Zalma's Insurance Fraud Letter - June 15, 2023

Published: June 16, 2023, 1:07 p.m.

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\\nZIFL - 6-15-2023 - Volume 27, Issue 12\\n\\nThe Source For Insurance Fraud Professionals\\n\\nThis, the Twelfth issue of the 27th year of publication Zalma\\u2019s \\nInsurance Fraud Letter provides multiple articles on how to deal with \\ninsurance fraud in the United States. The issue begins with:\\n\\nRestitution Order Can\\u2019t Be Discharged in Bankruptcy\\n\\nAfter Frayba Tipton and William Tipton pled guilty to committing \\ninsurance fraud, they were ordered to pay victim restitution to \\nNationwide Insurance Company of America (Nationwide). The trial court \\ngranted Nationwide\\u2019s petition and entered civil judgments against the \\ndefendants.\\n\\nIn Nationwide Insurance Company Of America v. Frayba Tipton et al., \\nC095606, California Court of Appeals.\\n\\nSee the full issue at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nMore McClenny Moseley & Associates Issues\\n\\nThis is ZIFL\\u2019s eighth installment of the saga of McClenny, Moseley &\\n Associates and its problems with the federal courts in the State of \\nLouisiana and what appears to be an effort to profit from what some \\nMagistrate and District judges indicate may be criminal conduct.\\n\\nSee the full issue at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nAnother Insurer Bites the Dust\\n\\nFriday Health Plans of Nevada faces the Nevada District Court to place it under regulatory supervision.\\n\\nSee the full issue at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nBad News from The Public\\n\\nA new survey shows it\\u2019s, like, totally cool to exaggerate damages on an \\ninsurance claim or, like, totally awesome to say you hurt yourself at \\nwork when you didn\\u2019t.\\n\\nSee the full issue at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nHealth Insurance Fraud Convictions\\n\\nFifteen Year Sentence in $134 Million COVID-19 Health Care Fraud and \\nMoney Laundering Scheme\\n\\nBilly Joe Taylor, age 44, pleaded guilty to conspiracy to commit health \\ncare fraud and money laundering on October 27, 2022. According to court \\ndocuments, Taylor and his co-conspirators submitted more than $134 \\nmillion in false and fraudulent claims to Medicare in connection with \\ndiagnostic laboratory testing, including urine drug testing and tests \\nfor respiratory illnesses during the COVID-19 pandemic.\\n\\nSee the full issue and dozens more convictions at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nFlorida Judge Slams SFR Contractor for Misrepresentation, Fraud in Tower\\n Hill Case\\n\\nSFR Services, a Florida restoration firm made famous by its volume of \\nclaims litigation and its charges that United Property & Casualty \\nInsurance Co. had instructed desk adjusters to alter their estimates, \\nnow finds itself in some legal trouble of its own.\\n\\nSee the full issue at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nOther Insurance Fraud Convictions\\nMan Sentenced to Prison for Staged Arson and Insurance Fraud\\n\\nDenis Vladmirovich Molla falsely reported that his camper had been \\nintentionally set on fire the 30-year-old Minnesota resident has been \\nhanded a 30-month prison sentence, followed by one year of supervised \\nrelease, for filing fraudulent insurance claims related to a staged \\narson incident.\\n\\nSee the full issue and more convictions at http://zalma.com/blog/wp-content/uploads/2023/06/ZIFL-06-15-2023.pdf\\n\\nThe Baseball Card Scam\\n\\nThis is a Fictionalized True Crime Story of Insurance Fraud from my \\nexperience as an Insurance Fraud Expert and is provided to explain why \\nInsurance Fraud is a \\u201cHeads I Win, Tails You Lose\\u201d situation for \\nInsurers. The story is true, only the names and places were changed to \\nprotect the guilty.\\n\\nQui Tam and Insurance Fraud\\n\\nThe qui tam portion of the California Insurance Frauds Prevention Act, like that in many other states, has a qui tam provision.\\n\\n\\n(c) 2023 Barry Zalma & ClaimSchool, Inc.\\n\\n

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