Zalma's Insurance Fraud Letter - June 15, 2021

A Video Adapted from ZIFL - 06-15-2021

Quote of the Issue - “Learn from yesterday, live for today, hope for tomorrow.” - Albert Einstein
What Is Insurance Fraud?

When an insurer is asked to pay a fraudulent insurance claim it is the victim of a tort, a civil wrong and in most states, a crime.

Black’s Law Dictionary, 6th Edition, defines fraud as: "An intentional perversion of the truth for the purpose of inducing another in reliance upon it to part with some valuable thing belonging to him or to surrender a legal right; a false representation of a matter of fact, whether by words or by conduct, by false or misleading allegations or by concealment of that which should have been disclosed, which deceives and is intended to deceive another so that he shall act upon it to his legal injury."

In simple language, fraud can be defined as a lie told for the purpose of obtaining money from another who believes the lie to be true. Civil insurance fraud exists if an insured:

Go Directly to Jail – Arson for Profit Fails

Setting a Fire and Presenting a Claim for Items Not Burned is Insurance Fraud & Arson

Postal Inspector Guilty of Insurance Fraud
After Pleading Guilty Defendant’s Petition Coram Nobis Fails to Reverse His Conviction

Jason Weber pled guilty to a charge of theft of government funds. At the time of the offense, Weber was serving as a postal inspector. The Court sentenced him to a two-year term of probation and ordered him to pay $65,634 in restitution. He has filed a petition for writ of coram nobis, alleging that “new evidence” suggests that his indictment may have been based on “malfeasance and mishandling of evidence” on the part of the government.  In United States of America v. Jason Weber, Case No. 14 CR 241, USDC (June 2, 2021) the USDC considered Weber’s attempt to reverse his conviction.

Health Insurance Fraud Convictions
Marketing From Dennis Richard

My friend, Dennis Richard, is back offering his over 30 Years of Strategic Business-to-Business Marketing Experience in the Insurance Industry gained from, among other tools like the Insurance Broadcast System and World Risk and Insurance News, that I was honored to appear in as an expert on insurance claims.

Other Insurance Fraud Convictions
Zalma on Insurance Blog Posting

© 2021 – Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant specializing in insurance coverage, insurance claims handling, 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 handling lawyer and more than 52 years in the insurance business. He is available at http://www.zalma.com and zalma@zalma.com.

Mr. Zalma is the first recipient of the first annual Claims Magazine/ACE Legend Award.

Over the last 53 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 make it possible for insurers and their claims staff to become insurance claims professionals.

Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma;  Follow Mr. Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ Read posts from Barry Zalma at https://parler.com/profile/Zalma/posts; and the last two issues of ZIFL at https://zalma.com/zalmas-insurance-fraud-letter-2/  podcast now available at https://podcasts.apple.com/us/podcast/zalma-on-insurance/id1509583809?uo=4