Although insurance fraud committed by policyholders, third-party claimants, and insurance applicants can result in civil liability, it also has the potential of leading to federal law action.
Federal law enforcement agencies are always keen on following up on insurance fraud cases. Officials from the Department of Justice (DOJ) may use various statues to pursue criminal charges.
Below are issues NJ Insurance Fraud Defense Lawyers can handle:
1. Healthcare insurance fraud
The billions of dollars lost every year don’t include healthcare fraud as reported by the Federal Bureau Investigation (FBI). Some quarters report that the country loses hundreds of billions because of fraud in the healthcare sector.
NJ Fraud defense lawyers represent health providers and policyholders accused or charged with fraudulently filing for claims from private insurance companies, Medicaid, Medicare, and other federal government programs.
2. Life insurance fraud
Life insurance fraud can come in different forms. Allegations of fraudulent life insurance claims are being reported almost every day by the FBI and other law enforcement agencies. Sometimes the allegations maybe as a result of an administrative mistake.
That’s why you need experienced insurance fraud lawyers to represent you. Otherwise, the prosecution team can easily convince the judges to convict you for something you were never involved in.
3. Business insurance fraud
Because of the huge amount of money involved, a good number of federal insurance fraud cases consist of general liability, umbrella, and business interruption among other business insurance policies.
Any business accused of trying to defraud an insurance company for the purposes of obtaining payment or coverage faces steep penalties and fines. In most cases, executives and individual business owners are held personally liable for the crimes.
There are experienced insurance fraud defense lawyers in New Jersey who can help defend you in case you are accused of insurance fraud.
4. Reinsurance and other insurance issues
Some reinsurance and insurance fraud cases that are complex. Businesses and individuals often find themselves under the radar of criminal investigation agencies such as the FBI and don’t know how to defend themselves.
The only way you can be assured of proper representation is by hiring an experienced insurance fraud defense lawyer.
Defense of contractors and healthcare providers
We represent contractors, healthcare providers, and other individuals and businesses involved in federal insurance crimes. However, our main focus in this particular area is to work with healthcare providers.
Our lawyers work with hospitals, clinics, physicians, pharmacies, laboratories, and all other health practitioners facing insurance fraud cases.
Defending insurance company insiders
Other than representing healthcare providers, policyholders, contractors, and third-party claimants, our law firm also works with insurance company insiders facing insurance fraud allegations.
Some of the common cases violations of the 18 U.S.C. Section 1033. The statute consists of several prohibitions. Under this statute, insurance company insiders can be charged for the following offenses:
• Purloining, embezzlement, and mismanagement of insurance credit funds and premiums;
• Intentionally making incorrect entries in medical reports, book, statement, or any other material with the aim of fraudulently obtaining money
• Making fraudulent or false claims to any federal agency involved in insurance regulation
• Obstructing, impeding, or corruptly influencing proper administration of the law.
• Violation of 18 U.S.C. Section 1033 attracts fines of up to 10 or 15 years of insurance company insiders.
Defense of insurance companies
Our lawyers also represent insurance companies together with their owners with all issues concerning insurance fraud. This includes any fraud connected to federal regulatory compliance, law enforcement matters, and fraudulent denial claims.
The following are some of the allegations our lawyers defend insurance companies for:
• Premium diversion
• Fraudulent third-party and first-party denials
• Licensing compliance violations
• Fee churning
• Asset diversion during company mergers and acquisition
Why it is important to have a lawyer
The Federal Investigations Bureau (FBI) reports that the United States government losses hundreds of billions every year because of healthcare and insurance fraud.
As such, law enforcement agencies are always on the lookout for anyone involved in any kind of fraud. It is important to have an experienced insurance fraud lawyer to avoid being convicted and paying hefty fines.
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We provide superior service, excellent results, at a level superior to other criminal defense law firms. Regardless of where your case is, nationwide, we can help you.
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