Thieves are committing insurance fraud every day. It’s one of America’s largest crimes.
Insurance schemes steal at least $80 billion a year
the Coalition Against Insurance FraudDifferent types of Insurance Fraud:
Pat Diez and Associates can determine if a false insurance claim has been filed. There are many forms of insurance fraud investigations:
- Health insurance fraud.
This investigation tries to determine whether someone is getting paid for health care that they are not receiving or is filing health care claims and requests that are not valid or needed. We search billing records and check whether doctors and patients have colluded to commit fraud. - Car insurance fraud.
Such as, staged accidents where cars purposely collide with each other. Then try to accuse the other driver of the accident in an insurance claim. or, vehicle theft fraud to get money for a car which has not actually been stolen. - Home insurance fraud.
False claims about property damage. Has the policy just been upgraded before the claim was filed? - Life insurance fraud.
A claim for a life insurance payout while still alive, or over claim life insurance amount. Pat can find if an an individual is alive in hiding. - Workers compensation fraud.
Important to verify if the injured’s claim. Has the injury been staged? Did the injury actually happen at work? And if so, verify the severity of the injury. - Bad business practices of insurance company.
Is there evidence of “failure of goodwill.” Did an insurance company takes money and fails to provide compensation as promised? Pat Diaz can work to make a persuasive case in court for victims.
Significant FBI Case
Ronald Allen (Newark): On July 26, 2011, Ronald Allen was sentenced to 70 months in prison for diverting policyholder premiums for his own benefit. Allen, along with a number of co-conspirators, sold insurance liability policies to high-risk business such as restaurants and bars. Premiums were diverted and legitimate insurance policies were never issued. A number of businesses that thought they had insurance had claims filed against them. It could cost the businesses millions of dollars to cover claims that they thought were covered by the fictitious insurance policies. The aforementioned premium diversion insurance fraud is the most common type of insurance fraud that is reported to the FBI.Financial Crimes Report to the Public Fiscal Years 2010-2011