December 31, 2019
While most insurance claims are legitimate, studies indicate that 10% or more of all property/casualty insurance claims are fraudulent. In the workers’ compensation industry, combatting fraud can seem like a game of Whack-A-Mole. When certain schemes and scenarios are addressed, …
November 21, 2016
A woman who spent more than seven years in prison for a $7 million insurance fraud and the unrelated death of a patient at her now-defunct Pennsylvania nursing home is in trouble with the law again. This time, the Allegheny …
September 24, 2014
Mississippi’s Court of Appeals says the state Board of Medical Licensure can discipline a radiologist for making what a federal judge found to be thousands of “manufactured” lung disease diagnoses. The Court of Appeals on Tuesday reversed a lower court …
February 26, 2014
An orthopedist has been sentenced to eight years in prison for scheming to help New York’s Long Island Rail Road employees receive disability payments by exaggerating or making up ailments. Dr. Peter Lesniewski was sentenced on Feb. 21 in Manhattan …
September 18, 2013
Allstate Insurance Co. received a judgment of more than $7 million following a Racketeering Influenced in Corrupt Organizations investigation nearly 10 years in the making. It is the company’s first medical fraud lawsuit in the state. “Medical insurance fraud affects …
May 20, 2013
Allstate Insurance Company is seeking to recover $3.8 million against six physicians and five medical professional corporations in its third insurance fraud lawsuit of 2013. Since 2003, Allstate has filed 47 fraud lawsuits in New York State seeking more than …
February 28, 2013
Allstate Insurance Company said it is seeking to recover $1.7 million against New York area defendants in its second insurance fraud lawsuit of 2013. Since 2003, Allstate has filed 46 fraud lawsuits in New York State seeking more than $233 …
February 29, 2012
Federal and local authorities in New York unveiled charges today against 36 defendants — including 10 doctors and three attorneys — allegedly involved in a systematic scheme to defraud auto insurance companies of more than $275 million under New York’s …