insurance fraud News

Western Michigan Public Safety Chief Resigns Over Insurance Fraud Charge

A top public safety official in western Michigan has resigned while he faces a health insurance fraud charge. Greenville City Manager George Bosanic says Mark Reiss resigned on Feb. 13 as director of public safety. WZZM-TV reports Reiss had served …

Why Predictive Modeling Is Gaining as Fraud Fighting Tool

Declining costs, the availability of cloud storage and the rise of telematics will likely increase predictive analytic adoption rates, according to Dan Donovan, assistant vice president of Claims Solutions at Verisk Insurance Solutions. Though predictive modeling has been used for …

California Chiropractor And Staff Charged With Insurance Fraud

A California chiropractor was arraigned in Sacramento Superior Court on Wednesday on eight felony counts of insurance fraud for his alleged role in a fraud scheme billing health and auto insurers for treatment services never provided. The chiropractor is William …

Indiana Doctor Faces 55 Felony Charges in ‘Pill Mill’ Case

An Indiana doctor accused of operating a “pill mill” saw as many as 100 patients in a single day and traded pain pills for work on his farm, federal investigators say. Dr. Tristan Stonger faces 55 felony charges stemming from …

Ohio Woman Sentenced, Must Repay $21K in Insurance Fraud Case

Ohio Lt. Gov. Mary Taylor said Tuscarawas County resident Tiffany Frame has been sentenced to two years of community control supervision and ordered to complete 250 hours of community service for committing insurance fraud. She was also ordered to pay …

Kansas Wildlife Investigation Uncovers Insurance Fraud

An investigation into possible wildlife violations uncovered unrelated insurance fraud evidence that led to a recent criminal conviction in Kansas. Lawrence E. Payne, Overland Park, was sentenced Dec. 6, 2016, to serve 30 days in jail and 24 months’ probation …

Arkansas Man Gets Five Years in Prison for $1.6M Insurance Fraud

A Fort Smith, Ark., man has been sentenced to five years in federal prison plus three years of supervised release for defrauding insurance customers, federal authorities say. Kenneth Elser, United States Attorney for the Western District of Arkansas, announced that …

Former New York Engineering Firm Exec Guilty in Sandy Insurance Case

A former director of an engineering firm charged with illegally altering reports about damage from Superstorm Sandy pleaded guilty to unauthorized practice of engineering in connection with the case, New York Attorney General Eric Schneiderman announced Tuesday. Matthew Pappalardo, 39, …

Texas Clinic Owner Pleads Guilty to $1M Insurance Fraud

A Gainesville, Texas, clinic owner has pleaded guilty to insurance fraud and was ordered to repay $1 million after an investigation by the Texas Department of Insurance found that he billed for chiropractic services without having a licensed chiropractor on staff. …

School Transit Company, Owner Charged with Insurance Fraud in Pennsylvania

A school transit company with a $2.4 million contract to provide rides to special needs students in a Pittsburgh-area charter school network has been charged with failing to properly insure some vehicles and hiring drivers with criminal records by ignoring …