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Claims covers many aspects of fraudulent claims - how they are perpetrated, red flags to look for in a claim, provides examples of fraudulent claims and the consequences for the perpetrators, and highlights the most egregious fraudsters in our annual Hall of Shame feature.
Suspicious claims and insurance fraud continue to plague New York's no-fault auto system. In fact, many contend that the problem is only worsening.
A Schoharie County, N.Y. couple claim to have extremely bad luck when it comes to homes and automobiles but their woes seem to be self-created.
The questions surrounding property fires are often as cloudy as the residual soot and ashes. Claim professionals must sift through the miscellaneous debris to determine coverage and reach a fair resolution.
Chae Hyong Chu is yet another unfortunate example of a company claim adjuster trying to "work" his employer for some extra cash -- and getting busted in the process.
After falsely reporting his custom motorcycle stolen, one Sacramento, Calif. former prison guard will soon be singing his own rendition of "Folsom Prison Blues" on the other side of the cell.
Richard Parrillo, Sr., founder and CEO of United Automobile Insurance Company, recently launched a public relations campaign to expose what he says are plaintiffs' lawyers who are exploiting Florida's legal system in regard to PIP benefits.
Steve Poizner, California Insurance Commissioner and Republican gubernatorial candidate, has garnered various accolades for his strong anti-fraud stance. Unfortunately, one of his relatives may have pursued a much less noble path.
A claim adjuster for the second-largest insurer in the country had his five-year-long fraud scheme sunk by a Sink.
This article continues the discussion of certain issues that arise on most construction projects, and how those issues can affect claim handling.
This column began as a complaint, and that is what it remains.
From TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom ZestyAI
Explore how AI is reshaping underwriting, pricing, and claims--while meeting rising regulatory expectations. This special guide cuts through the noise to reveal real-world use cases, debunk myths, and offer actionable best practices for responsible implementation.
Download ResourceFrom Origami Risk
Modernizing core insurance systems is no longer optional -- it's critical to staying Competitive. This report will help you understand the impact of implementation timelines, provide benchmarks, and help you make more informed digital transformation decisions.
Download ResourceFrom TruStage
Discover who is driving the demand for life insurance today and how you can effectively engage these key segments with tailored strategies.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
Download ResourceFrom ZestyAI
Explore how AI is reshaping underwriting, pricing, and claims--while meeting rising regulatory expectations. This special guide cuts through the noise to reveal real-world use cases, debunk myths, and offer actionable best practices for responsible implementation.
Download ResourceFrom Origami Risk
Modernizing core insurance systems is no longer optional -- it's critical to staying Competitive. This report will help you understand the impact of implementation timelines, provide benchmarks, and help you make more informed digital transformation decisions.
Download ResourceFrom TruStage
Discover who is driving the demand for life insurance today and how you can effectively engage these key segments with tailored strategies.
Download ResourceFrom AgentSync
Looking to cut appointment costs without risking compliance? Learn how Just-in-Time (JIT) appointments can help carriers save thousands while staying aligned with state regulations.
Download ResourceFrom Laserfiche
Insurers face mounting pressure from outdated systems, data silos, and rising customer expectations. Discover how a connected, digital-first approach can improve policyholder experiences, streamline operations, and help meet compliance mandates. This guide offers actionable strategies to modernize value-chain operations and drive business growth.
Download ResourceFrom ZestyAI
Traditional roof risk assessment falls short. Ballooning combined ratios demand better methods. This guide reveals how AI and new data sources provide significant lift over traditional models for hail and wind risk.
Download ResourceFrom Verisk
Recovering funds from at-fault parties in auto claims is crucial for insurers, yet subrogation challenges like incomplete data and manual processes slow the process. This guide reveals how claims professionals can streamline subrogation, reduce administrative costs, and maximize recoveries with a more efficient approach. Get the insights you need to speed up claims resolution and improve financial outcomes.
Download ResourceFrom Laserfiche
Rising customer expectations, more restrictive regulations, and increased competition are pushing insurers to modernize information management to boost productivity and efficiency. Discover how Intelligent Information Management (IIM) transforms insurance operations--addressing key challenges and delivering measurable ROI by streamlining processes, reducing costs, and enhancing customer experiences.
Download ResourceFrom Verisk
Digital media fraud is evolving fast--can your fraud detection strategies keep up? With AI-powered tools making it easier than ever to manipulate claims evidence, insurers must stay ahead of fraudsters. Download this guide to explore the latest digital media fraud tactics that are affecting the industry.
Download ResourceFrom Vortex Weather Insurance
Rain-related business disruptions can be costly for your clients. Parametric hourly rain insurance offers a proactive approach to mitigate financial losses from weather conditions. This data-driven solution delivers fast, automated payouts when rainfall thresholds are met, ensuring your clients are protected when they need it most.
Download ResourceFrom EIS
Addressing P&C claims challenges is essential for controlling costs and retaining satisfied customers. Learn how ambitious insurers are leveraging automation to overcome data integration challenges, outdated fraud models, and legacy systems.
Download ResourceFrom Vortex Weather Insurance
Hurricane-related financial risks can leave businesses vulnerable due to gaps found in traditional insurance policies. Parametric hurricane insurance provides a proactive solution for your clients to recover from hurricane-related financial losses quickly. Learn how this innovative coverage model offers transparent payouts based on measurable storm conditions--helping your clients bridge critical financial gaps when they need it most.
Download ResourceFrom EIS
Discover how insurers can detect fraudulent claims faster, enhance accuracy, and streamline claims operations.
Download ResourceFrom Origami Risk
Avoid Costly Setbacks, Stay on Schedule, and Maximize ROI
Download ResourceFrom Origami Risk
The MGA market is more competitive than ever. With new entrants leveraging digital tools and shifting market dynamics, staying ahead requires strategic adaptation. Discover how to refine your approach, embrace innovation, and outperform the competition in 2025.
Download ResourceFrom TruStage
The mid-market life insurance segment holds tremendous potential, with 39% of consumers planning to buy life insurance in the next year (1). This white paper explores the unique opportunities for you to scale your mid-market segment and drive sustainable growth.
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