قالب وردپرس درنا توس
Home / Insurance / Zalma's Insurance Fraud Letter – February 1, 2022

Zalma's Insurance Fraud Letter – February 1, 2022



Watch the full video on and at https://youtu.be/5VPOIIOKxIQ or https://youtu.be/bP3i3DnF8Sg or https://rumble.com/vtquw2-zalmas-insurance -fraud-letter-february-1-2022.html

Issue includes stories including

Cease And Desist Order from California Department of Insurance focuses on sale of illegal vehicle extended warranty and rejection of consumer claimsI5901de Group [andowners$1900TheCaliforniaDepartmentofInsuranceissuedorderstoterminateandwaiveandshowcauseofactionimmediatelyafterIdealGroupIncdoesbusinessasIdealAutoProtectanditsownersRichardandDanielBedaforsellingillegalvehicleservice(VSC)contractsalsoknownas"extendedwarranties"to12consumersinCaliforniaforatotalofover$22000Thecompanywasnotproperlylicensedbythedepartmentrequiredbylawandwronglydeniedtheclaimbyfailingtoprovethattheclaimwasnotcovered

The order also claims that Ideal and its owners illegally sold contracts they did not first file with the department, sold their contracts directly to consumers online and by telephone instead of through car dealers required by California law, and failed to use a backup insurance to protect consumers.

"My department uses all available tools to protect consumers. from unlicensed and illegal insurance ", said Insurance Commissioner Ricardo Lara." Illegally selling vehicle warranties to Californians online or by phone and then incorrectly denying their claims leaves consumers unprotected when they need it most. "

True Crime Story of Insurance Fraud The Burned-Up Russian

True Crime Videos Explaining Insurance Fraud and Weapons to Visit Increase or Discourage Insurance Fraud

There are now nine true crime stories about insurance fraud video blogs. The videos are available so you can learn how insurance fraud is committed and what it takes to discourage or defeat insurance fraud. This video blog about true crime stories about insurance fraud with the names and places changed to protect the culprits are all based on investigations made by me and fictionalized to create a learning environment for claimants, SIU investigators, insurance companies, police and lawyers better understanding insurance fraud which can be used to deter or defeat a fraudulent insurance claim now available at https://zalma.com/blog, https://rumble.com/zalma and at https://youtube.com. One of the stories follows.

These true crime stories have been adapted from my book "Insurance Fraud Costs Everyone" which is now available on As a Kindle Book and as a paperback book from Amazon.com.

Fraudsters tried to use the court to enforce fraud

Body Shop may not compel the insurer to pay for repairs not performed

Allstate has a network of repair shops called the Good Hands Repair Network. The network repairs vehicles at the price stated in Allstate's approved estimates of repairs without any deductible for the insured in addition to the insurance deduction. Insured do not need to use a network store and have the right to choose the repair facility they choose. One workshop sued for charging more than the Good Hands Repair Network and Allstate refused to pay their prices and discovered fraud in their repair estimates. I Exclusive Auto Collision Center v. Allstate Insurance Company A / K / A Allstate New Jersey Insurance Company, Encompass Insurance; et al Civil Law Action no. BER-L-1784-20, Superior Court of New Jersey, Law Division, Bergen (January 12, 2022) The New Jersey Court Resolves the Dispute.

] ClaimSchool, Inc. – Insurance Education

Insurance Education by Barry Zalma

Barry Zalma presents what your insurance organization needs.

Mr. Zalma's presentations are practical, thoughtful, entertaining and easily fit into any budget.

Enthusiastically committed to professionalism in insurance and insurance claims. Mr. Zalma positively influences other insurance professionals through the spoken and written word.

Mr. Zalma specializes in clarifying the importance of insurance in a modern society and making insurance understandable. He also provides everything required by the Social Insurance Agency to complete the thorough investigation of a property, accident or liability claim efficiently, fairly, empathetically and in good faith.

A Proposal to Defeat Insurance Fraud

A Proposal that Every Insurer Should establish a business position to refuse to pay a fraud

See the full video with this proposal at https://rumble.com/vs8qes-how-to-defeat-insurance-fraud.html and at https: // youtu.be/USCEdOuXs2A Every first party's property insurance policy contains the following languages ​​as prescribed by the statutory New York Standard Fire Policy. material fact or circumstance relating to this insurance or the object of it, or the insured's interests therein, or in the event of fraud or false swearing by the insured in connection therewith. [California Insurance Code Section 2071]

If, after a thorough examination of a claim, the insurer establishes that a fraud has been attempted and the insurer has obtained a predominant part of all available evidence that can prove that an attempted fraud has been made, the insurer must inform the insured not to pay and will to declare the insurance invalid in accordance with the language of insurance cited above.

Insurance judgments for health insurance

Nurse pleads guilty to conspiracy to distribute and dispense Oxycodone [08][061594]] [08][061594] 53 years, in Bowie, Mary admits 11 January 2022 guilty of a case of conspiracy to distribute and dispense oxycodone and a case of distribution and dispensation of oxycodone.

According to her guilty 201a, from 7 February 201a. In February 2020, Aburime conspired with others, including Thomas Charles Johnson to distribute and dispense oxycodone outside the scope of professional practice and not for a gitimic medical purpose at Personal Touch Medical Spa, LLP (PTMS), a pain treatment clinic in Largo, Maryland.

The Problem When a Qui Tam Costume Fails

Qui Tam measures are an important tool that allows an insurer to act as a private prosecutor and sue fraudsters when the state fails or refuses to prosecute an insurance fraud. But just because an insurer can bring such an action and even let the state agree and take over the case, qui tam measures are not guaranteed success.

In The People ex rel. The Department of Insurance and others v. Symons Emergency Specialties, Inc., et al., E075600, California Court of Appeals, Fourth District, Second Division (November 22, 2021) this fact came to the fore and led the insurer to defend itself against claims for attorneys' fees and damages.

A Mexican health care plan, Sistemas Medicos Nacionales SA de CV dba SIMNSA Health Plan (SIMNSA), licensed to do business on a limited basis in California, initiated a qui tam action in which SIMNSA alleged that defendants committed insurance fraud. The California Department of Insurance intervened and processed the case on behalf of the state, although SIMNSA continued to participate as a relative. The case went to trial and the jury handed down a verdict for the defendants.

After the court ruled, the defendants demanded legal fees and costs as sanctions against SIMNSA and its representatives. The defendants claimed that the district court erred in rejecting their claim for sanctions. They claim that SIMNSA and lawyers engaged in criminal conduct by prosecuting this measure while SIMNSA lacked a certificate of qualifications to conduct business within the state.

Other insurance fraud convictions

Insurance agent convicted in Burial Policy & Life Insurance [0745] 19659008] Saul Hinojosa 48, of Calipatria, California was convicted of identity theft and aggravated theft after stealing his clients' identities to write fraudulent insurance policies to collect insecure insurance policies. [19659008] Hinojosa was sentenced to 150 days in prison by release from work and to pay $ 18,252 in damages.

In February 2017, Hinojosa's employers reported an internal investigation in which they suspected that Hinojosa had written fraudulent collected funeral policies in advance. In July 2017, a consumer reported to the California Department of Insurance that they had received a new, unwanted life insurance policy produced by Hinojosa – which the consumer had previously traded with when Hinojosa was an agent with another insurance company.

Excellence in Claims Handling

A series of video presentations and text on insurance claims

Go to "Excellence in Claims Handling." .com / welcome and go to https://zalmaoninsurance.locals.com/subscribe subscribe to my local account. Watch the introductory video at https://youtu.be/kLSSBG7kZy0 and at https://rumble.com/vrhaka-excellence-in-claims-handling.html

Construction defects and insurance volumes one to five second edition now available

Volume five: The Tort of Bad Faith and construction errors


© 2022 – Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to the position of insurance consultant specializing in insurance coverage, handling insurance claims, bad faith and insurance fraud almost equally for insurance fraudsters policyholder.

He practiced law in California for more than 44 years as an attorney for insurance coverage and claims management and more than 54 years in the insurance industry.

Subscribe to "Zalma on Insurance" at https: //zalmaoninsurance.locals.com/ subscribe and "Excellence in Claims Handling" at https://barryzalma.substack.com/welcome.

You can contact Mr. Zalma at https://www.zalma.com, https://www.claimschool.com, zalma@claimschool.com and zalma@zalma.com. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.

The podcast "Zalma On Insurance" may be of interest at https://anchor.fm/barry-zalma; you can follow Zalma on Twitter at; you should watch Barry Zalma's videos on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; or videos at https://rumble.com/zalma. Go to Insurance Claims Library – https://zalma.com/blog/insurance-claimslibrary/ The last two issues of ZIFL can be found at https://zalma.com/zalmas-insurance- fraud- letter-2 /


Source link