NYC Insurance Fraud Lawyer

Trusted Insurance Fraud Lawyer In New York City

At Sosinsky Law, our NYC insurance fraud lawyer has a stellar reputation for providing exceptional criminal defense. With extensive experience in both state and federal courts, they skillfully represent individuals facing criminal charges and various forms of insurance fraud. Insurance fraud can manifest in diverse ways, encompassing any actions or behaviors that involve making false statements or intentional misrepresentations to an insurance carrier in pursuit of financial gain. Our team expertly navigates these complex cases, ensuring the best possible outcome for our clients. To learn more about your options and how we can help, contact our office now for a free consultation.

Common Types Of Insurance-Related Offenses

  • Health insurance fraud is committed by healthcare professionals who engage in fraudulent billing practices, involving Medicare, Medicaid, and private providers.
  • Medicaid fraud is committed by recipients of the program.
  • Property and home insurance fraud includes staged home fires.
  • Life insurance fraud is another form of fraudulent activity.

In addition to these, there are several other types of insurance fraud, such as:

  • Unemployment insurance fraud
  • Workers compensation fraud
  • Auto insurance fraud
  • Insurance policy fraud, which can involve theft and diversion of funds, is perpetrated by insurance agents and professionals within insurance companies.

Understanding Insurance Fraud Investigations

Insurance fraud investigations differ from other criminal or semi-criminal inquiries in that they are often conducted by insurance companies themselves rather than federal law enforcement agencies. In dealing with insurance providers’ fraud issues, experienced New York insurance fraud attorneys engage in “audits” and “investigations” not out of suspicion but as a means to avoid unjust payments through intimidation tactics.

Naturally, this does not imply that all insurance fraud inquiries lack merit. Many legitimate investigations lead to criminal prosecution and conviction. However, a skilled insurance fraud criminal defense attorney can help prevent extreme outcomes and provide protection to clients facing insurance fraud inquiries.

At Sosinsky Law, our NYC insurance fraud lawyer has a strong track record representing individuals and corporations in successful insurance fraud audits and inquiries. In all insurance fraud inquiries conducted by insurers, our primary objective is to safeguard our clients and their businesses. Through an assertive criminal defense strategy crafted by our insurance fraud attorney, you can rest assured knowing that your best interest and optimal outcome are in mind.

Insurance Audits Of Healthcare Professionals

Insurance companies in the US aggressively pursue fraudulent health insurance claims but often mistreat policyholders and providers. They target small-to-medium medical practices, requesting patient records and accusing providers of overbilling. Our experienced NYC insurance fraud lawyer has successfully represented physicians in similar cases. We recommend consulting our New York law office before submitting documents to investigators.

When healthcare fraud cases involve insurance, particularly government programs like Medicaid and Medicare, routine audits can quickly escalate into comprehensive criminal investigations, putting the practitioner’s ability to practice at risk. It is strongly advised to seek legal representation from our New York criminal defense law office before discussing the insurance fraud case with auditors.

In New York, insurance fraud penalties range from a Class A misdemeanor, which carries a maximum sentence of one year in jail and fines of up to $1,000, to a felony, depending on the circumstances of the case. The severity of felony charges varies based on the scale of the crime, with insurance fraud charges ranging from a Class E felony to a Class B felony.

If you are under investigation for any related criminal offenses in New York, it is crucial to promptly contact an experienced New York insurance fraud lawyer as soon as you become aware that you are being targeted. Our NYC criminal attorney is dedicated to assisting you with all matters related to insurance fraud. Schedule a confidential consultation by calling our insurance fraud defense law offices today.

Severity Of Insurance Fraud Charges

Insurance fraud, as defined by the New York Penal Code, encompasses a range of offenses that can lead to varying degrees of legal consequences. The severity of penalties depends on the amount of financial loss incurred by the insurance carrier due to the fraudulent activity. In more egregious cases involving substantial sums of money, a conviction may result in imprisonment. Additionally, non-U.S. citizens could face deportation if the fraudulent claim exceeds $10,000. It is important to note that even for smaller claims, insurance fraud is considered a crime of moral turpitude, which carries its own potential repercussions.

Associated Crimes Involving Insurance Fraud

Insurance fraud, regardless of its extent, is rarely an isolated crime. Typically, the end goal and the actions taken to achieve it involve additional criminal activities. For instance, individuals who fraudulently complete paperwork in order to obtain money may face charges of grand larceny and allegations of falsifying specific records. While not an exhaustive list, the following felony charges are commonly found in indictments related to insurance fraud in New York.

As proof that Insurance Fraud is often connected to Grand Larceny, both statutes mimic each other in terms of the amount of the theft and the degree of the crime. Like Grand Larceny, Insurance Fraud is punishable as a misdemeanor by up to one year in jail and as much as 25 years in prison if the offense committed is the “B” felon of Insurance Fraud in the First Degree.

What To Do If You’re Being Investigated For Insurance Fraud

It is crucial to remember not to engage in conversation with investigators. If they approach you with inquiries, it is safe to assume that they are already well-informed. Avoid exacerbating the situation by making statements that may incriminate you. Moreover, disclosing everything to the investigators won’t be of any assistance.

The appropriate approach is to request the investigator’s contact details and politely yet firmly inform them that you will first consult with a fraud defense attorney in New York. Your criminal defense attorney will then communicate with them accordingly. We have handled numerous cases where we intervened on behalf of our clients early in the process, successfully preventing arrests and prosecutions. Even in situations where our clients were already arrested, the outcome proved to be far more favorable than anticipated.

Insurance fraud defense investigations typically require months to develop. By handling the situation correctly, there is ample time to resolve the issue before it becomes too late. If you have any inquiries regarding insurance-related matters in New York, please do not hesitate to contact our experienced NYC insurance fraud lawyer to learn more about your options and how we can help.

Contact Our NYC Insurance Fraud Lawyer Now

With extensive expertise in dealing with Insurance Fraud cases, our NYC insurance fraud lawyer at Sosinsky Law is well-equipped to handle your legal needs. Our team will conduct a thorough investigation into the details of your case, formulating a robust defense strategy tailored to safeguard your interests. We understand the importance of providing support during challenging times, which is why we offer a complimentary consultation along with valuable legal guidance. Contact us today to schedule your free consultation and obtain the assistance you require.