Dennis Jay
Washington, D.C.
The Coalition Against Insurance Fraud is a national alliance of organizations dedicated to combating #insurancefraud through advocacy, outreach & research.
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Articles by Dennis Jay
JIFA: The Costly Crime and Impact of Workers’ Comp Premium Fraud
By Dominic Dugo | July 26, 2022 Workers’ compensation premium fraud costs the U.S. $25 billion a year, reveals a new report by Coalition Against Insurance Fraud.1 This new national fraud estimate says much about the numerous premium cases prosecuted around the U.S., their large dollar losses, and massive tax evasion occurring within the nation’s thriving underground economy.
News Release: Trucking and insurance coalition working with Maryland state lawmakers to address insurance fraud
News Release: Trucking and insurance coalition working with Maryland state lawmakers to address insurance fraud Posted by Kendra Smith January 31, 2022 – Washington, D.C. –– A coalition of trucking and insurance industry stakeholders are working together to address unscrupulous towing companies engaged in nonconsensual towing, a growing problem that continues to disrupt the supply chain and a practice that the coalition believes effectively amounts to insurance fraud.
JIFA: Opposing Perspectives: Bad Faith Laws
JIFA: Opposing Perspectives: Bad Faith Laws Posted by Kendra Smith For the first time ever, we are publishing two Journal of Insurance Fraud in America (JIFA) articles jointly. Both address the issue of bad faith as it relates to insurance fraud. Both authors have extensive and impressive backgrounds associated with this topic. Both are familiar with Florida, a state widely known both for rampant insurance fraud and bad faith litigation. As you will see though their perspectives are quite different.
Fraud Stats - InsuranceFraud.org
Impact Insurance fraud steals at least $80 billion every year from American consumers. (Coalition Against Insurance Fraud estimate). Fraud occurs in about 10% of property-casualty insurance losses. Medicare fraud is estimated to cost $60 billion every year. (AARP 2018) The FBI estimates non-medical insurance fraud to be at least $40 billion every year. Property-casualty fraud steals about $30 billion each year. (Insurance Information Institute, March 2020) Want the big picture?
FraudBlog: Nuclear Verdicts & Insurance Fraud
FraudBlog: Nuclear Verdicts & Insurance Fraud Posted by Kendra Smith The latest FraudBlog edition comes from Matthew Smith, Executive Director of the Coalition Against Insurance Fraud. BY MATTHEW J. SMITH, Esq. | July 1, 2021 The Coalition tries very hard to “stay in our lane” of fighting insurance fraud. We normally shy away from broader issues in the world of insurance, or at least until they impact the anti-fraud effort.
Welcome to the Hall of Shame(rs)
News The newest entrants to the 2019 Hall of Shame are facing decades in prison for crimes ranging from faulty fires to unnecessary medical care.
Fraud of the Month: Masked marauder attack results in workers' comp claim
Case Study A fake slasher attack reported by a transit worker was more trick than treat. A Boston trolley driver reported that a masked man attacked him and pulled him off of the trolley. Turns out there was more to the story. (Photo: Shutterstock) Halloween was nearing, though fright night seemingly arrived ahead of schedule for Boston-area trolley driver Thomas Lucey.
Fraud of the Month: Socialite steals $20 million after mansion burns
Claire Risoldi decided that filing fraudulent insurance claims was a good way to maintain her lavish lifestyle. (Photo: Shutterstock) Claire Risoldi lived larger than life — and her bank account.
Meet the newest members of the 2018 Insurance Fraud Hall of Shame
This year's Hall of Shamers were responsible for several deaths and stealing millions of dollars from insurers.
Op-Ed: Insurance Scammers Will Be the Winners If This Fair-Conduct Law is Enacted
Dennis Jay Anxious homeowners deceived by shady contractors who did shoddy repairs — or no repairs — after Hurricane Sandy well know the hazards of insurance scams. Well-organized, staged “crash rings” prowl some urban areas of New Jersey. Fake whiplash claims and other auto scams are another reason honest New Jersey drivers pay one of the nation’s highest auto premiums. Medical rings also are a menace.
Home arsons are fiery family affairs in West Virginia
The owners used cardboard soaked in candle oil to start one of the fires. (Photo: Shutterstock) The Lesters were a well-known family in parts of Southern West Virginia, especially patriarch Windel Lester, who sat on the board of a local bank. He also owned a hardware store and sold mobile homes.
Flames, floods engulf Florida homes in adjuster’s $14M plot
Corrupt public adjuster damages homes with hammers hoses burning lard to balloon insurance claims.
Fraud of the month: Skydiving trip leads to attempted-murder
Victoria Cilliers was an experienced parachute instructor, but her chutes suffered a catastrophic failure at 4,000 feet. (Photo: Bloomberg) Victoria Cilliers tumbled 4,000 feet toward almost certain death, her parachute refusing to open properly.
Shooting frauds: A workers’ comp risk for insurers | PropertyCasualty360
Some employees are willing to endure serious pain to collect undeserved workers' compensation payments.
Pro athletes get tackled by insurance cons
Marcus Buckley had a decent NFL career as a linebacker who made his living from helmet-jarring collisions with running backs. His seven-year stint came mostly with the New York Giants. Yet perhaps Buckley’s biggest and most hard-nosed opponents double-teamed him the hardest — federal prosecutors. The Texas man inflated workers-compensation claims for lingering injuries that dogged him for years after he retired following the 2000 season. Buckley is now benched, spending two years in federal prison.
Crime doesn't pay for the newest members of the Hall of Shame
Bottom feeders bubbled to the surface when the newest crop of miscreants and misfits were chosen for the Insurance Fraud Hall of Shame. The No-Class of 2017 was officially dishonored by the Coalition Against Insurance Fraud (the Coalition). The Hall of Shame recognizes America's worst convicted insurance scammers of the year. These moral invertebrates live by the rule of flaw and excel at being vicious and brazen.
Crime doesn't pay
Bottom feeders bubbled to the surface when the newest crop of miscreants and misfits were chosen for the Insurance Fraud Hall of Shame. The No-Class of 2017 was officially dishonored by the Coalition Against Insurance Fraud (the Coalition). The Hall of Shame recognizes America's worst convicted insurance scammers of the year. These moral invertebrates live by the rule of flaw and excel at being vicious and brazen.
Cosmetic surgery fraud is more than skin deep
David Morrow overcharged insurers for cosmetic surgery and then actually botched the operations on his patients. (Photo: iStock) Patients trooped to celebrity skin doctor David Morrow, sold on the free cosmetic surgeries he proffered. Insurance will pay everything, the Rancho Mirage, Calif., cosmetic surgeon promised. Patients believed Morrow, and his scalpel swung like a hyper-energized samurai sword. The gambit worked. Morrow ransacked health insurers, billing them for $50 million.
The death of privacy
Insurers are gathering more information than ever before about insureds and their habits. The question is - who has access to it? (Photo: Shutterstock) Ross Compton woke up one morning to find his house on fire. The Ohio man tossed a large load of possessions outside, then climbed out of his bedroom window as the flames engulfed his home. Or so he said. Complete your profile to continue reading and get FREE access to PropertyCasualty360.com, part of your ALM digital membership.
Arsonist finds crime doesn’t pay, receives 23 years to life
A head injury slowed David O’Dell mentally, though it never affected his kind and trusting nature. He lived alone in an old wooden house in upstate Wayland, N.Y., employed by his best friend, Joseph Meyers. Little did O’Dell realize that Meyers would betray him. He torched the rickety old home, burning O’Dell alive in an insurance plot so Meyers and his wife could live the good life.
Big Data and Analytics in Life Insurance Underwriting
Over the past 10 years, advances in technology have changed the face of businesses worldwide. One of the most striking changes has been the availability of Big Data. This large volume of both structured and unstructured data inundates companies on a day-to-day basis. But it’s not the amount of data that’s important. It’s how organizations use this vast quantity of information to derive insights that matter.
Hiring Practices for Tomorrow’s Next-Level Growth
If you’re like most electrical contractors, you probably hire electrical workers to fulfill immediate needs. You might want to reconsider this practice, however. Before spending the time, money, and effort needed to bring someone new onboard, ask yourself what skill sets the prospective electrical worker will bring to the table that can benefit your customers. Another factor to consider is what level of employee efficiency to expect upon hire in this ever-changing field. Let’s ...
9 fraudsters join the Hall of Shame
This year's class includes murderers, cheaters and medical professionals who used their ill-gotten gains to live very well at the expense of others. (Photo: iStock) Who says the elections are over? The insurance world's commanders in thief also take office after balloting for the Insurance Fraud Hall of Shame. The action swirls around jail houses instead of White Houses, insurance policies instead of defense policy and prison terms more than terms of office.
4 ways technology is disrupting fraud
The Internet of Things is making it harder for fraudsters to file fake claims in some instances. (Photo: Thinkstock) America is morphing into a vast neural network of high-IQ sensors. Connected, smart and processing cavalcades of storable data are being transmitted every minute of every day — and it's only just beginning. Complete your profile to continue reading and get FREE access to PropertyCasualty360.com, part of your ALM digital membership.
4 Ways technology is disrupting fraud
The Internet of Things is making it harder for fraudsters to file fake claims in some instances.America is morphing into a vast neural network of high-IQ sensors. Connected, smart and processing cavalcades of storable data are being transmitted every minute of every day — and it's only just beginning. The Internet of Things (IoT) is poised to take anti-fraud decision-making to the next level.
Social media is a tool to fight insurance fraud
Social media can be used to influence consumers against insurance fraud. (Photo: Coalition Against Insurance Fraud) Insurance scams are popular chatter on Facebook, Twitter, YouTube, Instagram and other well-trafficked social sites. Dwell there long enough, and you see a lot of honest people who think insurance fraud is repugnant. Complete your profile to continue reading and get FREE access to PropertyCasualty360.com, part of your ALM digital membership.
Insurer Outreach Campaign Required To Convince People Fraud Hurts All
America's moral spine is wobbling. Consumers tolerate insurance schemes more--and like the insurance industry less--than they did 10 years ago, research by the Coalition Against Insurance Fraud reveals.
Ignore Employer Fraud At Your Own Risk
Ignore Employer Fraud At Your Own RiskInsurers urged to adopt zero-tolerance policy, hike funding and trainingClick on Good Morning America, and you might see ...
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