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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.
A serial defrauder who bilked insurers over the course of 13 years for hundreds of thousands of dollars was done in by ... a serial number and silk underwear.
Property and casualty insurers are seeing rising loss costs, increased levels of litigation, and higher rates of fraudulent claims because of the struggling economy, a recent survey revealed.
Insurance fraud seems to be a family affair for some Californians. Four members of an extended family have been arrested for allegedly falsifying more than $1.4 million in insurance claims.
When Gayland Anthony Oliver suffered a structure fire to his Greensboro, N.C., home in May 2009, he is alleged to have used the opportunity to pad his claim with some pretty fancy duds.
A Plattsburgh, New York area man convicted of insurance fraud less than a decade ago now finds himself in a familiar predicament.
The Coalition Against Insurance Fraud reports that fraud bureaus are noticing a significant uptick in their caseloads, but staff resources are scant.
Using triage to review insurance claims can improve the rate of fraud detection while generating considerable savings for both carriers and their policyholders.
Paul Poizner, a second cousin of California Insurance Commissioner Steve Poizner, faces 60 counts of embezzlement and auto insurance fraud.
A Jackson, Miss. grandma admitted to staged a slip-and-fall at a local grocery and then trying to wrangle a financial settlement.
A San Jose, Calif. man allegedly ditched his car in Mexico and then reported it stolen so he could file a fraudulent insurance claim.
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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