what kind of lawyer insurance fraud

What can I do to sue someone for insurance fraud?

Mar 16, 2021 · Insurance fraud may consist of conduct as well as false or misleading statements. Insurance fraud of this type includes: Arson: Arson is intentionally setting fire to one’s home or business. The individual who commits the arson then submits a claim to their insurance company describing the arson as an “accident,” for the purpose of ...

When can you sue for insurance fraud?

A skilled insurance fraud lawyer will defend your case if you are accused of making a false insurance claim. If you are indicted for committing insurance fraud, such as deliberately faking an injury to illegally collect money from your insurance company, an experienced insurance fraud attorney will litigate on your behalf.

Can you sue a lawyer for committing fraud?

Insurance Fraud Lawyers | Report Insurance Company Fraud. Consumers rely on various forms of insurance, including health, life, auto, and home-owners insurance. Every year, however, many consumers become victims of insurance frauds and scams, often costing them thousands of dollars. Our consumer protection attorneys represent victims of insurance scams and fraud, …

Can I be sued for insurance fraud?

Insurance fraud refers to any duplicitous act performed with the intent to obtain an improper payment from an insurer. The pervasiveness of insurance fraud drives up costs for all consumers and costs the insurance industry billions of dollars each year. One authority estimates that the annual value of insurance fraud approaches $80 billion.

What is considered illegal insurance fraud?

Inflated Damages - Damages inflated or exaggerated, non-existent or pre-existing; excessive billing of vehicle body parts or repair work. Vehicle Theft - Vehicle or motor home theft. Vehicle Arson - Vehicle or motor home arson.

Is insurance fraud a big deal?

Non-medical insurance fraud is estimated at over a $40 billion dollars per year. Fraud not only inflicts extra costs on insurance companies, but it also financially impacts consumers, costing the average U.S. family between $400 and $700 per year in premiums.Jan 25, 2022

How do insurance companies commit fraud?

Insurance agents and company employees may also commit insurance fraud. Common frauds include “padding,” or inflating claims; misrepresenting facts on an insurance application; submitting claims for injuries or damage that never occurred; and staging accidents.Feb 15, 2022

What an Insurance Fraud lawyer can do for you

A skilled insurance fraud lawyer will defend your case if you are accused of making a false insurance claim. If you are indicted for committing insurance fraud, such as deliberately faking an injury to illegally collect money from your insurance company, an experienced insurance fraud attorney will litigate on your behalf.

Why hire an Insurance fraud attorney

Insurance fraud occurs when someone lies about an injury or loss to collect money from an insurance company. If you are accused of making a false insurance claim, you want to contact an insurance fraud lawyer.

Did you know?

10 years - The maximum sentence in prison that an individual can get for healthcare insurance fraud that doesn't include bodily injury or death.

Defending victims of insurance frauds & scams

Consumers rely on various forms of insurance, including health, life, auto, and home-owners insurance. Every year, however, many consumers become victims of insurance frauds and scams, often costing them thousands of dollars.

Types of Insurance Scams & Fraud

Insurance is one of the more expensive and important items a consumer can purchase. Less than honest companies can take advantage of this by making false promises and other misrepresentations to induce consumers to sign up for their policies. Some common insurance scams involve:

Speak to an Insurance Fraud Lawyer

If you’re suffering financial or medical consequences as a result of insurance fraud, our consumer protection attorneys may be able to help. Call or message us today for free, confidential consultation about your potential case.

Our Commitment to Excellence

Gibbs Law Group LLP has earned Tier-1 rankings for Mass Tort and Class Action Litigation and has been named in the U.S. News – Best Lawyers “Best Law Firms” list for four consecutive years since 2013.

What is insurance fraud?

Insurance fraud refers to any duplicitous act performed with the intent to obtain an improper payment from an insurer. The pervasiveness of insurance fraud drives up costs for all consumers and costs the insurance industry billions of dollars each year.

What is a fraudster in insurance?

Fraudsters also commonly file insurance claims for accidents that never actually occurred. Owners of life insurance policies have feigned their own deaths in order for their families to collect on the policy. Then, the fraudster receives money from the family while secluded in a remote or foreign location.

What is healthcare fraud?

Patients commit healthcare fraud when providing false information during the application process of certain programs and services, when forging or selling prescription drugs, when using transportation benefits for non-medical related purposes, and when loaning or using another’s insurance card. Automobile insurance fraud occurs when ...

What is hard fraud?

Hard fraud, the rarer of the two forms, occurs when a criminal deliberately brings about the destruction of property for the purpose of collecting on the insurance policy. Soft fraud, on the other hand, occurs when a policyholder exaggerates an otherwise legitimate claim or when an individual applies for an insurance policy ...

How does fraud affect insurance?

Fraud drives up insurance costs for everyone as well as general prices of things like groceries and retail goods when businesses are forced to pass on higher insurance costs. It’s almost becoming a way of life. Here is a look at some of the more common forms of insurance fraud.

What are the acts of fraud?

Acts of fraud include making false statements to get benefits, concealing information to get benefits, inflating costs, lying about how an injury occurred or making an exaggerated claim. Protecting yourself against false claims for workers’ compensation involves careful documentation and reporting.

What is workers compensation insurance?

Workers’ compensation insurance protects employees who are hurt on the job, paying for lost wages, medical and other expenses while the worker recovers.A small number of workers take advantage of this benefit and use it for personal profit, committing workers’ compensation fraud.

Can you get home insurance fraud if you are an unlicensed contractor?

Always check the status of the contractor’s license and registration to make sure it is valid and current. For larger projects, the contractor should have both a Construction Supervisor License and a Home Improvement Contractor Registration.

What is general liability insurance?

General liability is a broad form of insurance similar in some ways to worker’s compensation fraud. It covers premises liability which provides protection to guests on your property (not employees) from things like slips and falls.It also covers products liability and completed operations.

What is opportunistic fraud?

The act is called opportunistic fraud. Insurance companies try to verify the validity of claims, but some fraudulent claims always get through. When you make an insurance claim, do not claim more damage than there really is because it can be a felony crime. Collision repair fraud.

Can a con artist steal your Medicare card?

In Medicare fraud, con artists try to get your Medicare number or personal information so they can steal your identity. You should guard your Medicare card like you do with your credit cards.

What is insurance fraud investigator?

An insurance fraud investigator may be employed by insurance companies or other agencies, such as the fire department or local police . Some private investigators also investigate insurance fraud, and can be hired by individuals. Insurance fraud investigators are trained to look for specific signs that indicate fraud has occurred. Insurance adjusters who have some suspicion that a claim is fraudulent often have the company’s insurance fraud investigator look into the circumstances of the claim before making a payout. Investigation may continue, or even begin, after an individual has received compensation from the insurance company.

Why do people commit insurance fraud?

The primary reason that people commit insurance fraud is to gain financially. Many people who maintain an insurance policy year after year come to believe that, because they have paid premiums for so long, they deserve to be compensated in the form of an insurance claim.

How do medical providers commit fraud?

Medical providers can commit health insurance fraud by making false claims, billing for services not provided or supplies not used, or altering existing claims. It is believed that most healthcare providers that commit health insurance fraud do so in order to receive greater compensation that they normally would from Medicare or Medicaid. This can be done in several ways, including: 1 Billing for procedures not actually performed 2 Billing for a higher-rated exam, when a minor exam was performed 3 Billing for 1-hour psych exam when a 15-minute med check was performed 4 Referring patients to specialists when it is not necessary 5 Billing a family member’s insurance from which the patient has no benefits 6 Scheduling unneeded follow-up visits for patients 7 Ordering tests that are not needed

What is hard fraud?

Hard fraud occurs when a person intentionally fakes an accident, theft, or injury to collect money from an insurance company.

How much money is lost due to insurance fraud?

The number of fraud cases that are actually caught is believed to be much lower than what actually occurs. Some organizations estimate that over $80 billion are lost each year to fraudulent insurance claims in the United States alone. It is estimated that approximately 10 percent of the insurance industry’s total annual losses are due to fraudulent claims. The high cost of fraudulent cases is passed down to insurance customers in the form of higher premiums, as the insurance companies try to recoup some of those losses.

Who was the mogul who burned down his house?

In 2007, Chicago grain-futures mogul , Marc Thompson, found himself in debt to the tune of nearly $680,000. Thompson decided to burn down his house and collect the insurance money. To make the fire seem more plausible, Thompson carried his 90-year old mother down to the basement, splashed an accelerant around the walls, and set the fire. Thompson’s mother died in the fire, after which he claimed she had committed suicide by torching the house.

What is auto insurance fraud?

Auto insurance fraud is a commonly perpetrated fraud in the U.S., occurring when people fake traffic accidents, inflate claims, and even fake auto-related deaths in order to receive auto insurance payouts. Insurance investigators have even discovered some insurance adjusters getting in on the act for a fee.