Satisfied claimants good for business — and can help fight fraud
A news story strikes a nerve about the saga of a Texas patient's run-in with an uninsured bill for urine testing
Reward shareholders? Cut premiums? Give employees a bonus? Here's another idea that might help to boost profits and save policyholders money in the long run.
Contractors illicitly gain control of damage claims — exploiting loopholes to inflate repair bills and sue insurers. Will legislators fix in 2018?
Fraudsters often sue insurers that deny claims for fraud. Principled denials thus can be more expensive and riskier than simply paying the claim. All fraud fighters should ask, “How can I do better?”
The California medical board took action against a doctor convicted of stealing millions from insurers — 20 months after the doctor’s felony conviction. Many medical board are poor partners in curbing insurance fraud.
In states where accident solicitation is not banned, many police departments supplement their budgets by selling reports. A new lawsuit may change that.
Will new technologies and a dramatic shift away from personal transportation spell the death of automobile scams? Very likely, says this car guru.
Higher levels of collaboration are needed to help keep fraud elusive “moles” in check, especially with medical scams where scams can morph and fraudsters change addresses, job and MOs.
President Trump's executive order could result in fraudsters conning consumers and looting assets. History should be a guide that these plans are bad deals for the public
Harsh sentence triggers debate over fairness, compassion. Judge says “I am not a heartless person. I think I am not. I hope I am not …”
Whether out of necessity or desire, more insurers are reaching out to the Coalition to assist with boosting their legislative efforts. Partnering can enhance impact and efficiency.
11 years ago there was a troubling disturbance in the anti-fraud force. A proposal to merge three anti-fraud groups into one greatly slowed progress, but resulted in high-level collaboration with all three now thriving.
Howard Goldblatt will soon retire after helping the Coalition become a national force and a key figure in getting legislatures across the U.S. to enact meaningful anti-fraud legislation
Undocumented workers who get hurt on the job can have their comp benefits voided. This is not what we fought for in enacting workers compensation fraud laws.
Surprise billings from air transport companies are saddling consumers and insurers with sky high costs — raising calls for greater regulations and new legislation.
States are primarily responsible for the regulation of insurance, but the federal government needs to be keenly aware of fraud and do what it can to support anti-fraud efforts
Corruption is now out in open, next comes the hard part: action. Will state governments and insurers step up to the plate and curtail the widespread fraud in the growing sober-home industry?
Investigators in the private and public sectors still need to protect privacy and public trust in the era of "Big Data"
Write legislators now, and help pass an important bill to shut down storm chasers
Minors set-up in crashes, murders & health scams for insurance payday. We can stop this.
Dad’s suspicious purchase should’ve set off alarm bells with insurers. Are more restrictions warranted for the sale of juvenile life insurance?
States need civil actions when criminal system slow to respond. Several states are taking fraud cases civilly. More should consider it.
Fraud fighters gain more time to unravel crash rings, other complex frauds. Too many states have tight limits, which hamper investigations.
Lack of oversight could attract new wave of scam artists if Congress decides to allow association health plans.