Monthly Archives: July 2016

Insurance 101 – Chapter 16 Volume 89 – What Can Insurance People Do to Change the Statistics?

What Can Insurance People Do to Change the Statistics? It is the obligation of all who work to protect insurers against insurance fraud to do something to change the situation. Methods that are available and that should be exercised by … Continue reading

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Insurance 101 – Chapter 16 Volume 88 – Insurer Is Required to Pay for Insurance Crimes

Insurer Is Required to Pay for Insurance Crimes Insurers are compelled by statute and regulation to maintain Special Fraud Investigation Units and a detailed anti-fraud program. The California Department of Insurance audits insurers regularly to ensure that each insurer works … Continue reading

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Insurance 101 – Chapter 16 Volume 87 – Is the Fight Against Fraud Being Lost?

Is the Fight Against Fraud Being Lost? Fraud is taking more money every year from the insurance-buying public. Insurers complain that the local district attorneys and police agencies give a low priority to the crime. Insurers must defeat this metastasizing … Continue reading

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Insurance 101 – Chapter 16 Volume 86 – Insurers as Victims of Fraud

Insurers as Victims of Fraud In State v. Cross, No. E2001-02724-CCA-R3-CD (Tenn. Crim. App. 08/12/2002), the Tennessee Court of Criminal Appeals was faced with a defendant who claimed that an insurer, for purposes of criminal restitution, could not be the … Continue reading

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Insurance 101 – Chapter 16 Volume 85 – Participation of the Victim in Investigations

Participation of the Victim in Investigations One recent case demonstrates how the victim’s cooperation can lead to a successful prosecution. In Int’l Bus. Machs. Corp. v. Brown, 857 F. Supp. 1384 (N.D. Cal. 1994), IBM brought suit against individual and … Continue reading

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Insurance 101 – Chapter 16 Volume 84 – Victims in the Criminal Process

Victims in the Criminal Process Prosecutors often rely on crime victims as crucial sources of information and may choose to make use of victim information and resources in making prosecutorial decisions. While prosecutors represent the government (not the crime victims) … Continue reading

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Insurance 101 – Chapter 16 Volume 83 – More on the Discretion of the Prosecutor

More on the Discretion of the Prosecutor urts are loathe to interfere with prosecutors’ judgments. The criminal defendant tries to challenge a prosecutor’s (or an entire prosecutor’s office) participation in an insurance fraud prosecution. The standard for prosecutorial disqualification is … Continue reading

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