Can't say I've worked with LTC1148 before, but it's very old (datasheet says (C) 1993), and the block diagram has... not sure exactly, some combination of current mode control with hysteretic voltage regulation? Not sure, there's the compensation network in there still, but also a Schmitt trigger? Oh, or maybe that's the burst mode control, and it's peak-current-mode while active.
It is at least more detail than you'll see in newer block diagrams (blank function boxes galore)...
I don't think it's doing active rectification exactly; I think its operation will be full-wave (alternate N/P conduction, forced CCM -- allows negative inductor current) until topped up, then it sits and waits until Vout falls below threshold. So, it will gladly run negative inductor current at light load, as opposed to DCM that you'd expect from an active rectifier. Also the operating frequency, is... fixed off time, sorta? Depending on things, but who knows. Maybe they implement frequency foldback that way. (The plots seem to agree.)
So eh, nothing really suspicious. At least for normal operation. As for abnormal, if they're not obeying voltage/current limits, or there's ambient noise getting in, or surge or something (could include hot-plugging transients?), that seems a most likely culprit. Oh, or maybe the compensation is going wonky because of aging electrolytics, that's always a thing.
Tim