Hurricane and Storm Fraud
The season for Tropical Storms and Hurricanes are upon us. Hurricane Harvey dropped more than 50 inches of rain in Houston and went toward Louisiana,
Summertime – Funtime
Memorial Day, 4th of July, Mother’s Day, Father’s Day, school vacation, family vacations, sports activities, beach activities and yard maintenance. What do all these things
Holiday Season Claimant Activity
We have officially begun the holiday season; Thanksgiving, Christmas, and New Year’s Eve are all right around the corner. This time of year brings Football,
Fraud can and will arise during COVID-19 pandemic
The Fraud Triangle shows why there is an element of fraud that can and will arise out of this unfortunate crisis. All types of insurance
Catastrophe Fraud: Learning from the Past
When natural disasters happen, having all the variables in place to ensure a smooth claims process is key. There are many times when, due to
Summer: The Season of Justice
Memorial Day, 4th of July, Mother’s Day, Father’s Day, school vacation, family vacations, sports activities, beach activities and yard maintenance. What do all these things
Are You in Compliance?
Each state has different requirements to effectively fight against fraud, and it is the responsibility of the insurer to stay up to date on the
Slip & Fraud: When a Slip & Fall is Intentional
By Jeff Schneider, Gene Kissane and Robert Brumell. Originally published in Litigation Management Magazine, winter 2013. Slip and fall claims have been around since businesses
Keys to a Successful Workers Comp Investigation
Every corporation has a number of internal components that need extra scrutiny, and workers’ compensation fraud is one of these important components. Even as the
Top 5 Strategies of Insurance Fraudsters
Understanding and navigating the world of insurance fraud can be complicated. In almost every instance where insurance claims are a central focus, some kind of
How to Identify Malingering
In the world of insurance claims, medical assessments, and disability cases, malingering is a very important factor to consider. Being able to identify malingering is
Why Use an External Resource for an Internal Investigation?
There are many instances within a corporate entity where allegations of fraud, misconduct and other crimes must be investigated. In order to keep the investigation
Case Study: Helping Retail Stores Fight Fraud
When Jeff Schneider started as the Senior Manager of Liability in 2011 at a large Southeast grocery store chain, the company was suffering from an
What is Catastrophe Fraud?
Catastrophe fraud occurs when there has been a natural or man-made disaster when insurance companies are taken advantage of.
The Fraud Triangle Theory
Fraud is a crime that is more costly than most people realize. According to the FBI, non-healthcare related fraud alone is estimated to cost the