BarbriSFCourseDetails
  1. keyboard_arrow_leftBack

Course Details

Course Information
  • smart_display Format

    On-Demand

  • signal_cellular_alt Difficulty Level

  • work Practice Area

    Insurance

Date & Time
  • event Date

  • schedule Time

    1:00 p.m. ET./10:00 a.m. PT

  • timer Program Length

    90 minutes

Credit Information

  • This 90-minute webinar is eligible in most states for 1.5 CLE credits.

$297.00
CLE
ALL

This CLE course will guide attorneys representing insurance companies in spotting and unraveling increasingly complex and organized fraud. These schemes may be related to only one claim but increasingly span multiple industries and types of policies, including commercial and property; life, health, disability; and third-party personal injury. The webinar will discuss “red flags” suggesting sham claims and offer aggressive strategies and practical techniques deterring fraud, recovering payments from the masterminds, dealing with State regulators, and whether to pursue criminal charges.

Description

Insurance fraudsters now have advanced digital tools to make more difficult distinguishing the fraudulent claim from the valid one. Particularly concerning, perpetrators of fraud can now manipulate medical records, including x-rays and pet-scans, photographs and video, and metadata to produce convincing forgeries that are difficult to spot and prove.

Insurance fraud will usually focus on recovering high-value claims, such as from business interruption (data theft), jewelry theft, fire and water damage, inland marine, and other specialized property losses. But the “scams” are perennial: inventory swapping; submitting claims for injuries or damage that never occurred; staging accidents; forgery, involving unwitting third parties, and more.

To deter and thwart these increasingly complex and sophisticated deceptions that may cross multiple industries and involve different kinds of coverage, insurers and their counsel need practical, decisive, and effective weapons. At the same time, they must balance the need to avoid claims of bad faith, making false accusations, and comply with insurance regulations. How much information to provide prosecutors is always a challenging question. State immunity laws do not always cover allegations of insurance fraud.

Listen as the panel discusses proactive steps to identify fraud early on and then and prevent payment of the falsified claim, and if payment has occurred, how to judiciously but vigorously recover payment from the masterminds.

Outline

  1. Insurance fraud schemes involving property
    1. Inflated inventory
    2. Phony or inflated thefts
    3. Paper boats
    4. Arson for profit
  2. The "red flags" of insurance fraud
  3. The fraud examination with eye to litigation
  4. Pre-suit remedies to preserve assets
  5. Immunity laws
  6. Surveillance
  7. Making the case in court

Benefits

The panel will review these and other significant matters:

  • Red flags signaling fraud
  • Finding the right experts to assist with a sophisticated fraud examination
  • Using the right technology and the latest computer software to uncover "deep fakes"
  • How to build the fraud case from the beginning to ensure the best result
  • Dealing with immunity laws and responses from those being investigated
  • Pre-trial remedies to preserve assets