insurance fraud News

3 Sentenced in Ohio for Insurance Fraud

Lt. Gov. Mary Taylor announced that three Ohioans have been sentenced for insurance-related crimes as the result of investigations by the Ohio Department of Insurance. The department reported that: Pickerington resident Steven Franklin was sentenced to five years of community …

North Carolina Man Accused of Insurance Fraud

North Carolina Insurance Commissioner Mike Causey has announced the arrest of Stacy Dewhite Brown, 50, of Raleigh, N.C. He is charged with one count each of insurance fraud and attempting to obtain property by false pretense. North Carolina Department of …

South Carolina Man Accused of Torching Business for $700K Insurance Payout

Authorities say the owner of a restaurant in Sumter County, S.C., burned down his business on purpose and collected nearly $700,000 in insurance money. Sumter County deputies told media outlets that 57-year-old Ronald Cantey was arrested Monday about seven months …

Tulsa Man Who Assaulted Insurance Adjuster Gets Life Sentence

A Tulsa, Okla., man who filed a bogus insurance claim and assaulted an insurance adjuster has been sentenced to life in prison, the state insurance department announced. Prentice E. Ponds II, 43, was on parole at the time of the …

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 …