Insurance fraud technology now includes artificial intelligence

Insurance fraud technology - Artificial Intelligence Tech

Insurers are looking to A.I. and machine learning to help spot suspicious claims in all new ways. Insurance fraud technology is looking all the more futuristic these days with the introduction of artificial intelligence. Machine learning is helping the insurance industry to identify suspicious-looking claims. Moreover, A.I. can also make its way through social media posts to identify signs of fraud. Fraudulent activities can include anything from falsified claims to sketchy brokers, and it’s expensive. The FBI estimates fraud is costing insurance customers over $40 billion per year. The industry…

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Insurance fraud fighting gets a boost in North Carolina

Insurance Fraud - North Carolina Boosts number of Insurance Fraud Agents

The state’s Insurance Department has added 15 agents to its team of scam hunters. The North Carolina Department of Insurance has announced the expansion of its insurance fraud investigation team. Fifteen new special agents will take part in criminal investigations. North Carolina Insurance Commissioner Mike Causey made the announcement. The additional insurance fraud investigating team members have doubled the previous size of the department, said Causey. The N.C. Insurance Commissioner has implemented a new strategy for eliminating scams and fraudulent activities involving insurance in North Carolina. The expansion of the…

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Professional Claims Solutions (PCS) Investigation Leads to Insurance Fraud Arrest/Conviction in Passaic County

Professional Claims Solutions (PCS) VCWC (Video Camera and Witness Canvass) Investigation uncovered a staged pedestrian accident. PCS conducted a thorough Video Surveillance Canvass and located a camera over two blocks away on a Passaic Housing Authority building that captured the staged accident.  Upon the completion of the investigation, the individual depicted in the below video link was subsequently arrested and prosecuted for ‘Insurance Fraud’ by Passaic County Prosecutor’s Office.  These types of investigations and companies like PCS are playing a major role in keeping insurance premiums as low as possible. Having video of an…

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Canadian auto insurance fraud is racking up a massive $2 billion annual bill

auto insurance fraud

According to a recent report, many Canadians are regularly scamming their insurers, forcing premiums up. A new Aviva Canada report revealed an auto insurance fraud trend costing insurers $2 billion every year. This added expense to insurers is leading them to increase premiums to compensate for the fraudulent claims payments. Drivers across the country are being forced to pay for an incredible $2 billion in added fraudulent expenses. The Aviva Canada report was published under the title “Crash, Cash and Backlash: Aviva Fraud Report 2017.” It pointed out that honest…

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Recent insurance fraud investigation puts high-ranking Philadelphia fire official in jail

Yolanda Stallins Insurance Fraud Investigation

Yolanda Stallings, a 14 year veteran of the Philadelphia Fire Department was arrested, facing several charges. A recent insurance fraud investigation brought investigators to an unexpected source: a highly respected, upper ranking Philadelphia fire official. The Philadelphia Fire Department’s (PFD) website had yet to be updated by the time this article was written. It stated that the accused, Yolanda Stallings, has been with the PFD for 14 years and is an “Executive Chief of Strategic Planning.” Stallings is also the first African American woman to be a PFD Executive Team…

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Workers compensation scam in California leads to 26 arrests

workers compensation scam insurance fraud

Among those who were arrested were three doctors in the Orange County area. A massive number of arrests have resulted from a California workers compensation scam that was recently busted. Among the arrested individuals were three doctors. Two of the doctors were from Newport Coast and another doctor was from Huntington Beach. In total, there were 26 arrests including business owners and medical professionals. The workers compensation scam is estimated to have swindled insurance companies and consumers out of $40 million in kickbacks and fraudulent insurance billing. This, according to…

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Life insurance scam when husband sends hitman’s instructions to ex-boss

life insurance scam

A man allegedly texted “kill my wife” in a text to the wrong person when he wanted the woman murdered. A Washington man attempted to run a life insurance scam by hiring a hitman to kill his wife but ended up texting the information to the wrong person. The 42 year old father allegedly attempted to text the killer, but sent the message to his former boss, instead. Upon receiving the more-than-concerning text, the ex-boss proceeded to call the police to investigate. The man, Jeff Lytle, was arrested on two…

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Allstate files insurance fraud lawsuit against chiropractors

auto insurance fraud accident

The suit alleges that three Providence practitioners were involved in a scheme to defraud the insurer. Allstate Insurance Company has filed a lawsuit accusing licensed chiropractors of insurance fraud. The suit specifically points to the owner of a clinic. The owner is accused of falsifying medical records in order to increase the size of the insurance claims. The owner also allegedly paid kickbacks to personal injury lawyers in order to receive client referrals. The insurance fraud lawsuit was filed with the U.S. District Court. Within it, Allstate alleges that Arianna…

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Homeowners insurance fraud case of exploded home leads to sentencing

homeowners insurance fraud

The woman who blew up her house to scam her insurer has received her sentence from an Indiana judge. A woman who blew up her house in a dramatic case of homeowners insurance fraud has been sentenced to 50 years in prison. The explosion killed two of the woman’s neighbors and destroyed a part of an Indianapolis subdivision in November 2012. Monserrate Shirley pleaded guilty and will be facing the maximum number of years in prison for her crimes. In early 2015, the 51 year old woman pleaded guilty to…

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Prudential insurance policy sales to cease through Wells Fargo

Wells Fargo insurance scandal

Following the recent account sales scandal at the latter firm a few months ago, product sales are being suspended. Prudential Financial announced this week that the Prudential insurance policy sales by Wells Fargo & Co are suspended. This insurance news follows closely on the heels of the San Francisco bank’s sales practices scandal this fall. Wells Fargo is continuing its management of the fraud scandal backlash from a few months ago. The Los Angeles City Attorney’s office worked with federal regulators in announcing that Wells Fargo was caught using fraudulent…

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