Zalma’s Insurance coverage Fraud Letter – July 1, 2022

See the video explaining what’s within the July 1, 2022 subject at  and at

Within the July 1, 2022 subject of Zalma’s Insurance coverage Fraud Letter it is possible for you to to learn the complete textual content of articles together with:

Rescission Is an Equitable Treatment First Created in The Ecclesiastical Courts of Elizabethan England.

When the USA was conceived in 1776 the founders had been involved with defending their rights beneath British widespread regulation.

Widespread Regulation is a type of regulation developed by judges by way of tribunals and selections of courts somewhat than government department motion and legislative statutes.

Following the widespread regulation custom, authorized ideas had been referred to courts of fairness to “mitigate the rigor” of the widespread regulation.

The brand new United States of America adopted British widespread regulation because the regulation as soon as the U.S. Structure was adopted in 1789. British widespread regulation was solely modified by the restrictions positioned on the central authorities by the Structure.

The viability and talent to implement contracts was acknowledged as important to commerce. Courts of regulation, following the British Widespread Regulation, had been charged with implementing respectable contracts and rendering cash judgments in opposition to the social gathering who breached the contract.

One other Florida Insurer Goes Broke

Southern Constancy Insurance coverage Firm has entered into receivership and is being liquidated, in line with the Florida Workplace of Insurance coverage Laws (FLOIR).

Insurance coverage fraud is rampant in Florida.

Lawyer Admits to Insurance coverage Fraud & Theft from Shoppers

Convicted of Fraud & Theft Sufficient for Disbarment

On September 7, 2021, the Workplace of Disciplinary Counsel (ODC) requested this Courtroom place Respondent Richard Alexander Murdaugh on interim suspension primarily based upon data indicating Respondent had stolen funds from the regulation agency that employed him. Respondent consented to the aid and on September 8, 2021, the Supreme Courtroom issued an order suspending Respondent from the observe of regulation. In re Murdaugh, 434 S.C. 233, 863 S.E.second 335 (2021) and, in Within the Matter of Richard Alexander Murdaugh, Supreme Courtroom of South Carolina, June 16, 2022 the Supreme Courtroom was confronted with the duty to render a remaining order re Murdaugh’s license to observe regulation.

Chutzpah: Homicide for Insurance coverage Cash Life Sentences Affirmed


When convicted of homicide within the first diploma and conspiracy to commit homicide for all times insurance coverage cash, the defendants require a substantial amount of chutzpah (unmitigated gall) to file a number of appeals to scale back or eradicate the life with out parole sentences. Within the newest effort, The Folks v. Leny Peterson Galafate, F081563, California Courtroom of Appeals, Fifth District (June 9, 2022) the Courtroom of Attraction wrote an in depth opinion discussing all the arguments filed by the assassin expending extra time and paper than a convicted homicide who had already appealed unsuccessfully to totally different courts that was not deserved.

Good Information From the

Well being Insurance coverage Fraud Convictions

Molina Healthcare Agrees to Pay Over $4.5 Million To Resolve False Claims Act Violations

Molina Healthcare, Inc. (Molina) and its beforehand owned subsidiary, Pathways of Massachusetts (Pathways), have agreed to pay $4.625 million to resolve allegations that it violated the False Claims Act by submitting reimbursement claims whereas violating a number of laws associated to the licensure and supervision of employees.

Molina is a managed care well being companies firm that gives well being care plans to varied state and federal well being care applications together with MassHealth, the joint federal and state Medicaid program. Between November 2015 and March 2018, Molina owned and operated Pathways, a bunch of psychological well being facilities situated in Springfield and Worcester. Throughout that interval, the federal government contends that Molina and Pathways improperly submitted claims for reimbursement to MassHealth and care entities managed by MassHealth whereas failing to correctly license and supervise psychological well being middle employees, together with social employees and psychological associates, and failing to offer and well timed doc the supply of sufficient scientific supervision to clinicians requiring supervision.

Excellence in Claims Dealing with


Observe the hyperlink to view the primary video of the Excellence in Claims Dealing with Program. All future movies will solely be obtainable to those that subscribe to my group the place you may subscribe right here.

Develop into a Skilled Claims Handler

In quest of revenue, insurers have decimated their skilled claims employees. They laid off skilled personnel and changed them with younger, untrained, unprepared individuals. A digital clerk changed the previous skilled claims handler. Course of and computer systems changed hands-on human talent, empathy and judgment. Cash was saved by paying decrease salaries. Inside three months of firing the skilled claims individuals gross revenue elevated.

Different Insurance coverage Fraud Convictions

Ex-Surrey Banker Faked Most cancers as Half Of £1.8m Fraud

Rajesh Ghedia, 42, stated he can be lifeless in a 12 months in a £1.2m insurance coverage rip-off, Southwark Crown Courtroom heard. He additionally swindled seven individuals – together with a relative – out of giant sums of cash by encouraging them to put money into non-existent monetary merchandise.

(c) 2022 Barry Zalma & ClaimSchool, Inc.

Barry Zalma, Esq., CFE, now limits his observe to service as an insurance coverage guide specializing in insurance coverage protection, insurance coverage claims dealing with, insurance coverage unhealthy religion and insurance coverage fraud virtually equally for insurers and policyholders. He practiced regulation in California for greater than 44 years as an insurance coverage protection and claims dealing with lawyer and greater than 54 years within the insurance coverage enterprise. He’s obtainable at and [email protected].

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