FraudSpotters

https://www.fraudspotters.com/florida-will-likely-keep-pip-for-the-next-18-months-here-is-what-to-do/

Florida will likely keep PIP for at least the next 18 months. Here is what to do. – FraudSpotters Posted on July 2, 2021July 2, 2021 by Ben TurnerFlorida will likely keep PIP for at least the next 18 months. Here is what to do. Ron DeSantis vetoed the bill that would have repealed PIP. This means that the house and senate would need to override his veto for this bill to go in effect. Because the...

Fraudsters accused of ripping off $41 million in pharmacy payments

https://www.wctv.tv/2021/05/19/tallahassee-in-laws-accused-of-massive-prescription-drug-fraud-scheme/
https://www.fraudspotters.com/methods-of-fraud/fake-treatment/

Tallahassee in-laws accused of massive prescription drug fraud scheme David Copeland and Erin Kelly Copeland were taken into custody May 13 on charges of racketeering, insurance fraud and patient brokering.

BBC says 170k of the accidents last year in the UK were staged

It is also of note that the staged accidents occur at specific locations, which is one of the things our software checks.

https://www.bbc.com/news/business-57058755
https://www.fraudspotters.com/methods-of-fraud/staged-accidents/

Car insurance: 170,000 claims linked to 'crash for cash' gangs Villagers are advised to be vigilant about Bradford and Birmingham, where scam hotspots are located.

https://www.fraudspotters.com/i-am-not-exaggerating-the-number-of-lawsuits-in-florida/

I am not exaggerating the number of lawsuits in Florida – FraudSpotters Posted on April 29, 2021 by Ben TurnerI am not exaggerating the number of lawsuits in Florida Question: Aren’t you exaggerating the impact of lawsuits in Florida versus insurance carriers? Answer: NO!!! Check this out. These are the number of lawsuits filed against insurance companies: Served Year...

Florida is about to abolish PIP, and amazingly replace it with something worse!

Florida house and senate set to pass bill which likely increases fraud in auto insurance – FraudSpotters Posted on April 28, 2021April 28, 2021 by Ben TurnerFlorida house and senate set to pass bill which likely increases fraud in auto insurance Florida is about to change its auto insurance laws; this will likely make fraud go up! The State of Florida is poised to change its auto insurance laws via Sen...

NJ: Chiro is sentended for 9 years and $9m in restitution for fake treatment

https://www.recordonline.com/story/news/2021/04/13/middletown-chiropractor-gets-nine-years-insurance-fraud/7213664002/

https://www.fraudspotters.com/methods-of-fraud/fake-treatment/

Middletown chiropractor gets nine years for defrauding insurance providers A Middletown chiropractor will serve nine years in prison after pleading guilty to conspiring to defraud Medicare and other insurance providers

Entertaining fake slip and fall guy loses appeal, see video:

https://www.mycentraljersey.com/story/news/local/courts/2021/04/15/nj-man-who-admitted-insurance-fraud-staged-slip-and-fall-denied-pti/7220117002/

https://www.fraudspotters.com/methods-of-fraud/staged-accidents/

NJ man who admitted fraud in viral staged slip-and-fall loses appeal of PTI denial The case attracted widespread attention when video showed the man throwing ice on the ground and then laying on top of it before claiming he slipped.

Florida Legislature: House moves closer to passing plan to repeal PIP

This despite actuaries telling them it will increase rates.

https://www.news-journalonline.com/story/news/state/2021/04/20/florida-house-moves-closer-passing-plan-repeal-no-fault-auto-insurance-system-politics-legislature/7299787002/

PIP Fraud is a serious issue: https://www.fraudspotters.com/coverages-targeted/pip-fraud/

But so is BI fraud:

https://www.fraudspotters.com/coverages-targeted/bodily-injury/

Florida Legislature: House moves closer to passing plan to repeal no-fault system A proposal to end the state’s no-fault auto insurance system got a boost Monday as the House took up most of a plan that the Senate passed last week.

Tennessee: $2.3 million in fake compounding pharmacy treatments

https://www.nwaonline.com/news/2021/apr/09/tennesseean-sentenced-in-insurance-kickback-scheme/

https://www.fraudspotters.com/methods-of-fraud/fake-treatment/

Tennesseean sentenced in insurance kickback scheme A Memphis medical device salesman who pleaded guilty in federal court in 2019 to paying kickbacks to generate sales of expensive compounded prescription drugs in an insurance fraud scheme was sentenced to 20 months in federal prison.

Beware of towing schemes.

Here are two interesting articles:

https://www.ttnews.com/articles/officials-call-202000-towing-bill-textbook-example-scam

https://www.ttnews.com/articles/ata-insurance-groups-vow-tackle-towing-fraud-staged-accidents

For more see:

https://www.fraudspotters.com/bjt/vendor/

ATA, Insurance Groups Vow to Tackle Towing Fraud, Staged Accidents American Trucking Associations, the American Property Casualty Insurance Association and the Coalition Against Insurance Fraud have announced a plan to combine their resources to pursue legislation to tackle two of trucking’s biggest problems — towing fraud and staged accidents.

I only post this here because it is amusing. 1st) check out the guy's sweater in the picture, and 2) put the situation in context.

" Garrett Smith, had been accused [that he] hit a parked car after leaving a bar on Christmas Day. The mayor fled the scene but allegedly left a trail of auto fluids from the bar to the garage at his home."

"Prosecutors claimed that Smith later moved his car into the street and filed a claim with his insurance company after claiming a snowplow hit his vehicle."

"Holley made insurance fraud a top issue in his 2011 campaign for mayor of Roselle."

"Holley defeated Smith in the Democratic primary by a 49%-29% margin. Smith was sentenced to 90 days in prison after a 2015 plea agreement."

"Christian Veliz has now entered the race for the Democratic nomination for State Assembly in the 20th district on a slate led by Jamel Holley."

"Veliz had let his automobile insurance policy lapse for non-payment at 12:01 AM on November 28, 2019 and was involved in an accident on November 29 at 12:31 PM. One hour later, he reinstated his policy was the Progressive Insurance Company after attesting that he was not involved in any accident or loss during the period he had no insurance.

"In a consent order with the state Department of Banking and Insurance in December 2020, Veliz conceded a violation of the New Jersey Insurance Fraud Prevention Act and agreed to pay a $2,625 civil administrative penalty and surcharge. The order Veliz signed acknowledged that this would be considered his first offense.". the whole story is amusing to me. :)

Holley running mate admitted to insurance fraud three months ago - New Jersey Globe Just three months after admitting to insurance fraud, Christian Veliz has now entered the race for the Democratic nomination for State Assembly in the

Florida: fake treatment alleged in disability claim. "The state said she took part in an insurance billing scheme involving fraudulent medical documents tied to fake hospitalizations between 2016 to 2019."

https://cbs12.com/news/local/woman-from-greenacres-charged-in-disability-insurance-fraud-scheme

https://www.fraudspotters.com/methods-of-fraud/fake-treatment/

Woman from Greenacres charged in disability insurance fraud scheme A woman from Greenacres is facing charges in what the state of Florida is calling a disability insurance fraud scheme. The Department of Financial Services arrested Cheryl Denise Murphy-Green, 47, on a charge of scheme to defraud and grand theft. Investigators accuse Murphy-Green of stealing more th...