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Home / Insurance / Zalma Insurance Fraud Letter – August 1, 2022

Zalma Insurance Fraud Letter – August 1, 2022

Read the full 22-page Adobe .pdf newsletter at http://zalma.com/blog/wp-content/uploads/2022/07/ZIFL-08-01-2022.pdf

Watch the full video at https://youtu.be/2VV8A0uoZpY and at https://rumble.com/v1e5zqf-zalmas-insurance-fraud-letter-august-1-2022.html

Articles include:

Very few people have a perfect eidetic (photographic) memory. Memory is a fluid and often unreliable human function.

During my time as an investigative trainee at the Army Intelligence School at Fort Holabird, Maryland, a classroom lecture on interviewing was interrupted by a man wearing a clown mask, a tuxedo, fins, a cowboy hat, and a purple cummerbund. He ran into the room, shouted epithets, fired a weapon into the ceiling and ran out. The teacher instructed each member of the class to write down a description of the intruder. None of our descriptions matched, and we were all shocked when the shooter was brought back to class. The noise he made, the firing of a weapon, and the fear created by the event made it almost impossible to remember him exactly. Some even described him as being a woman.

Professionals recognize that some EUO techniques can cause honest subjects—those who are innocent but “just trying to be helpful”—to “misremember” and provide unreliable, even false, information. It has long been known that false memories can be implanted through a process of suggestion, especially when used by skilled but unscrupulous lawyers or interviewers.

Insurers licensed or operating in California must file their SIU annual reports by Wednesday, September 28, and insurers licensed or operating in California must ensure that all of their claims personnel have read, understood, or been trained on the California Fair Claims Settlement Practices Regulations no later than September 1 each year and be prepared to swear under oath that the regulation has been followed by the insurer.

Unregistered security foreclosure eliminates duty to Defend or Replace

William Saoud sells insurance-related products. Starting in 2017, he offered some of his clients a new financial instrument: a debt agreement issued by 1 Global Capital, LLC. The investment opportunity was too good to be true. William Saoud, Patricia Boland-Saoud and Bill Saoud Financial, LLC v. Everest Indemnity Insurance Company, No. 21-1621, United States Court of Appeals, Sixth Circuit (July 14, 2022)

Free insurance videos

Barry Zalma, Esq., CFE has been posting five days a week videos on insurance claims, insurance claims law, insurance fraud and insurance coverage issues at https://www.rumble.com/zalma.https://rumble.com/c /c-262921

State Farm Fire and Casualty Company filed a motion for summary judgment, arguing that it had no duty to defend or indemnify defendants, Hamdallah, LLC, et al. (“the LLCs”), against the claims asserted by the plaintiff, Nixon Calix. The trial court granted summary judgment and dismissed all claims against State Farm with prejudice.

IN Nixon R. Calix v. Ideal Market # 6, Hamdallah, LLC, Kaki and Son, LLC, Hamdallah Hasan “Mario” Kaki, Muwafak “Mike” Kaki, Monadel “Cory” Elbarqa, Nofal “George” Haifa John Does 1-4 , El Cortez Foods, LLC and ABC & XYZ Insurance Companyno. 21-CA-555, Court of Appeals of Louisiana, Fifth Circuit (July 13, 2022) explained the right to rely on a clear and unambiguous exclusion.

For example: Dr. Jose Santeiro lured patients for medically unnecessary rehab in a $112 million private insurance company in South Florida. Recruiters paid kickbacks to trick addicted patients into visiting Santeiro’s detox facilities, then handed over illegal drugs to ensure they were admitted. Santeiro made false claims for exaggerated urinalysis drug tests that were not even used in treatment. Santeiro then re-admitted a core group of addiction patients whom he shuffled between Compass Detox and another facility to fraudulently bill for as much bogus drug treatment as possible. Santeiro also prescribed Compass Detox patients an addictive “comfort potion” to calm them down so they would stay at the facility and keep returning. And he had cohorts use his logins at the detox facilities to sign electronic medical files to make it appear falsely that he was providing treatment. Santeiro received 4 1/2 years in federal prison.

After being convicted of multiple counts of fraud, Ejaz Shreef was sentenced to 48 months in prison on each count, concurrently, followed by two years of supervised release.

IN Ejaz Shreef vs. USANo. 3:18-cr-157-RJC-DCK-2, 3:22-cv-78-RJC, United States District Court, WD North Carolina, Charlotte Division (July 8, 2022) resolved his motion to reduce his sentence to government advantage.

Including a story about why a jury convicts man of $600 million health care fraud, wire fraud and ID theft. Matthew James, 54, of East Northport, was convicted by a federal jury. James, a New York man, was convicted of more than $600 million in health care fraud, wire fraud and identity theft.

Zalma on insurance at Locals.com

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Barry Zalma at Locals.com has created a series of insurance educational materials, most of which are free for anyone to use. The free materials include more than 441 videos and more than 4,200 summaries of recent appellate court opinions and more than 81 videos dealing with true crime stories about insurance fraud.

Scott Strems, the pain in Florida insurance company bank accounts could see his two-year suspension complete in July 2022. But charges from the state bar could result in new sanctions or even a permanent suspension.

A 25-page complaint, separate from earlier charges, alleges that in 2018, Miami attorney Strems and his law firm informed a client of a settlement with a property insurance company but then secretly settled with the insurance company for double the amount and attempted to collect a large, unauthorized fee .

Additionally, another Strems Law Firm attorney has been disbarred by the Florida Supreme Court

The fallout from the infamous Strems Law Firm’s Florida litigation continues. Two years after Coral Gables plaintiffs’ attorney Scot Strems was suspended from practice for filing thousands of unnecessary lawsuits against property insurance companies and violating other attorney rules, and two years after the Florida attorney filed a complaint against another attorney with the firm, the state’s highest court has suspended the lawyer for 91 days.

Insurance fraud is a violent crime – two guilty in Sweetie Pie’s murder-for-hire scheme

For example: Terica Ellis and Waiel Rebhi Yaghnam charged in the murder-for-hire plot that led to the 2016 death of Andre Montgomery pleaded guilty on July 22, 2022.

In 2020, the two were charged with conspiracy to commit wire and mail fraud. Yaghnam was charged with five counts of aggravated identity theft. Montgomery, the grandson of original Sweetie Pie’s owner Robbie Montgomery, was shot and killed near Fairground Park on March 14, 2016. James Timothy Norman, Montgomery’s uncle, has been charged with conspiracy to use a cell phone in the “mission” of a murder-for-hire that resulted in death. Payment documents revealed Norman took out a $450,000 life insurance policy on his nephew in 2014 and Norman was the sole beneficiary.

Barry Zalma, Esq., CFE, now limits his practice to serving as an insurance consultant specializing in insurance coverage, insurance claims management, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He also serves 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 attorney and more than 54 years in the insurance industry. He can be reached at http://www.zalma.com and zalma@zalma.com.

For the past 54 years, Barry Zalma has dedicated 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 professionals to become insurance claims professionals.

Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455;

Subscribe to Zalma on Insurance at locals.com https://zalmaoninsurance.local.com/subscribe. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr. Zalma at zalma@zalma.com; http://www.zalma.com; http://zalma.com/blog; I publish daily articles at https://zalma.substack.com, Go to the Zalma On Insurance podcast at https://anchor.fm/barry-zalma; Follow Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos on Rumble.com at https://rumble.com/c/c-262921

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