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Insurance Fraud |
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“Often, you have to force an insurance company to do the right thing." J. Layne Smith
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Insurance laws can be complex and the source of a lot of angst for businesses. Not only is
obtaining coverage often complicated and expensive, but insurance companies often bring claims
against companies for insurance fraud or premium fraud. Such cases are often brought in the
context of:
- Health Insurance
- Medicare and Medicaid
- Homeowners Insurance
- Workers Compensation Insurance
- Disability Insurance
- Life Insurance
Insurance Fraud Includes:
- Making Material Misrepresentations on Insurance Applications
- Concealing Material Information
- Understating Payroll
- Failing to Periodically Update the Carrier with Material Changes of Circumstances
- Falsifying Individual or Business Records for Use at Audit
- Making False Insurance Claims
- Inflating Claims
- Upcoding Bills for Medical Services
- Paying for Referrals of Insurance Claimants to Attorneys or Health Care Providers
If you are convicted of insurance fraud, such a conviction can result in imprisonment,
excessive fines, and the loss of professional licenses. A final judgment for fraud is not
dischargeable in bankruptcy and can therefore be detrimental to a business and its owners
forever, until satisfied. That is why insurance fraud defense is so vital to overcoming
claims of insurance fraud and it is essential that you have an experienced insurance fraud
attorney to defend your rights.
Many insurance adjusters are lawyers. Those who are not have legal training.
These adjusters consult in-house counsel, and outside panel attorneys to look out
for the carrier's best interest at every step along the way. Even the playing field.
Do not sell yourself short by making decisions without the benefit of your own legal counsel.
Mr. Smith is a premium fraud lawyer who can assist you in overcoming disputes with your
insurance company. He has educational training in risk management and insurance, as well
as experience litigating and negotiating cases that involve insurance coverage and insurance
fraud defense. Mr. Smith’s experience litigating cases both for and against the insurance
industry have provided him with insight into the legal strategies and thought process of
insurance carriers. For the past ten years, he has leveraged this knowledge in representing
businesses and individuals against insurance carriers. Mr. Smith has a Bachelor of Science degree
in Risk Management and Insurance. He regularly litigates and negotiates cases that involve issues
of insurance coverage and liability. Mr. Smith also litigates, and consults on insurer bad
faith cases. Mr. Smith has litigated cases for and against the insurance industry. However,
for the past 10 years, he has represented businesses and individuals against insurance carriers.
Coverage Disputes -
J. Layne Smith regularly represents people and businesses in lawsuits against their insurance
carriers to determine whether their insurance policies provide them with coverage for claims.
Hire an attorney who has a reputation for making insurance carriers do the right thing.
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