Coalition Against Insurance Fraud

12/20/2024

Missouri Governor announces the retirement of DCI Director
John Doak named chair of Coalition Committee
Yonkers man indicted for arson and fraud
all of this and more in this week's

Missouri Governor announces the retirement of DCI Director, John Doak named chair of Coalition Committee, Yonkers man indicted for arson and fraud Friday, December 20, 2024 Washington state insurance fraud fighters accredited for highest professional standards of policing. Washington Insurance Commi...

12/13/2024

The Annual Meeting in review
2025 Legislative Priorities
and the 2024 Hall of shame
All this and more in this week's

The Annual Meeting in review, 2025 Legislative Priorities, and the 2024 Hall of shame Friday, December 13, 2024 The Coalition's Executive Committee approves 2025 Legislative Priorities. This week, during the Coalition's annual membership meeting, the Executive Committee reviewed, discussed, and appr...

12/06/2024

NCOIL hosts its Annual Meeting
Former Executive Director Matthew Smith wins award
and Psychiatrist sues his own hospital for fraud
All of this and more in this weeks

NCOIL hosts its Annual Meeting, Former Executive Director Matthew Smith wins award, and Psychiatrist sues their own hospital for fraud Friday, December 6, 2024 Coalition attends a "Meet the Regulator" event and presents at the Texas Committee on Insurance Fraud. Coalition director of government rela...

11/22/2024

Oklahoma issues AI guidance for insurers
International Fraud Awareness Week
and a Mother sets her house on fire with her 11-year-old daughter inside
All of this and more in this week's


https://insurancefraud.org/publications/fraud-news-weekly-november-22-2024/

11/15/2024

New Jersey has a new Insurance Commissioner
Opportunistic fraud on the rise
Viral auto fraud video leads to charges
All this and more in this week's

New Jersey has a new Insurance Commissioner, Opportunistic fraud on the rise, Viral auto fraud video leads to charges Friday, November 15, 2024 Coalition joins global anti-fraud leaders in Singapore for the 2024 Global Insurance Fraud Summit. The Coalition Against Insurance Fraud once again joined t...

11/11/2024

The Coalition would like to honor all of those who have served.

11/08/2024

New Mexico Governor issues antifraud proclamation
Thank you to our second TrendTalk Panelists
and a whole crop of crop fraud
All this and more in this weeks issue of

New Mexico Governor issues antifraud proclamation, Thank you to our second TrendTalk Panelists, and a whole crop of crop fraud Friday, November 8, 2024 Federal lawmakers urge state insurance regulators to monitor fraudulent practices by insurers after Hurricanes Helene and Milton. The U.S. House Com...

11/01/2024

White House memorandum on AI
Auto insurance fraud on the rise
Jersey Shore doctor sentenced
All this and more in this week's edition of

White House memorandum on AI, Auto insurance fraud on the rise, Jersey Shore doctor sentenced Friday, November 1, 2024 Florida’s new tools to combat post-storm fraud protect policyholders and align with the Coalition's legislative priorities. Florida's Department of Financial Services (DFS) has la...

10/25/2024

Coalition attends NJSIA Annual Conference
Strategies for preventing fraud in government health policies
and insurance fraud caught on camera goes viral
All of this and more in this edition of

NJSIA Annual Conference, Strategies for preventing fraud in government health policies, and insurance fraud caught on camera goes viral Friday, October 25, 2024 The NJSIA Annual Conference showcased fraud-fighting strategies, hosted the Coalition as the keynote. The New Jersey Special Investigators....

10/18/2024

What a success! Over 300 attendees gathered to experience an engaging discussion on one of the most valuable benefits of being a Coalition Against Insurance Fraud member! The program, backed by 10 world-class law firms, delivers incredible value to members by serving as a friend of the court and turning the tide in numerous major cases. With more organizations seeking assistance, the program’s impact continues to grow! A special thanks to Michelle Rafeld (Executive Director), Brent Walker (Director of Government Relations), Dominic Dugo (VP, Fraud Delta Group), Ross Silverman (Katten Law Firm Partner), and Judith French (Director of Ohio DOI) for their contributions in making this Coalition benefit discussion an outstanding success. Long time members and new members alike now have access to an in-depth overview. Congratulations to all involved in making this such a triumph!

10/18/2024

Louisiana court rules adjusters have no duty to insured, except in cases of fraud. A Louisiana federal judge has ruled that insurance adjusters generally do not have a legal duty to insured parties unless fraud is involved, dismissing claims against Sedgwick Claims Management Services Inc. U.S. District Judge Brandon S. Long found that Hermes Health Alliance LLC failed to prove a conspiracy by Sedgwick over damage caused by Hurricane Ida. Hermes had sued its insurers and Sedgwick, claiming they weren’t paying enough to repair its property, but the judge ruled that Louisiana law limits the liability of third-party adjusters like Sedgwick. In this case, Hermes didn’t even respond to Sedgwick’s motion to dismiss, leaving the judge with no opposition to consider. While Louisiana law makes adjusters responsible in cases of fraud, this ruling highlights that, under most circumstances, adjusters are not liable for issues between insurers and policyholders.

https://law.justia.com/cases/federal/district-courts/louisiana/laedce/2:2023cv02276/261693/33/

10/18/2024

Louisiana court rules adjusters have no duty to insured, except in cases of fraud. A Louisiana federal judge has ruled that insurance adjusters generally do not have a legal duty to insured parties unless fraud is involved, dismissing claims against Sedgwick Claims Management Services Inc. U.S. District Judge Brandon S. Long found that Hermes Health Alliance LLC failed to prove a conspiracy by Sedgwick over damage caused by Hurricane Ida. Hermes had sued its insurers and Sedgwick, claiming they weren’t paying enough to repair its property, but the judge ruled that Louisiana law limits the liability of third-party adjusters like Sedgwick. In this case, Hermes didn’t even respond to Sedgwick’s motion to dismiss, leaving the judge with no opposition to consider. While Louisiana law makes adjusters responsible in cases of fraud, this ruling highlights that, under most circumstances, adjusters are not liable for issues between insurers and policyholders.

Hermes Health Alliance, LLC v. Certain Underwriters at Lloyd's, London et al, No. 2:2023cv02276 - Document 33 (E.D. La. 2024) case opinion from the Eastern District of Louisiana US Federal District Court

10/18/2024

California Governor vetoes bill aimed at addressing pay gap for the state's insurance fraud detectives Governor Gavin Newsom has vetoed Assembly Bill 2872, a bipartisan measure aimed at addressing the pay gap between fraud detectives at the California Department of Insurance (CDI) and those at other state agencies. While the bill sought to ensure CDI sworn officers received compensation comparable to peace officers at the California Department of Justice, Governor Newsom cited concerns that the bill would bypass the collective bargaining process and limit the state's ability to consider broader factors in salary negotiations. The veto comes despite strong support from industry stakeholders, including a Coalition Against Insurance Fraud letter to the Governor, which emphasized the urgent need for CDI to recruit and retain officers to combat the state's growing insurance fraud problem. The Coalition had noted the nation's $308.6 billion fraud burden and the critical role these investigators play in protecting vulnerable populations. With a 35% vacancy rate in CDI's investigative workforce, the veto is seen as a setback in addressing these staffing challenges.

This link will take you to a page that’s not on LinkedIn

10/18/2024

Amicus Curiae webinar a huge success
Fraudsters on the rise
and the Coalition welcomes Heidi Krumenauer
All of this and more in today's

Amicus Curiae webinar a huge success, Fraudsters on the rise, and the Coalition welcomes Heidi Krumenauer Friday, October 18, 2024 The Coalition hosted a webinar to highlight the benefits of its Amicus Curiae Program. This week, a panel of experts gathered to share their unique perspectives on the v...

10/11/2024

Federal efforts target abuses in litigation finance
NICB works with U.S. Customs to stop stolen vehicles
and Forest Lake insurance agent convicted
All this and more in today's

Federal efforts target abuses in litigation finance, NICB works with U.S. Customs to stop stolen vehicles, and Forest Lake insurance agent convicted Friday, October 11, 2024 Federal effort targets hidden abuses in litigation finance with new disclosure requirements. A federal push led by Rep. Darrel...

10/04/2024

Commissioner of the Indiana Department of Insurance to step down
Twin brother doctors arrested for fraud
Florida deploys 12 anti-fraud teams

Commissioner of the Indiana Department of Insurance to step down, Twin brother doctors arrested for fraud, Florida deploys 12 anti-fraud teams Friday, October 4, 2024 The NAIC Privacy Protections Drafting Group met to consider amendments related to third party arrangements on a consumer information....

09/27/2024

Insurance Advocacy groups meet in Austin
Drivers consider fraud more
and three New Yorkers charged in insurance fraud scheme

Insurance Advocacy groups meet in Austin, Drivers consider fraud more, and three New Yorkers charged in insurance fraud scheme Friday, September 27, 2024 The Coalition provided both verbal and written comment on NCOIL's Transparency in Third Party Litigation Financing Model Act. In follow up from la...

09/20/2024

Scam jam events raise fraud awareness
Upcoming Coalition AMICUS webinar
Insurance fraud cases continue to rise
and Physician settles fraud case

Scam jam events raise fraud awareness, Upcoming Coalition AMICUS webinar, Insurance fraud cases continue to rise, and Physician settles fraud case Friday, September 20, 2024 The Coalition will provide comment on NCOIL's Transparency in Third Party Litigation Financing Model Act. During an interim vi...