See the full video at https://rumble.com/vz1w5g-true-crime-of-insurance-fraud-video-number-46.html and at https://youtu.be/wiR1JmatqZM
Barry Zalma, Esq., CFE presents videos so you can learn how to commit insurance fraud and what is necessary to discourage or defeat insurance fraud.
A broken tooth is a tragedy for most people. For the waitress, a broken tooth was the beginning of a career.
For fifteen years she waited at tables in restaurants, everything from small cafes to exclusive French restaurants. She saw, almost every week, at least one customer who tried to avoid paying for a meal. They would find flies in their soup or pieces of metal in their burgers. Sometimes it was the restaurant’s fault and sometimes it was obvious fraud. Some people were actually injured due to deficiencies in the kitchen.
One Sunday afternoon when she was sitting in front of the TV munching on a dish full of almonds, her upper right front tooth tapped and she found half a tooth in her hand. No blood and no pain, only half a tooth in the hand and a prickly piece in the mouth.
If she had not been creative, if she had not been frustrated to see her employers successfully deceived over the years, she would have booked an appointment with her dentist and had her tooth clogged. The waitress was very creative. She saw the broken tooth as the beginning of a for-profit venture. Since she was free on Sunday night and no specific plan, the waitress booked one at a nice restaurant where she once worked. She took her to the restaurant, safely tucked in a compartment in her purse, the broken tooth and a small piece of steel that she cut from the top of a coffee can.
Her attempts at insurance fraud were successful. However, she became greedy and eventually her name and broken dental history began to appear in the insurance companies’ databases. When she filed a claim against a restaurant insured by the same company, which had insured the last two restaurants to which she had filed a claim, the adjuster refused to pay her. He reported to the fraud department of the insurance department in his state that the waitress apparently made fraudulent claims for the same tooth to different restaurants. The fraud department, which noted that she claimed only $ 650, concluded that the requirement was too small to justify the cost of the investigation. No one would investigate, or prosecute, the waitress.
Instead of taking further chances, she moved to another city where she continued in her new profession. She’s probably eating a good meal in your city tonight.
(c) 2022 Barry Zalma & ClaimSchool, Inc.
Barry Zalma, Esq., CFE, now limits his internship to the position of insurance consultant specializing in insurance coverage, insurance claims management, non-insurance and insurance fraud almost equally for insurers and policyholders. He practiced law in California for more than 44 years as a lawyer for insurance coverage and claims management and more than 54 years in the insurance industry. He is available at http://www.zalma.com and email@example.com.
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