Zalma’s Insurance Fraud Letter – December 1, 2020

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ZALMA’S INSURANCE FRAUD LETTER

Read last two issues of ZIFL here.

See the full video here https://youtu.be/Phva0x6RNYQ

Evidence of A Prior Fire Is Available to Prove Fraud

Arson for Profit Conviction Affirmed

Evidence that is “inextricably intertwined” with the charged arson conspiracies is admissible in an arson for profit trial especially when the earlier fire was used as a “playbook” for the fire that is the subject of the appeal.

In United States Of America v. James Edward Lester, a/k/a Punkin, No. 19-4333, United States Court Of Appeals For The Fourth Circuit (June 9, 2020) a jury convicted James Lester of arson conspiracy, in violation of 18 U.S.C. § 844(m) (2018), money laundering conspiracy, in violation of 18 U.S.C. § 1956(h) (2018), mail and wire fraud conspiracy, in violation of 18 U.S.C. §§ 1349, 1341, 1343 (2018), arson to commit wire fraud, in violation of 18 U.S.C. § 844(h)(1) (2018), aiding and abetting an unlawful monetary transaction, in violation of 18 U.S.C §§ 2, 1957 (2018), and structuring transactions, in violation of 31 U.S.C. §§ 5324(a)(3), (d) (2018). He received a 204-month sentence.

Read the rest of the article and the full ZIFL at https://zalma.com/zalmas-insurance-fraud-letter-2

2020 Canadian Insurance Fraud Report

Fighting Fraud in the Pandemic Era

From Insurance Canada, good news: the desire to fight insurance fraud is getting stronger. In past studies, respondents gave fraud fighting a priority of 7/10, according to FRISS, but this year it scores closer to 8/10.

At the same time, fraudsters are watching for the “gaps” as insurers focus on their digital transformation.

Read the rest of the article and the full ZIFL at https://zalma.com/zalmas-insurance-fraud-letter-2

Minnesota Fraud Bureau: Insurance Fraud Referrals Up In 2019

From the Minnesota Fraud Bureau reports were provided that Minnesota insurance regulators saw an uptick in the number of fraud case referrals during 2019, agent and broker fraud referrals down significantly that year, the most recent for which insurance fraud statistics for the state are available.

No Harm, No Foul When Instruction Error Favorable to Defendant

Podiatrist Jailed for Participation in Kickback Scheme Prescribing Compounded Medications Solely to Obtain Kickbacks

Dr. Alap Shah was convicted of participating in a Kickback scheme where he was paid for prescribing expensive compounded medications in United States of America v. Alap Shah, No. 19-12319, United States Court of Appeals for The Eleventh Circuit (November 24, 2020). He appealed the conviction based on what he and the government admitted was an erroneous instruction to the jury.

Health Insurance Fraud Convictions

Other Insurance Fraud Convictions

Zalma on Insurance Videos

Zalma on Insurance

Over the last 52 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created a library of books and other materials to make it possible for insurers and their claims staff to become insurance claims professionals available at http://zalma.com/blog/insurance-claims-library/. My original channel does not allow me to add posts so I have created a new channel, Barry Zalma available at Zalma on Insurance Videos and at https://rumble.com/c/c-262921 where I post a new video almost every day

Consider Books to Show Your Appreciation to Your Insurer Clients or Claims Employees

Many insurers refuse to allow their employees to receive gifts from vendors.

If you wish to thank your insurance company clients for allowing you to represent their interest or if you wish to honor your claims personnel it is time to give them something that will be useful to them throughout the coming year and that will not offend insurer’s rules to avoid attempts to extort clients for business from insurer employees.

 

 


© 2020 – 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 52 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.

https://zalma.com/zalmas-insurance-fraud-letter-2/Read last two issues of ZIFL here. 

Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921

Read posts from Barry Zalma at https://parler.com/profile/Zalma/posts

Listen to the Podcast: Zalma on Insurance  https://anchor.fm/dashboard/episodesZalma on Insurance 

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/

https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkV7pkuOtkiv6oakpgK33CNlNAYW-WBlLCOZFtgvpSdcL7R-tsWKfMVqG6fEuvmM7Hh7gUEJ7yKOdgHDbGl_cGAU%3De-mail Version of ZIFL, it’s Free! – 

 

 

 

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