New Jersey high court lets Allstate pursue fraud claims in court
The Appellate Division reversed, and the Supreme Court agreed. The problem was a mismatch of powers. New Jersey’s Insurance Fraud…
Tag: fraud
GEICO sues over alleged No-Fault fraud in two states
Two claims stand out. GEICO says physical therapy was done, if at all, by “massage therapists” and “unlicensed/unsupervised personnel,” then…
Seventh Circuit backs Hartford in $4 million fraud dispute
OSD held a Financial Institution Bond for Insurance Companies from Hartford. Two riders were at issue: one covering computer systems…
The $906 million wound care fraud the federal government caught
Commercial plans were explicitly in scope This is not a Medicare-only problem. The Apex Medical case – in which Alexandra…
Illinois tornado surge raises fraud concerns, NICB warns
Specific warning signs include contractors claiming insurer affiliation without verification, offering free inspections, requesting cash payments or immediate contract signatures,…
DOJ Announces Accelerated Review and Enhanced Enforcement in Benefits Fraud Matters | Jones Day
Following a trend among federal agencies to crack down on alleged fraud in taxpayer-funded federal programs, the Department of Justice…
Top 10 Recommendations for Addressing Fraud in NJ PIP Arbitration: A DRP’s Perspective | Marshall Dennehey
New Jersey’s no fault PIP system presents a unique blend of statutory requirements, arbitration procedures, and evolving fraud schemes. For…
Al Fraud Detection and Forensic Accounting: Embracing Innovation to Combat Financial Threats | J.S. Held
[authors: Ken Feinstein, Matthew Cordell, Dean Driskell, CPA] Legal teams should read this article to: Discover how AI and machine…
Allstate accuses Chicago surgery center of running fraud scheme
Five Allstate entities are named as plaintiffs, lining up against more than a dozen defendants. According to the filing, the…
Texas Turns Up Heat on Medicaid Fraud | Polsinelli
Key Takeaways: Texas has launched investigations into dozens of Medicaid providers using newly released federal claims data, marking a significant…