Attorney Matt Weintraub said …

Man-Made Crises Threaten P/C Markets, Says Joint Report From Trade Associations

Several insurance industry trade associations used the 30th anniversary of Hurricane Andrew – a storm that upended and transformed insurance and the manner in which communities prepare for natural disasters – to broadcast their conclusion that man-made threats are today …

Insurtech Startup With Claims Monitoring Platform Raises $30M

Insurtech startup owl.co Labs Inc. raised $30 million in new venture capital. Many plans are in play to spend the cash infusion, including hiring, and accelerated growth plans for the company’s machine learning-focused insurance claims monitoring platform. “By leveraging machine …

Al Specialists omni:us and FRISS Partner to Offer Claims, Fraud Detection Services

Two artificial intelligence providers — omni:us and FRISS — are teaming up to “supercharge” insurance claims management and fraud detection. omni:us is a provider of AI-based cognitive claims management service, while FRISS is a provider of AI-powered fraud and risk …

Insurance Fraud Hall of Shame Inducts 9 Scammers

The Insurance Fraud Hall of Shame has inducted nine new members. The Coalition Against Insurance Fraud, a group of insurance, consumers and government organizations, reported the following inductees: Burning desire. Two firefighters died when a brick wall fell on them …

Verisk Analytics Buys UK-Based Emergent Network Intelligence

Verisk Analytics Inc., the Jersey City, N.J.-based data analytics provider, announced it has acquired Emergent Network Intelligence (ENI), an innovator in insurance claims efficiency and fraud detection solutions based in Newcastle upon Tyne in the U.K. With the acquisition of …

How to Use Social Media, Surveillance to Catch Workers Compensation Lies

As workers’ compensation fraud costs top out at an estimated $7.2 billion a year, according to the National Insurance Crime Bureau, insurers are looking at ways to combat the crime. There are several warning signs that a workers’ compensation claim …

North Carolina Claims Rep, Wife Accused of Insurance Fraud

North Carolina insurance officials have accused a Charlotte man of issuing what is described as unauthorized claim checks and funneling the money into his wife’s bank account. The N.C. Department of Insurance says 36-year-old Claymonte Rashawn McNeill and 39-year-old Michelle …

40 Years Later, North Carolina Policyholder Admits False Claim

Lingering guilt may have been what moved someone who filed an insurance claim 40 years ago to come clean with a Gastonia, North Carolina insurance agency. The Gaston Gazette reported that whoever took a $280 claim check in 1973 felt …