Insurance Fraud
100 TTC workers fired or quit after benefits fraud investigation
The Toronto Transit Commission says more than 100 of its employees have been dismissed or have resigned as part of a benefits fraud investigation. Toronto police laid criminal charges in July 2015 against the owner of orthotics store Healthy Fit, a health-care...
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Insurer violated crash victim’s rights by accessing his credit score, federal watchdog rules
An insurance company handling a car-crash victim’s accident claim violated the senior citizen’s privacy rights by accessing his credit rating for no good reason, the federal Privacy Commissioner has ruled. The Personal Insurance Company argued it needs such...
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Auto insurance fraud costs Canadians billions annually
The Insurance Bureau of Canada (IBC) is highlighting that everyone can play a role in limiting the costs of auto insurance fraud. "Auto insurance fraud is a serious crime that costs Canadians billions of dollars each year," said Garry Robertson, National Director,...
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Ontario drivers struggle to identify auto insurance fraud
A recent survey of Ontario drivers raises concerns about their abilities to recognize, report and reject auto insurance fraud. The Financial Services Commission of Ontario (FSCO) survey found that Millennials, aged 18-34, were the least likely to identify acts of...
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Watch out for Advance Fee Loan companies operating in the Tri-Cities
BBB serving Central Ontario is warning consumers about an influx of advance fee loan scam reports throughout the Tri-City region. They received reports from consumers suggesting that a number of advance fee loan companies operating in Kitchener, Waterloo, and...
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Phishing scheme resulting in fraudulent transfer of $4.9 million in Quebec court
Court ruled on a claim by an insured, Coop Fédérée, against two of its insurers for a loss caused by a phishing scheme which led to a fraudulent transfer of $4.9 million in August 2014. The question is if the insurance policy was "specific" for the risk of phishing...
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Top five frauds of 2016 from Manitoba Public Insurance
A wannabe Manitoban, a guilty son, and friends who crash together made the list of Manitoba Public Insurance's annual Top 5 list of fraud claims. Fraudulent and suspicious claims are handled by MPI's special investigation unit, which closed 2,100 cases last year...
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Laser cosmetic shop owner charged with faking break-in and theft
The owner of a Mill Woods laser skin care shop is facing fraud charges after faking a break in and theft at the business last summer, according to police. Sukhdave Seehra, 31, owner of Perfection Cosmetics, near 91st Street and 23rd Avenue, is charged with fraud over...
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BC government and ICBC announce new analytics system to stop future fraud
The BC Government and ICBC have announced a new analytics system to better detect future fraud. Over the coming months, Canada’s second largest insurance company will use this technological tool to investigate and even issue criminal charges to any who overstates...
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Woman defrauded Alberta Social Services with benefit payments
A 41-year-old Lethbridge woman has been fined and placed on house arrest after pleading guilty Thursday in Lethbridge provincial court to charges of assault and fraud. Patience Wilson, court was told, defrauded Alberta Social Services of $9,544 when she received...
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Sudbury police officers Christopher Labreche and Kathryn Howard demoted for benefits fraud
Two Sudbury police officers have been demoted after confessing to defrauding their workplace benefit program. Constable Chrstopher Labreche and Constable Kathryn Howard, who are also husband and wife, were sentenced for police misconduct earlier in a hearing held at...
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Using social network analysis to catch auto insurance fraudsters
Auto insurance fraud is a global fraud phenomenon with billions in losses. But they is an innovative way to combat it: social network analysis (SNA). SNA tracks claims patterns among individuals, vehicles, and locations involved in accidents, as well as supports...
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Glace Bay woman says insurance company accused her of damaging her own home
A Cape Breton woman whose home was damaged during the Thanksgiving Day flood says she is facing thousands of dollars in repairs after her insurance company refused to pay for roof repairs and accused her of pulling off shingles. Debbie Clow's basement was damaged...
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Insurance swindlers Atlas Copco Canada dealt long penitentiary terms
The two men convicted of fraud over $5,000 in the massive Atlas Copco Canada fraud case that involved an 11-week judge and jury trial in Greater Sudbury this spring and summer have been given penitentiary terms. Dirk Plate, 73, of Montreal, and Paul Caron, 72, of...
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Examinations under oath in case of insurance fraud
As a result of the consequences to a deceitful insured, examinations under oath are one of the most efficient and effective options open to an insurer to investigate and assess a claim as they provide an insurer an opportunity to directly obtain from its insured the...
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Sudbury police officer Christopher Labreche pleads guilty to fraud
Sudbury police constable Christopher Labreche has pleaded guilty to one count of fraud under $5,000. Labreche pleaded guilty to falsely claiming $1610 worth of professional health services he did not receive, including vision, massage, chiropractic care and...
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As insurance claims fraud evolves, technology is fighting back
When it comes to insurance fraud, the bad guys never seem to run out of ways to cheat the system. It’s a staggering problem – probably bigger than you think. Just how big? Fraud is prevalent in every line of insurance. Just one example – industry studies estimate that...
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What is insurance fraud? Scheme explained in short animation
Investigation Counsel PC handles numerous insurance fraud claims. But what does it actually mean? This animation explains the scheme and what victims should know. A collaboration between Canadian Fraud News Inc. and Investigation Counsel PC:...
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Employee abuse of health benefit insurance plan
About a month ago the famous ‘largest fraud trial in Sudbury’s history’ (source) came to an end with a guilty verdict (sentencing hearing on October 25). Paul Caron and Dirk Plate helped defraud Atlas Copco Canada of nearly $24 million. Caron was a Montreal insurance...
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Car insurer’s fraud effort drives good customer away
Adam has been driving for a long time, and his insurance company has never asked to visit his house to check that the car he says he owns is in the driveway. Nor has it asked to see his hydro bill to prove he lives at the address he is listed on the policy. But it...
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Insurance industry not prepared to tolerate fraudsters
Insurance companies often have to deal with customers giving fraudulent information and the litigation process can be lengthly. This week a landmark court decision was handed down in the case of Zurich vs Hayward, setting a new precedent for how insures can catch up...
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