In March 2020, as the COVID-19 pandemic was first beginning to take hold, the New York State Department of Financial Services (DFS) issued a report on insurance fraud that highlighted the fact that suspected no-fault automobile insurance fraud accounted for 59% of the 25,985 insurance fraud reports that the DFS’s Insurance Frauds Bureau received in 2019—a 6% increase over the prior year. Perhaps more ominously, suspected no-fault insurance fraud accounted for 89% of all health care fraud reports the Bureau received that year. See DFS, “Investigating and Combating Health Insurance Fraud” (the DFS Report).
The DFS Report also pointed out that the DFS had conducted a number of no-fault investigations in 2019 that involved “runners” who solicit victims of motor vehicle accidents at accident scenes to steer them to medical clinics and coach them to exaggerate and fabricate injuries; “runners” who stage accidents and refer phony accident victims to medical clinics and law firms in exchange for monetary payments; and individuals adding themselves to accident reports when they had not been involved in the accident that was the subject of the report.
Read Full Story: https://www.law.com/newyorklawjournal/2021/09/02/confluence-of-corrupt-interests-can-lead-to-massive-no-fault-frauds/
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