True Crime of Insurance Fraud Video Number 56

Published: April 18, 2022, 3:51 p.m.

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Insurance Frauds Are Not Born, They Are Trained  

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https://zalma.com/blog

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Wee Willy never intended to be a criminal. His ambition in life, from  age three, was to be a meat cutter like his dad. Willy cruised through  high school with a solid \\u201cC\\u201d average. He knew that as a meat cutter he  only needed a steady hand. Literature and mathematics held no interest  for him.  As a child he would visit the store where his father worked and watch  sides of beef turn into chops, steaks and hamburger with rapt attention.  His father, he believed, was an artist who turned ugly chunks of dead  animals into beautiful and delicious food. His ambition was to be the  Picasso of meat cutters.  When Willy graduated from high school his father helped him join the  meat cutters local as an apprentice. 

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He began his career at a  neighborhood Piggy Wiggly market. As an apprentice Willy was ordered  about by the journeyman meat cutter. The duties of an apprentice  included sweeping up the cuttings, collecting the excess fat so that it  could be sold to the renderer, and lifting and carrying carcasses for  the journeyman.

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On slow days the journeyman would let Willy practice on the giant band  saw. Willy was happy. Even as an apprentice meat cutter he was doing  what he always wanted to do. He was learning his trade. He also could  bring a few cuts of filet mignon to his girlfriend\\u2019s father. When her  father was happy with Willy, his girlfriend was even more loving.  

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Willy had outfitted his house from the local Goodwill store. By the time  his house was rebuilt, he had a brand new house worth twice as much as  when he bought it, completely furnished with new furniture from quality  stores. He immediately put the house on the market and made a $100,000  profit. With the money, he traded in his car and bought a brand new  Corvette, a gold and diamond ring and a Rolex President with a diamond  face. He gave his old Rolex to his father.  Life was good. Willy decided to go into business for himself. He would  become a builder. 

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He attended the contractor\\u2019s license school for one  day and learned enough to pass the test and become a licensed  contractor. Willy was in business for himself. He really didn\\u2019t need to  work. He was going to use the contractor\\u2019s license to make more money  off of insurance. Any construction job he did would be paid for  completely by the insurance company.  

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Willy\\u2019s two domestic insurers were members of the National Insurance  Crime Bureau (NICB) and the ISO All Claims database; Lloyd\\u2019s was not.  When each insurer submitted their report of Willy\\u2019s robbery, the ISO and  NICB advised both insurers of the other claim that appeared to be  similar to their claim. Each insurer had in place a special fraud investigation unit (SIU). The  SIU investigators contacted each other and found that the two claims  were identical and based upon the same appraisals. Lloyd\\u2019s, through  their independent investigators, also used the All Claims database and  the adjusters for the three insurers shared information concerning  Willy\\u2019s claim.  Within six months Willy fell off an oil tank and broke his leg in three  places. Although it hurt a great deal, Willy was happy. He had workers\\u2019  compensation again and, with his disability insurance policies, his take  home pay tripled. 

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He knew the leg would be slow to heal and he could enjoy a life of  leisure paid for by all of the other stupid people who bought workers\\u2019  compensation insurance but did not benefit from it as did Willy.  

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(c) 2022 Barry Zalma & ClaimSchool, Inc.

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