True Crime of Insurance Fraud Video Number 76

Published: May 19, 2022, 4:07 p.m.

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Am I In Trouble? Bankruptcy Fraud Defeats Legitimate Insurance Claim 

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https://zalma.com/blog

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Insurance fraud, like any other profession, improves with practice. The  beginner, unaware of the tools available to an insurer, makes a stupid  error that will destroy him or her.  Abraham MacPherson was an insurance fraud novice. He had succeeded, with  ease, in defrauding his bank by submitting a false financial statement  as part of the application for a loan. He even convinced an FBI Agent,  checking his fraudulent loan application, that he was the victim of a  dishonest loan broker. Success made Abraham bold. 

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He decided it was time  to branch out into insurance fraud.  The Petition for bankruptcy, like most filed in the Bankruptcy court  showed MacPherson to have no equity in any of his property and no money.  He reported his assets as only $500 in jewelry and the tools of his  plumbing trade since they were exempt from the grasp of his creditors.  

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What he did not tell the Bankruptcy Court was that MacPherson also owned  a $150,000 twin engine Cessna Aircraft that he used to go on hunting  and ski trips. He did not tell his lawyer about the airplane because he  did not want it sold for the benefit of the judgment creditor whom he  felt cheated him.  The day his debts were discharged Abraham called his insurance broker.  

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He advised the broker that his home had been burglarized. He claimed the  burglars took all of the jewelry on the schedule. He demanded the  immediate issuance of a check for $41,960

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MacPherson stuck to his story. He demanded immediate payment or he would  complain to the California Department of Insurance and file suit.  Moseby reported to his principal, the insurer, who decided to deny the  claim for fraud. Further, following the law, since MacPherson had  admitted to Bankruptcy fraud, the insurer instructed Moseby to pass the  information he had obtained to the FBI. 

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In addition, as required by  California law he presented the information to the California Department  of Insurance, Fraud Division.  Moseby was right, MacPherson was not in trouble with him. He simply  would not collect on his claim. MacPherson was in serious trouble with  the FBI and the U.S. Department of Justice.  

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The Special Agent of the Federal Bureau of Investigation was upset that  MacPherson had fooled him. After verifying the results of Moseby\\u2019s  investigation the FBI presented the information to a U.S. Attorney.  Prosecution followed charging MacPherson with Bankruptcy Fraud, Mail  Fraud \\u2014 for the presentation of a false and fraudulent claim to an  insurer by use of the U.S. Postal Service \\u2014 and for loan fraud.  He went to trial in U.S. District Court in Sacramento on charges of  Bankruptcy fraud. 

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The trial took five hours to complete and the jury was  instructed on the law at 4:00 p.m. They deliberated for three days and  convicted MacPherson, who was sentenced to serve three years in federal  prison.  

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ZALMA OPINION  

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It doesn\'t pay to lie to an insurance company about a claim. Doing so  can lose your claim. It is worse to lie to a bankruptcy course because  that is a federal crime that could put the liar in jail for as much as  five years. This case proves why it is best to always tell the truth.  

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(c) 2022 Barry Zalma & ClaimSchool, Inc.

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