Fraud

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Connecticut Insurance Department Addresses AI

The integration of Artificial Intelligence (“AI”) systems has become a forefront of potential innovation and efficiency, for insurers and insureds alike.  Recognizing that AI systems may permeate all stages of the insurance life cycle, the Connecticut Insurance Department has issued a detailed Bulletin providing a comprehensive overview of the regulatory framework and expectations for insurers’ …

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N.Y. Federal Court Holds Misrepresentation Precludes Coverage Regardless of Cause of Loss

Recently, in Converse v. State Farm Fire and Casualty Company, a judge in the Northern District of New York held that a policyholder was not entitled to coverage for a fire due to misrepresentations made during the claim investigation. In that case, the plaintiff had sent a letter to an acquaintance, offering to pay $5,000 …

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Third Circuit Affirms Judgment in Favor of Carrier on Insurance Fraud Claim

In State Auto Prop. & Cas. Ins. Co. v. Sigismondi Foreign Car Specialists, Inc., the Third Circuit upheld the District Court’s finding that the policyholder had committed insurance fraud when it provided altered invoices to support the values being claimed for allegedly damaged business personal property. The policyholder initially argued that the altered invoices were …

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Rob Runyon and Dan Grossman published in SIU Today

HKR’s Rob Runyon and Dan Grossman’s article, “Immunity Statutes: Protecting Open Communication Between Insurers and Law Enforcement“, was recently published in the Summer 2022 edition of SIU Today, an official publication of the International Association of Special Investigation Units. Fraud reporting remains an important issue in the insurance industry. At HKR, we are committed to …

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