Zalma’s Insurance Fraud Letter – January 15, 2025
Post 4973
See the full video at https://rumble.com/v69axqm-zalmas-insurance-fraud-letter-january-15-2025.html and at https://youtu.be/e69HY-UVJBw
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
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/ This issue contains the following articles about insurance fraud:
Fictionalized True Crime Story – The Great Jewel Theft
This is a fictionalized true crime story of insurance fraud from an expert who explains why insurance fraud is a “Heads I Win, Tails You Lose” situation for insurers. The story is designed to help claims professionals, investigators, lawyers and the public understand how insurance fraud in America is costing everyone who buys insurance thousands of dollars every year and why insurance fraud is safer and more profitable for the perpetrators than any other crime.
The Insured purchased, for the first time in his life, a policy of Personal Articles Floater Insurance (PAF) scheduling $125,000 worth of ladies’ jewelry. When he first acquired the insurance, he advised the insurer that the jewelry was always kept in a class E safe (one that requires at least 30 minutes to drill out the lock) at his residence. He also told the insurer that he was employed full time as the owner of a gasoline service station and that he had never been canceled or suffered a previous loss.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
Receiver Properly Appointed to Provide Restitution to Victim of Fraud
Keeping the Proceeds of Fraud Refused by Tenth Circuit
Daniel Carpenter Guilty of $30 Million Fraud and Fights Collection of Judgment
Universitas Education, LLC sued to recover funds it lost in an elaborate insurance fraud scheme perpetrated by convicted felon Daniel Carpenter. The underlying litigation occurred in the Southern District of New York, leading to a civil judgment against multiple defendants. Among the corporate entities allegedly used to perpetrate the fraud was Avon Capital, LLC and several of its affiliates located in Oklahoma, Nevada, and Wyoming. Universitas sought to garnish a $6.7 million insurance portfolio held by SDM Holdings, which Avon owns, located in Oklahoma.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
MORE MCCLENNY MOSELEY & ASSOCIATES ISSUES
This is ZIFL’s forty-first 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.
12/31/24
In MMA Law Firm, PLLC, formerly known as McClenny, Moseley & Associates, PLLC v. PCG Claims, LLC d/b/a PCG Consulting, LLC, No. 01-24-00217-CV, Court of Appeals of Texas, First District, Houston reported that the MMA Law Firm, MMA Law Firm, PLLC, filed a Suggestion of Bankruptcy.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
What is Fraud?
A primer for insurance fraud professionals to avoid simple errors and help those who are not professionals understand the tort or crime of Insurance Fraud.
Fraud has existed since man first came down from the trees and started walking upright. It became a serious problem when men and women started living in communities and cities.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
HEALTH INSURANCE FRAUD CONVICTIONS
Former Senior Partner at McKinsey & Company Pleads Guilty
Martin Elling Obstructed Justice Related to His Work with Purdue Pharma
Martin Elling, 60, a U.S. citizen residing in Bangkok, Thailand, waived his right to be indicted and pled guilty January 10, 2025 to a one-count Information charging him with knowingly destroying records with the intent to impede, obstruct, and influence the investigation and proper administration of a matter within the jurisdiction of the United States Department of Justice.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
CONVICTIONS OF OTHER THAN HEALTH INSURANCE FRAUD
Judge Triples Jury Award in Nautilus Insurance Suit Against Murdaugh Accomplice
A federal judge last week tripled the damages that Alex Murdaugh’s co-conspirator must pay to Nautilus Insurance Co., bringing the total to $3.75 million – plus significant attorney fees incurred by the insurer.
A jury last week found Cory Fleming, a longtime friend and associate of prominent South Carolina attorney and convicted murderer Murdaugh, of helping Murdaugh steal millions in insurance settlement funds. The jury awarded $1.25 million in the civil suit brought by Nautilus, the excess and surplus lines carrier that had written Murdaugh’s liability policy on his property, where his housekeeper was found dead after a supposed fall. The jury also granted $50 in punitive damages to be paid to Nautilus.
Arizona Attorney General Mayes Announces Sentencing in SBA Fraud Case
Bridget C. O’Brien was sentenced January 7, 2025 in Maricopa County Superior Court to 2 years in prison to be followed by 3 years of probation, for her role in a multimillion-dollar fraud against the federal government’s Small Business Administration (SBA). Defendant O’Brien was also ordered to pay the SBA $1,273,794.95 in restitution.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
California Commissioner Lara Issues Emergency Declaration To Speed Los Angeles Wildfire Recovery
Action Requires Non licensed From Out Of State To Follow All California Laws
January 13, 2025, Press Released from the California Department of Insurance
BARRY ZALMA
Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr. Zalma at zalma@zalma.com; https://www.zalma.com; https://zalma.com/blog. He publishes daily articles at https://zalma.substack.com, Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ to consider more than 50 volumes written by Barry Zalma on insurance and insurance claims handling.
Go to Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/; Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ and GTTR at https://gettr.com/@zalma
Over the last 57 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to make it for insurers and their claims staff to become insurance claims professionals.
Read the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2025/01/ZIFL-01-15-2025-1.pdf
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