Zalma's Insurance Fraud Letter - July 1, 2023

Published: July 3, 2023, 7:16 p.m.

b'

\\nZIFL - Volume 27, Issue 13 - http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nThe Source For Insurance Fraud Professionals\\n\\nFrom https://zalma.com/blog, this, the Thirteenth issue of the 27th year\\n of publication Zalma\\u2019s Insurance Fraud Letter provides multiple \\narticles on how to deal with insurance fraud in the United States. The \\nissue begins with:\\n\\nFraud in Inception is Ground for Rescission\\nNo Restitution from Defrauded Insurer\\n\\nEsurance Property & Casualty Insurance Company (Esurance) appealed \\nthe trial court\\u2019s order granting summary disposition in favor of \\nNationwide Mutual Fire Insurance Company (Nationwide) and denying \\nEsurance\\u2019s request for summary disposition. In Nationwide Mutual Fire \\nInsurance Company v. Esurance Property & Casualty Insurance Company,\\n and Derek Allen Gregory and Blair Gregory, No. 361298, Court of Appeals\\n of Michigan (June 15, 2023) \\n\\nRead the full text of ZIFL in Adobe .pdf format at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nMore McClenny Moseley & Associates Issues\\n\\nThis is ZIFL\\u2019s ninth installment of the saga of McClenny, Moseley & \\nAssociates.\\n\\nJune 14, 2023\\n\\nUS Magistrate Judge Michael North held a hearing to advise insurers on \\nhow to handle thousands of Hurricane Ida claims affected by alleged \\nfraud by Texas law firm McClenny Moseley & Associates. It\\u2019s standing\\n room only, more than 200 lawyers in court. One fainted.\\n\\nRead the full text of ZIFL in Adobe .pdf format at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nEthics And the Public Insurance Adjuster\\n\\nAn example of a public insurance adjuster and the lawyer who failed to \\nfollow the requirements set out by National Association of Public \\nInsurance Adjusters (NAPIA). \\n\\nRead the full text of ZIFL in Adobe .pdf format at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nGood News From the Coalition Against Insurance Fraud\\n\\nWhen faced with a fraud conviction, this woman couldn\\u2019t stop herself \\nfrom doing it again. Tanea Bouma, who had been court-ordered not to \\nobtain employment or a volunteer role involving financial authority.\\n\\nRead the full text of ZIFL and many more reports of convictions in Adobe\\n .pdf format at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nOrder Limiting Cross-Examination Fair and Appropriate\\n\\nIn The People v. Renae Louise Witt, G061305, California Court of \\nAppeals, Fourth District, Third Division (June 5, 2023) a jury had \\nconvicted Renae Louise Witt of committing seven counts of medical \\ninsurance fraud in violation of Penal Code section 550, subdivision \\n(a)(6). The trial court suspended imposition of sentence and placed Witt\\n on two years of formal probation and ordered her to serve 364 days in \\njail and yet, she appealed.\\n\\nRead the full text of ZIFL in Adobe .pdf format at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-07-01-2023-1.pdf\\n\\nHealth Insurance Fraud Convictions\\nGloucester County Man Admits Healthcare Fraud\\n\\nChristopher Gualtieri, 50, of Franklinville, New Jersey, pleaded guilty \\nbefore U.S. District Judge Robert B. Kugler to one count of an \\nindictment charging him with conspiracy to commit health care and mail \\nfraud and one count charging him with obtaining oxycodone through fraud.\\n Gualtieri, a Gloucester County, New Jersey, man on June 12, 2023 \\nadmitted defrauding his employer\\u2019s health insurance plan out of more \\nthan $4 million by submitting fraudulent claims for medically \\nunnecessary compounded medications.\\n\\nOther Insurance Fraud Convictions\\nClegg Gifford Shuns Over \\xa37 Million Worth of Fraudulent Claims\\n\\nInsurance broker Clegg Gifford (CG) has successfully identified and \\navoided more than \\xa37 million worth of fraudulent motor trade claims over a period of four years with the help of the counter-fraud team at law firm DAC Beachcroft (DACB).\\xa0\\n\\n\\n\\n

\\n


\\n\\n--- \\n\\nSupport this podcast: https://podcasters.spotify.com/pod/show/barry-zalma/support'