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Home / Insurance / Zalma’s Insurance Fraud Letter – December 15, 2022

Zalma’s Insurance Fraud Letter – December 15, 2022



Watch the full video at https://rumble.com/v20n1u8-zalmas-insurance-fraud-letter-december-15-2022.html and at https://youtu.be/TcEBdb9KLMY

A Christmas fable about deception

ZIFL publishes this story at Christmas time every year. I hope you like it again.

The story that follows is fiction based, in part, on a true case that I have worked on. Any resemblance to real people is accidental. It is only intended to educate fraud professionals about how some unscrupulous people use the crime of insurance fraud for fun and to make money during the Christmas season.

Raymond Alexander had no religion. He only cared about himself and the money he could take from good-hearted people.

Raymond loved Christmas.

The brands were in such a kind and giving mood that it wasn’t even a job to take their money.

Read the full ZIFL

English lawyer jailed for 12 years after private prosecution for fraud

Stephen Jones63, senior partner at the London firm Jirehouse Partnerspleaded guilty at Southwark Crown Court to two counts of fraud by abuse of his position of trust as a solicitor in relation to money intended to be used by his clients to buy a Scottish castle.

Sentencing Jones at Southwark Crown Court this week, Judge Martin Griffith said he had acted with “rank dishonesty” and caused enormous harm. The judge said Jones’ conduct was “clearly prosecutable” and called for a prosecution which the police and CPS had left to the private prosecutor to carry out.

Read the full ZIFL

Editorial – Resolutions against fraud

In 2009, ZIFL published a New Year’s Resolutions guide for every person involved in the insurance industry. I repeat it again, with some modification, in this issue and add some thoughts for 2023.

Insurance fraud of all kinds continues to grow to epidemic levels. It is committed by people of any race, religion, national origin, economic situation, sexual orientation, age or physical condition.

Read the entire newsletter here.

How to fight insurance fraud

An article I wrote for the CPCU Society’s “Insights” Magazine

The prevalence of attempted insurance fraud is staggering and costly. But perhaps even more startling, and certainly more evasive, is the often muted response to such crime. The Coalition Against Insurance Fraud estimates that insurance fraud costs the industry more than $308 billion a year. No one knows the full amount because most insurance fraud attempts are successful.

Read the full story at CPCUSociety_INSIGHTS_Winter2022_Insurance_Fraud

Good news from The Coalition Against Insurance Fraud

My client cheated me, a banker desperately claimed in court after helping disbarred personal injury attorney Alex Murdaugh steal money from insurance settlements for clients in South Carolina. Russell Laffitte was still convicted. He was the CEO of the Palmetto State Bank, and it was Murdaugh’s personal banker. Laffitte loaned Murdaugh and himself money stolen from the insurance settlements – and diverted the money from personal injuries or deaths. Lafitte lied in court that he was only following the instructions of one of his biggest clients, who lied to and manipulated him. Except Murdaugh gave Laffitte checks written to the bank instead of customers. This allowed Murdaugh to divert clients’ insurance funds to others to whom he owed money – his law firm, clients he defrauded, or family members. Laffitte was convicted and could spend decades in federal prison when convicted. Murdaugh is the scion of a prominent South Carolina legal family.

Read the entire newsletter here.

Florida Session Agenda calls for changes in claims process, more oversight of insurance companies

Florida legislative leaders, working on the announcement since Sen. President Kathleen Passidomo and House Speaker Paul Renner note that the five-day special session of the Florida Legislature will consider ways to reduce the cost of property insurance litigation, improve access to reinsurance, limit benefit assignment agreements and reduce the size of the state created Citizens Property Insurance Corp.

Read the entire newsletter here.

Suspended Florida Claim Center attorney agrees to temporary probation

Jennifer Pereza partner with Gauthier Murphy and Houghtaling law firm, agreed to the terms of an “interim probation” imposed by the Florida Bar, according to court records. She shut down the tent and trailer the company had set up in the parking lot of a defunct North Fort Meyers motel and agreed to provide the bar with a copy of a signed lease for the law firm’s Florida office.

Perez, a Florida attorney whose law license was suspended after setting up a “mobile claims center” near Fort Myers, can now resume practicing law under the terms of a settlement she reached with the Florida Bar.

Read the entire newsletter here.

Health insurance fraud convictions

Settlement against Contra Costa facility resolves allegations of patient abuse and neglect

San Miguel Villa subjected its patients to poor care due to understaffing and effectively rendered a number of its services useless. Today’s settlement totals $2.3 million, with California getting $1.2 million.

California secured a settlement against the Contra Costa County skilled nursing facility, resolving allegations of understaffing and patient abuse and neglect. The settlement resolves claims that corporate profits for five years should never be placed above patient needs and care. Every patient has the right to humane care, and skilled nursing facilities should always have appropriate staffing levels to ensure that this standard of dignity is met.

Read the entire newsletter here.

Other insurance fraud

Guilty of life insurance fraud

Daniel Banete a man living in Coventry, UK was sentenced to three years in prison after fraudulently trying to claim £520,000 in life insurance payouts after his brother died of Covid-19.

Just eight days after his brother died in hospital in Romania on July 8, 2020, 30-year-old Daniel Banete took out four different life insurance policies in his brother’s name between July 16 and 21. The City of London Police’s Insurance Fraud Enforcement Department said Banete provided fake death certificates to insurance companies with different dates of death between November 2020 and January 2021 to try to claim the settlements.

Read the entire newsletter here.

Coalition Against Insurance Fraud Hall of Shame

Dentist kills wife on safari.

A rich, unscrupulous Pennsylvania dentist planned to murder his wife during a safari in Africa without her knowing, such a nice man indeed. Why do you ask? Take a wild guess. If you thought about money, you’re right. It was stupid because he really didn’t need a $5 million insurance payout, but the “loving” man’s premeditated cover plan was that they hunted a leopard in Kafue National Park in 2016 so his wife could achieve her goal of shooting a leopard, husband of the year. .. NOT!

And nine more scammers.

Read the entire newsletter here.

(c) 2022 Barry Zalma & ClaimSchool, Inc.

Access the last two issues of Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/

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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 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

Write to Mr. Zalma at zalma@zalma.com; http://www.zalma.com; http://zalma.com/blog; daily articles are published on 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; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to Insurance Claims Library – https://zalma.com/blog/insurance-claims-library




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