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A video proposal to defeat insurance fraud as it takes courage to fight insurance fraud



See the full video at https://youtu.be/JkdqUDDK-s0 [1965653] The Legislators of the various states, the United States Congress, the National Association of Insurance Commissioners, the National Insurance Crime Bureau and insurance industry groups have finally decided to the war on insurance fraud is worth fighting. Until the states, the local police authorities, the district attorneys, the United States attorneys and the attorneys general in the various states participate in the battle, it will be fought to the death. The insurance industry cannot successfully fight insurance fraud alone.

Insurance industry sources estimate insurance fraud from low levels of $ 80 billion ($ 80 billion) per year to a peak of $ 300 billion ($ 300 billion) per year. Regardless of which, if any, estimate is correct, the amount of money going to insurance offenses is staggering and approaches no less than 3% to 10% of the premium collected.

Every other week Zalma's insurance fraud letter publishes lists of convictions. The largest volume of such beliefs is about Medicare and Medicaid scams. Basic convictions about basic property and accidental fraud are seldom described except when the perpetrator admits or pleads guilty. Few go to trial.

Proposal

Insurance fraud is not a local problem. It is an impoverishment of the kingdom's wealth. The lawyer for the insurance department in each state is the public prosecutor. A special unit could be set up at the office of the Minister of Justice, funded by money from the insurance industry to support the war on insurance fraud. The unit should be given a simple mandate:

  • Register and prosecute all insurance frauds committed to the unit by the fraud division which has more than a 50% chance of success.
  • The unit should not concentrate its efforts on major insurance frauds. They can best be prosecuted by large fraud units that already exist in the district attorney's office and in the U.S. Attorney's office.

The state unit should concentrate on prosecuting insurance fraud every day, the fraud with opportunities that take 90% of money paid to fraud, in the range of $ 5,000 to $ 50,000. Individual bills should be prosecuted. When prosecutors file several charges against individual defendants, the case becomes a major measure that requires a lot of time to be prosecuted. Judges and juries do not want to be involved in a prosecution that takes months to prosecute. If there are multiple bills available, the prosecutor should only charge the one where the evidence of fraud is overwhelming. If the jury finds for the defendant, the prosecutor can charge the next bill continuously until the statute of limitations expires. If all available are accused in one case, the prosecutor will insult the judge and the jury and the defendant will receive pardon from the jury. Overcharging charges is as bad as not charging at all.


© 2020 – Barry Zalma. He also acts as an arbitrator or mediator for insurance-related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims lawyer and more than 52 years in the insurance industry. He is available at http://www.zalma.com and zalma@zalma.com.

Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.

For the past 52 years, Barry Zalma has devoted his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to enable insurers and their claims staff to become professionals in insurance claims.

https://zalma.com/zalmas-insurance-fraud-letter-2/ Last read two issues of ZIFL here.

Go to Barry Zalma videos on Rumble.com at https://rumble.com/c/c-262921 [1965653] Read posts from Barry Zalma at https://parler.com/ profile / Zalma / post

Listen to the podcast: Zalma om försäkring https://anchor.fm/dashboard/episodesZalma om försäkring

Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg/ [1965] -claims-bibliotek /

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