Insurance Investigator News

Twelve BlueCross BlueShield Association insurance plans filed a civil lawsuit on Thursday against nine surgery clinics in California, as well as 21 doctors and 13 owners, employers or administrators of the clinics, alleging their involvement in “an elaborate insurance scheme” involving thousands of patients from 47 states and more than $1 billion in fraudulent insurance … 12 BCBS Plans File Suit Against California Clinics, Alleging Insurance Fraud

Florida lawmakers increased punishments for making insurance claims for fraudulent medical services in 2001, but the move has failed to curb auto insurance rates. The law has increased investigations and arrests for fraud. Legislators say that a radical revision to the insurance code may be needed in order to curb the incidence of fraud, which … Florida insurance fraud crackdown fails to lower rates

HARLESTON, S.C. – A Senate subcommittee has proposed giving the state attorney general’s office an additional $400,000 to hire six more prosecutors to fight insurance fraud. As reported by the Associated Press

LOS ANGELES — Twenty-seven citations and $186,000 in assessments were issued in the first three days of a countywide sweep of businesses suspected of operating without workers’ compensation insurance, officials said Monday. The sweep, which began last Tuesday and is scheduled to conclude Tuesday, is a joint effort between the Division of Labor Standards Enforcement … Labor Officials Pursue Businesses For Workers’ Comp Fraud

Online insurer Esurance has launched a new webpage, located at http://www.esurance.com/insurance/fightfraud.asp , to educate consumers about recognizing and preventing the problem of insurance fraud. Esurance, a subsidiary of White Mountains Insurance Group, Ltd., provides personal auto insurance direct to consumers online and through select online agents.

A story of open solitication of participants for auto insurance fraud in Lawrence, MA as reported by the Boston Globe.

The New Jersey Star Ledger reports jail sentences triple in insurance fraud cases and restitution risessuring ’04. Great articvle by BY RICK HEPP Star-Ledger Staff

Zany, bogus scams don’t fool insurers. Canadian Fraud Coalition releases 2004 list These stories strange but trueCoalition Against Insurance Fraud releases 2004 list. Read here

Doctor accused of violating rules by billing millions for unnecessary wheelchairs. Read Complete Story Here

Toronto police break up fraud ring and find that most of the “cars” that were stolen never existed. Police arrested 16 people in connection with the scam this week. Themis Georgakopoulos, 33, and Dominico Fratia, 38, are accused of leading the operation. They are each charged with 12 counts of fraud, seven counts of conspiracy … Fraud probe uncovers phantom cars

Investigators from the California Department of Insurance’s Fraud Division (CDI) conducted joint operations in the Central Valley to execute outstanding arrest warrants. This sweep netted eight suspects, including six wanted by CDI for felony insurance fraud. Read here.

Linda Hayes, 58, of Evesham pleaded guilty Friday to two counts of falsifying records in connectin with a $ 42,000.00 prpoperty insurance claim. Read Here.