What are Some Examples of Insurance Fraud?
Auto Insurance Fraud
This type of insurance fraud usually involves claiming damages to vehicles and passengers that either did not take place or that are greatly exaggerated. The motivation is usually to secure a higher amount of compensation from the insurance company.
The fraud can also take the form of reporting a vehicle as missing when in fact it is hidden. The idea is to file a claim for theft and use the money for something other than replacing the purported stolen vehicle. Once the claim is processed and the money is at hand, steps may be taken to take the car to a chop shop, sell the parts, and use the money to purchase a replacement.
Arson is also possible with this type of fraud. Claiming the vehicle burned due to a defect or the intentional act of another could pave the way for a hefty settlement with the insurance company.
Considered one of the more common types of insurance fraud, the goal is to obtain funds from a provider that are not merited. Individuals may seek to fake illnesses in order to obtain prescription medication that is then sold for profit. Unscrupulous medical practitioners may bill patients for services that were never provided and file claims with the insurance provider. It’s not unheard of for two parties to work together in order to claim one of them has a chronic illness and is in need of ongoing benefits. When the activity is discovered, the odds are that both parties will spend time behind bars.
Life Insurance Fraud
This type of fraud can take on several forms. Intentionally withholding information when seeking to secure coverage is one example. This means if an applicant has a terminal condition and fails to reveal it to the insurance company, the intent to defraud is definitely present.
In like manner, attempting to fake the death of a loved one in order to collect the benefits from a life insurance policy is blatant fraud. If the false claim is uncovered and the two parties are located, they will face serious consequences.
Providers who offer various types of property insurance can fall victim to schemes designed to collect benefits that the recipient is not entitled to receive. One of the more common examples is choosing to damage the property in some manner and file a claim. Perhaps a business owner files a claim after a facility burns to the ground. The only problem is that the owner intentionally set the blaze that led to the damage. If the actions of the owner are not detected, the insurance provider stands to pay out a substantial sum.
Remember that being accused of any type of fraud has consequences. When the court considers the fraud to be soft or of a lesser nature, the likely outcome is a short time in jail, probation, and possibly community service. More severe examples could mean spending quite a few years behind bars and having assets seized to partially repay the funds obtained by the fraudulent acts.
If charges of fraud are being leveled at you, seek legal assistance now. An attorney who understands the laws related to fraud will know how to assess the situation, provide the client with recommendations on how to proceed, and ensure the client’s rights are protected during the trial.