White Collar Crimes: Understanding Insurance Fraud

Posted By The Law Offices of Jeffrey C. Grass || 14-May-2015

A criminal attorney can defend you against charges of insurance fraud, of which there are many different types. Insurance fraud may involve healthcare plans, auto insurance, or homeowner’s insurance. It may be allegedly committed by insured individuals, insurance agents, or employees of an insurance company. In general; however, insurance fraud is defined as a fraudulent act to wrongfully obtain some benefit or to wrongfully deny a person a benefit.

Disaster Fraud
If you need to hire a criminal defense attorney because of charges of disaster fraud, you’re likely a homeowner who recently filed a claim for damages due to a storm or other disaster. Disaster fraud may be alleged when an insurance company believes that an individual exaggerated the cost of repairs or otherwise falsified information. Disaster fraud may also occur after a major disaster, such as Hurricane Katrina, when individuals are solicited for donations to an aid organization that may sound legitimate.

Premium Diversion
As the name implies, premium diversion is the misappropriation of insurance premiums. You’ll need the help of a criminal lawyer if you are an insurance agent or broker who has been accused of misappropriating the insurance premiums of your clients.

Workers’ Compensation Fraud
Since workers’ compensation typically accounts for a significant portion of a company’s operating expenses, business owners may frequently search for a plan that offers better rates. Many fraudulent organizations are created to sell unauthorized workers’ compensation plans to businesses, which victimizes both the companies and their injured employees.

Service Upcoding
Service upcoding is a type of healthcare insurance fraud that occurs when a healthcare provider allegedly submits a bill to an insurance company that uses a billing code that will yield higher compensation than the billing code that is appropriate for the healthcare service.

When you partner with a criminal defense attorney at the Law Offices of Jeffrey C. Grass, your case will be thoroughly investigated by our team of fraud experts and investigators. Our criminal law firm has extensive experience handling a broad range of white collar crimes, including insurance fraud, securities fraud, and tax fraud. Residents of the Dallas area can call to schedule a consultation at our criminal law firm.