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Investigating Fraudulent Claims: The Role of SIU
Previously we have addressed the issues of fraud at the inception of an insurance claim, a carrier's analysis of fraudulent claims and the use of forensic experts to investigate and defend claims. This article will focus on the role of the carrier's Special Investigation Unit (“SIU”) in investigating and defending against fraudulent insurance claims and the role of SIU counsel in the investigative process.
Introduction
Each year, insurance carriers lose millions of dollars as a result of fraudulent insurance claims. In some instances, these claims are the result of individuals submitting fraudulent or inflated individual claims. But an increasingly costly trend is the submission of claims by organized rings involving both hired laypersons and sophisticated professionals. These rings employ schemes that become more sophisticated each year and involve the participation of lawyers, doctors, chiropractors and other licensed professionals. In some instances, even producers and/or insurance company employees are involved in these schemes. In an economy and environment where policyholders routinely seek premium reductions or where carriers have to petition regulatory agencies for premium increases, the failure to adequately investigate and defend against fraudulent insurance claims will adversely affect the carrier in significant ways.
Yachts, Jets, Horses & Hooch: Specialized Commercial Leasing Models
Defining commercial real estate asset class is essentially a property explaining how it identifies — not necessarily what its original intention was or what others think it ought to be. This article discusses, from a general issue-spot and contextual analysis perspective, how lawyers ought to think about specialized leasing formats and the regulatory backdrops that may inform what the documentation needs to contain for compliance purposes.
Hyperlinked Documents: The Latest e-Discovery Challenge
As courts and discovery experts debate whether hyperlinked content should be treated the same as traditional attachments, legal practitioners are grappling with the technical and legal complexities of collecting, analyzing and reviewing these documents in real-world cases.
Identifying Your Practice's Differentiator
How to Convey Your Merits In a Way That Earns Trust, Clients and Distinctions Just as no two individuals have the exact same face, no two lawyers practice in their respective fields or serve clients in the exact same way. Think of this as a "Unique Value Proposition." Internal consideration about what you uniquely bring to your clients, colleagues, firm and industry can provide untold benefits for your law practice.
Risks and Ad Fraud Protection In Digital Advertising
The ever-evolving digital marketing landscape, coupled with the industry-wide adoption of programmatic advertising, poses a significant threat to the effectiveness and integrity of digital advertising campaigns. This article explores various risks to digital advertising from pixel stuffing and ad stacking to domain spoofing and bots. It will also explore what should be done to ensure ad fraud protection and improve effectiveness.
Turning Business Development Plans Into Reality
This article offers practical insights and best practices to navigate the path from roadmap to rainmaking, ensuring your business development efforts are not just sporadic bursts of activity, but an integrated part of your daily success.