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When you’re facing a federal issue, you need an attorney whose going to be available 24/7 to help you get the results and outcome you need. The value of working with the Spodek Law Group is that we treat each and every client like a member of our family.

Long Island Insurance Fraud Lawyer

With the recent poor economic conditions across the country, New York and Long Island insurance fraud claims are on the rise. As times get harder, more people who are otherwise law-abiding continue to look for ways to ease their financial and economic burdens. Desperation may lead people to questionable activities, such as insurance fraud.

What is insurance fraud?

The basic definition of insurance fraud is any intentional, duplicitous act designed to collect an improper payment from an insurer. This can be any type of fraud that involves an insurance company, usually through either inflated or false claims. People from all professions and walks of life may commit insurance fraud in a number of ways.

Insurance fraud is a crime in all fifty states. The damage caused by insurance fraud is that it costs insurance companies billions of dollars annually, with the Federal Bureau of Investigation (FBI) estimating the yearly cost of insurance fraud at over $40 billion. This type of fraud in turn drives up costs for both companies and consumers, with the FBI estimating that insurance fraud costs an average American family between $400 and $700 per year due to increased insurance premiums.

George FernandezGeorge Fernandez
14:16 30 Apr 24
Excellent 10 out of 10, Helped resolve my case. Jeremy explained everything and made everything easy to understand.
21:33 24 Apr 24
If you are looking for a lawyer that listens, is aggressive where needed, and holds his word above all else, Todd is the best pick. I had hired multiple attorneys prior to hiring the Spodek Group for a white collar case. The first thing that stood out to me was the cost, as anyone going through the process and dealing with the system, money was tight at that time - especially after hiring and firing multiple lawyers. The cost was not as high as others which was definitely a plus. Todd's intake process was also unlike other attorneys. He took the time to actually listen. He cared. He was trying to put himself in my shoes while I was explaining the situation to him and he really took the time to understand the whole situation. Other lawyers will give you 15 mins and send you a retainer agreement. Not Todd, I think he spent almost two hours with me as I was explaining everything.Not only was he great during the onboarding process, he was supportive and very informative through the entire plea process and eventually sentencing. After hiring him, I asked if I should hire a prison consultant, he told me to save my money as he would do everything they would. He was right and held up to his word. Later on I would hear from others that went with the prison consultants that they were a waste of money - I am glad I listened to Todd!When it came time for sentencing, two days prior to sentencing, the prosecutor tried increasing my proposed prison time by almost double - apparently a normal move. Todd and his team worked with me non-stop through the weekend prior to sentencing to ensure that I was not given additional prison time. Again, he took the time to listen and came up with a strategy to explain the case with great detail.Unfortunately, I did plead guilty as that was my best option. Todd and his whole team wrote up nearly 300 pages of a summary of what happened and why I should not be given prison time. If I breakdown the amount I spent with Todd versus the amount of work that I saw being done, I am shocked I was not charged four times as much. The other benefit was, a lot of criminal defense lawyers were just a single attorney with a paralegal or two. Todd had a team of people that I dealt with (5-7 people that I interacted with), but he was ALWAYS accessible. It would never take him more than an hour to reply unless he was in court.I was sentenced to prison and I was emotionally distraught. Todd and his team did whatever they could even after sentencing to make sure I was alright. He personally stayed in touch with my family to ensure I was doing alright and offered support to them. Most lawyers would consider the job complete at sentencing, not Todd.After prison, Todd still spent time with me to make sure I was on the right track and avoiding any potential risks in the future. He has also been giving advice on how to navigate probation etc and has not been looking at the clock for billing.Although I wish I had never been arrested in the first place, I am glad I had Todd and his team in my corner. Without them I likely would have had to spend a lot more time in prison than I did.Thank you, Todd, and the entire Spodek Law team, for helping turn what was a nightmare into a manageable situation!
Yelva Saint-PreuxYelva Saint-Preux
19:26 19 Apr 24
I am immensely grateful to the entire team at Spodek Law Group for their unwavering dedication and exceptional expertise throughout my case. From our initial consultation to the final resolution, their professionalism and tireless advocacy made all the difference. Their strategic approach and attention to detail instilled confidence in me every step of the way.Thanks to their hard work and commitment, we achieved a truly favorable outcome that exceeded my expectations. Not only did they navigate the complexities of my case with precision, but they also provided invaluable support and guidance during what was undoubtedly a challenging time. I cannot recommend Spodek Law Group highly enough, especially attorneys Todd Spodek and Claire Banks; they are beacons of excellence in the legal profession.YSP.
Katherine SunKatherine Sun
18:08 18 Apr 24
my lawyer is Alex Zhik. Efficient, patient and professional
Nun yaNun ya
17:48 18 Apr 24
Todd, Ralph and Alex are amazing. Helped my husband get from a double digit number with multiple charges to a single digit, by the time I blink he will be out. They very professional and help with all your needs. They dealt with my anxiety and worry very well and they understand that your family member needs to get home as soon as possible.
Keisha ParrisKeisha Parris
20:45 15 Mar 24
Believe every single review here about Alex Z!! From our initial consultation, it was evident that Alex possessed a profound understanding of criminal law and a fierce dedication to his clients rights. Throughout the entirety of my case, Alex exhibited unparalleled professionalism and unwavering commitment. What sets Alex apart is not only his legal expertise but also his genuine compassion for his clients. He took the time to thoroughly explain my case, alleviating any concerns I had along the way. His exact words were “I’m not worried about it”. His unwavering support and guidance were invaluable throughout the entire process. I am immensely grateful for Alex's exceptional legal representation and wholeheartedly recommend his services to anyone in need of a skilled criminal defense attorney. Alex Z is not just a lawyer; he is a beacon of hope for those navigating the complexities of the legal system. If you find yourself in need of a dedicated and competent legal advocate, look no further than Alex Z.
Taïko BeautyTaïko Beauty
16:26 15 Mar 24
I don’t know where to start, I can write a novel about this firm, but one thing I will say is that having my best interest was their main priority since the beginning of my case which was back in Winter 2019. Miss Claire Banks, one of the best Attorneys in the firm represented me very well and was very professional, respectful, and truthful. Not once did she leave me in the dark, in fact she presented all options and routes that could possibly be considered for my case and she reinsured me that no matter what I decided to do, her and the team will have my back and that’s exactly what happened. Not only will I be liberated from this case, also, I will enjoy my freedom and continue to be a mother to my first born son and will have no restrictions with accomplishing my goals in life. Now that’s what I call victory!! I thank the Lord, My mother, Claire, and the Spodek team for standing by me and fighting with me. Words can’t describe how grateful I am to have the opportunity to work with this team. I’m very satisfied, very pleased with their performance, their hard work, and their diligence.Thank you team!
K MarK Mar
01:37 25 Jan 24
I recently had Spodek Law Group represent me for a legal matter in NYC and I am thoroughly impressed with their services.Alex Zhik secured the best possible outcome for my case.It was a seamless journey from the initial consultation to the resolution of my legal matter. From the moment I spoke to Todd about my case, his enthusiasm to help was evident, setting a positive tone for the entire experience. The efficiency and professionalism displayed by the team is commendable.A particularly noteworthy aspect of their service is their user-friendly portal to upload your documents/evidence. This not only simplified the process, but showcases their commitment to streamline the client experience.Lastly, in an industry where legal fees can often be a concern, I found their pricing to be very reasonable, making needing legal assistance feel accessible and stress-free.I am grateful for their support and wouldn't hesitate to turn to them again in the future.

Commonly, people commit insurance fraud by either under-reporting essential information in an insurance claim case, exaggerating the estimates of damage, or making false claims. They may take actions such as misquoting income, lying on loan or insurance applications, falsifying income tax records, or claiming injuries or losses they did not incur.

Insurance fraud can also be committed by insurance companies, typically through either selling false or unlicensed insurance coverage to clients, or by stealing or diverting paid insurance premiums.

Types of insurance fraud

There are many different types of insurance frauds committed across the country. In general, the police and prosecuting attorneys will classify insurance fraud cases as either a “soft fraud” or a “hard fraud.”

In a soft fraud case, people who are normally honest and law-abiding may report slightly exaggerated or falsified information to their insurance companies to either maximize a legitimate claim, or file a false claim. While people often believe this is harmless adjusting, it is deemed a crime because this type of fraud raises everyone’s insurance rates overall.

A hard fraud occurs when an accident, injury, theft, or disaster is deliberately faked or staged in order to collect from insurance companies. Some people who commit hard fraud act alone, but in some cases larger groups of people will organize schemes designed to defraud insurance companies of millions of dollars.

A few more specific examples of types of insurance fraud can include:

  • Automotive damage that resulted from a “phantom vehicle,” where the client claims that they have no information on the car that damaged their insured vehicle.
  • Staging auto accidents, over-reporting collision damage, or making unrelated or unnecessary repairs to a vehicle under an existing accident claim.
  • Health care fraud committed through either exaggerated injuries or using someone else’s identity to get treatment or secure health care benefits.
  • Falsified slip and fall claims for personal injury settlements from businesses.
  • Workers’ compensation fraud, either when employees submit falsified claims or employers deny the compensation benefits their employees are entitled to.
  • Arson, or burning down property or possessions in order to collect the insurance payout.

What are the consequences of insurance fraud?

Insurance fraud is classified as a white-collar crime. This classification is for non-violent crimes that are committed in either business or commercial areas, which typically result in financial gain for the person committing the crime. Insurance fraud is among the most common types of white collar crime.

The penalties for committing soft fraud, which is usually considered a misdemeanor, can range from fines or community service to probation or jail time. In cases of hard fraud, which is a felony, penalties are strict and often involve several years of incarceration.

In order to prove fraud in court, the prosecuting attorney must be able to demonstrate that the person accused of fraud:

  • Has knowingly made a misleading or false statement
  • Made the statement in connection with an insurance payment or claim
  • That the statement was ‘material,’ meaning that it had the ability to affect the outcome of the claim

What should I do if I’m charged with insurance fraud?

Most insurance companies are large and complex, with ample resources at their disposal to pursue claims of fraud. If you’ve been charged with any type of insurance fraud, or you believe you may be the victim of insurance fraud, it’s in your best interests to consult with an experienced criminal defense attorney to learn more about your rights and your options.

The Long Island insurance fraud lawyers at Spodek Law Group are highly experienced in dealing with all different types of insurance fraud cases. Our experienced, professional New York insurance fraud attorneys will help you understand the charges and deliver expert representation to help you solve your legal problems.

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