November 24, 2024
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Risky Business

Risky Business

Burglary? Maybe not…

An Army officer has been charged with making false insurance claims and pocketing a chunk of claims money. According to the prosecution, he filed fraudulent claims dating to 2014 for insurance payments. He also reportedly bought luxury items, which he returned for a refund and later claimed that they were...

Kickback

A former insurance adjuster was sentenced for using his position to engage others into a fraudulent scheme, which involved repeated acts to steal from an insurance company, over a lengthy period of time. Authorities said that the adjuster while working for the insurer, received money, gift cards, and other items from...

Poof!

An office assistant of an insurance agent has been convicted and sentenced to one-year imprisonment for fraudulently siphoning off funds from his employer. The employer gave him the money to be paid on behalf of a client at the insurance company. He waited for the assistant outside the insurance company branch, but the...

Caught by Stupidity

A businessman successfully conned his insurance company after staging a bogus car crash in a warehouse. He conspired with another person to take the car in the middle of the night where it was trashed and left. It was then transported to another road where he and his co-conspirator claimed...

Wrong Side of the Law

A lawyer has been sentenced in a motor insurance fraud. He allegedly was part of a group of clinic owners, chiropractors and attorneys involved in the scheme that involved care at chiropractors’ clinics. He pleaded guilty and was sentenced to more than a year in prison and millions to be...

In or Out?

A doctor was billed separately for a nose injury sustained by her son in the hospital that she worked. She was asked to pay for the services of the emergency doctor who was not within the provider network of the hospital. She took up the case with her insurer who...

Nat Cat Folly

A woman bought herself earthquake insurance that would cover her structure and stay in the event of rebuilding. Shortly after she received a notice from the insurer saying that the policy would be cancelled for non-payment of funds. She produced proof of payment and was notified that it was a...

Burden of Proof

A man has been found to have provided false statements while demanding for a reimbursement for a ‘foot injury’. He claimed that a letter from a signboard blew off a restaurant wall and hit his foot during a hurricane. However he was arrested later after he was seen on video...

Phony Pharma Care

Four pharmacists have been charged with fraud along with a doctor and a patient recruiter for planning and carrying out an elaborate fraudulent scam over a period of six years netting the culprits USD5 million. The group billed leading medical insurers for controlled and highly priced medicines. The scam was...

Busted without commissions

A quartet of former life insurance agents was arrested for the role in a major scam. They submitted fraudulent life insurance applications to score advance commissions from insurance companies. An investigation revealed that they submitted more than 600 applications and deposited the commission in multiple bank accounts to avoid suspicion....

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