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Amicus Brief: NY Immunity Law Is Shield Against Defamation Lawsuits, Not Used As A Sword
September 06, 2019
Anti-fraud groups defend reporting of suspected physician misconduct WASHINGTON, Sept. 6, 2019 — New York’s immunity law shields against defamation suits aimed at insurers by medical providers who are reported in good faith to the state for suspected fraud, urges an amicus brief filed by the Coalition Against ...
Coalition: Staging car crashes should be a speedway straight to jail in New York
June 12, 2019
Bill named after staged-crash victim would help reduce widespread cons WASHINGTON, June 12, 2019 — Staging a crash should be a specific crime in New York, the Coalition Against Insurance Fraud urges Gov. Andrew Cuomo. “In recent years we have seen an unfortunate surge in these types ...
Court strikes back at sham medical clinics in New York
June 12, 2019
Auto insurers can stop payments to clinics when they suspect fraud WASHINGTON, June 12, 2019 — A major state court dealt a heavy blow to the fraudulent practice of installing doctors as sham clinic owners to make false injury claims against auto insurers, the Coalition Against Insurance ...
Bills forged for skilled nursing, assisted living that patients didn’t even need
Tanned, obsessive and Ferrari-driving, Phil Esformes was a peak achiever as an insurance thief in South Florida. No small feat in a region that’s one of America’s largest hubs of large-dollar ...
Coalition: Reforms of Assigned Benefits A Victory For Long-Abused Homeowners In Florida
April 24, 2019
Insurance fraud and abuses will be curbed; Coalition lauds legislators for leadership WASHINGTON, April 24, 2019 — New reforms of widely abused assignments of insurance benefits will rein in contractors and attorneys who preyed on Florida homeowners and insurers for years, the Coalition Against Insurance Fraud said ...
Taxpayer money frittered away by phony disability claims
April 01, 2019
Compound meds, fake injuries drain insurance plans funded by honest taxpayers
Honest taxpayers hand over good money to support government employee health and disability plans. Yet millions of tax dollars at a time are squandered when cheaters soak the plans by claiming fake illnesses and ...
Coalition: All policyholders should agree in writing to assigning over insurance benefits in Florida
March 27, 2019
Written consent protects policyholder rights under insurance contract in Florida WASHINGTON, March 26, 2019 — Written consent of all policyholders should be required for an insurance claim to be assigned over to a home-repair contractor or other third party, the Coalition Against Insurance Fraud contends in an amicus brief filed ...
Study: More insurers adopt advanced analytics to combat growing insurance fraud
March 27, 2019
Predictive analytics tops list of new insurer tech use, AI gains traction *** Download study infographic *** WASHINGTON, March 27, 2019 — Traditional anti-fraud technology tools are giving way to advanced analytics as insurance fraud rises, insurers say in a study of insurtech trends. The biennial study was conducted by ...
Mansion burns, socialite steals $20 million in bogus flame claims
March 01, 2019
Hides jewelry, inflates drapery and mural invoices, threatens adjuster
Socialite and political fundraiser Claire Risoldi lived larger than life — and her bank account.
Small wonder the family matriarch also stole large. Risoldi lifted $20 million of false insurance claims after fire chewed ...
Educator scams health policy to help sick student
February 01, 2019
Good choice, bad choice? Community role model triggers debate over ethics of insurance fraud
An educator thought she did an act of kindness for a sick student by scamming a health policy out of $233 to get the kid urgently needed antibiotics.