Zalma’s Insurance Fraud Letter – February 1, 2025
Post 4985
See the full video at https://rumble.com/v6eq6py-zalmas-insurance-fraud-letter-february-1-2025.html and at https://youtu.be/B9d52NE8GxI
Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the February 1, 2025 issue at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
This issue contains the following articles about insurance fraud:
$100 Million Proceeds of Fraud Forfeited
Ninth Circuit Takes the Profit Out of Health Care Fraud
FRAUD WILL BE DEFEATED & DETERRED BY TAKING THE PROFIT OUT OF THE CRIME
Julian Omidi and his business, Surgery Center Management, LLC (“SCM”), appealed from the district court’s forfeiture judgment of nearly $100 million, which came after a lengthy criminal health insurance fraud trial and years of litigation where Omidi and SCM were convicted of charges arising from their “Get Thin” scheme in which Omidi and SCM defrauded insurance companies by submitting false claims for reimbursement. The Ninth Circuit dealt with Omidi’s claim that the trial court erred when it allowed forfeiture under 18 U.S.C. § 981(a)(1)(C).
You can read the article and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
Detection – The First Line of Defense – Catastrophe Fraud Indicators
Guest Article From My Friend, Leslie Kim, The Publisher Of The John Cooke Fraud Report Reprinted From a 2012 Article With Permission From The Author And Publisher For Everyone Involved In Insurance Claims From The 2024 And 2025 Catastrophes.
You can read the article and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
MORE MCCLENNY MOSELEY & ASSOCIATES ISSUES
This is ZIFL’s forty-second installment of the saga of McClenny, Moseley & Associates and its problems with the federal courts in the State of Louisiana and what appears to be an effort to profit from what some Magistrate and District judges indicate may be criminal conduct to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana.
1/24/25, CHUTZPAH:
MMA in a January 24, 2025 bankruptcy filing that it still has hundreds of cases pending in the Federal Western District of Louisiana against State Farm.
You can read the article and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
Los Angeles Police Department Warning of Post-Fire Recovery Scams
HEALTH INSURANCE FRAUD CONVICTIONS
Greenfield Man Sentenced to 15 Months’ Imprisonment for Paying Healthcare Kickbacks
Mohammed Kazim Ali was sentenced to 15 months’ incarceration for paying healthcare kickbacks in violation of the Anti-Kickback Statute. Ali was also ordered to pay over $2.2 million in restitution to Medicaid and Medicare as well as a $75,000 fine.
You can read the article with dozens reports of conviction and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
CONVICTIONS OF OTHER THAN HEALTH INSURANCE FRAUD
Maryland Man Convicted in $20 Million Insurance Fraud Scheme
James Wilson, of Owings Mills, Maryland was convicted by a federal jury for conspiracy to commit insurance fraud, money laundering, filing false tax returns and identity theft, according to the office of U.S. Attorney for the district of Maryland.
You can read the article and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
Help, My House is Falling into the Sea
A Fictionalized True Crime Story of Insurance Fraud to Explain why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers
Career criminals are not the only people who perpetrate insurance fraud. The temptation has become so great that almost anyone who is given the opportunity will try. Those who do not premeditate insurance fraud are called perpetrators of soft frauds. Most are small. Some are not. The story that follows is a not a soft fraud but one that was premeditated for a great deal of money by a person who should have known better and may, after the great Malibu and Palisades wild fires, tempt others to try the same fraud.
You can read the article and the full February 1, 2025 issue of ZIFL in Adobe pdf format at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-02-01-2025.pdf
California Commissioner Lara Issues Emergency Declaration To Speed Los Angeles Wildfire Recovery
Action Requires Non licensed Out Of State Adjusters To Follow All California Laws
January 13, 2025, Press Released from the California Department of Insurance
Failure to Profit From the Crime of Insurance Fraud Does not Excuse the Crime
UNSUCCESSFUL FAKE ACCIDENT STILL GOES TO JAIL
In The People v. Stephen R. Jackson, H052419, California Court of Appeals, Sixth District (January 23, 2025) Jackson tried to have his felony conviction reduced to a misdemeanor because of Proposition 47.
(c) 2025 Barry Zalma & ClaimSchool, Inc.
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About Barry Zalma
An insurance coverage and claims handling author, consultant and expert witness with more than 48 years of practical and court room experience.
