Are You Being Accused of Insurance Fraud? Here's What to Do.
Insurance companies will find any way of dodging a claim. They primarily make money by collecting insurance premiums, not providing compensation to policyholders. They may even go as far as accusing you of filing a false insurance claim. A false insurance claim is when a claimant attempts to obtain a benefit or advantage they are not entitled to.
There are two types of fraud you could be accused of by the insurance company—hard and soft. Hard fraud happens when someone deliberately plans or invents a loss in order to receive payment for damages. Soft fraud, which is more common, occurs when people exaggerate otherwise legitimate claims. Any type of insurance could also be manipulated in this way, from health care to homeowners’ to automobile policies.
Whatever company is accusing you of making a false claim, they do have to have some concrete evidence against you, such as inconsistent statements, lies, or acts of deception. If they just think you’re dishonest, it’s not enough. The first thing you should do is hire an attorney. A great Florida white collar crime lawyer will know what to do to protect your interests. He or she can also help you respond to this kind of accusation. If you used a false document or were mistaken in the cost of an item, this isn’t always enough to completely reject your claim.
Your attorney can also help you take your complaint against the insurance company to the Financial Ombudsman Service (FOS), which says an insurance company must show a customer is attempting to obtain more than he or she is eligible for.
Remember, insurance companies dislike paying claims. If they suspect you might be making a false claim, they will take the time to pursue the case. You need the support of an excellent lawyer who will advocate for you if this case enters negotiations or ends up in court. Contact us at (888) 497-0216 or fill out our online form for a free case consultation. Let our experienced attorneys defend your good name and help you avoid a mark on your permanent record.