Barry Zalma will Speak on November 8 on “The Examination Under Oath, a Perfect Tool to Defeat Insurance Fraud”
Read the full article at https://www.linkedin.com/pulse/i-am-honored-speak-44th-anti-fraud-conference-palm-zalma-esq-cfe and at https://zalma.com/blog plus more than 4350 posts.
Meeting Event Information
2022 CONFERENCE
November 08, 2022
8:00 AM – 1:00 AM
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The Riviera Palm Springs – Margaritaville Resort
1600 North Indian Canyon Dr.
Palm Springs, CA 92262
In Addition to my Talk Conference Speakers Include:
Natalie Chandler, CFE and Sergeant Ruben Lino, California Department of Insurance “Suspected Fraudulent Claims”
Detective Laila Ashaq and Detective Steven Bravo, California Department of Insurance “Disability Insurance Fraud Investigations”
Fire Cause Analysis, “Car-B-Qing, Vehicle Arsonists, Liar, liar, pants on fire!”
Frank Sztuk, Delta Group, Jonathan Colman, Colman Perkins “Update on Anti-Fraud Issues”
Richard Harer, Specialized Investigations , “Creative Techniques for Investigating by Private Investigators”
Barry Zalma, Barry Zalma, Inc. “The Examination Under Oath, a Perfect Tool to Defeat Insurance Fraud”
Nancy Ogelsby, Justice 3D, “Empathy Based Interviewing”
Eve Korff, Esq, Shaver, Korff & Castronovo, LLP “Medical Fraud, Identifying it, Defining It, and Dealing with it.”
Kurt Cotrell, Dustin Merrit, WCF Insurance, “To investigate or not investigate, that is the question”
David Bogan, DMB Investigations “Locating the Uncooperative Insured or Claimant”
Captain Richard Edmonson, Regina Garay, Department of Insurance “Staged Collisions and Organized Rings”
Steven Beltz, NICB “Metadata for Fraud Investigators”
Daniel Bartlett, Berkshire Hathaway “Worker’s Comp Case Study, Payroll Underreporting”
Amie Savona, ProNet Group, Inc. “Vehicle Forensics, Technology, Fraud Investigations”
Eric Johnson, Department of Insurance, “The Market Conduct Examination and how it relates to Fraud”
Chris Patton, Esq, Patton Trial Group, “Medical Mayhem, the Ever Evolving History of Medical Billing Admissibility”
Barry Zalma, Esq., CFE, is available at http://www.zalma.com and [email protected].
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Jury’s Findings Interpreting Insurance Contract Affirmed
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Madelaine Chocolate Novelties, Inc. (“Madelaine Chocolate”) appealed the district court’s judgment following a jury verdict in favor of Great Northern Insurance Company (“Great Northern”) concerning storm-surge damage caused by “Superstorm Sandy” to Madelaine Chocolate’s production facilities.
In Madelaine Chocolate Novelties, Inc., d.b.a. The Madelaine Chocolate Company v. Great Northern Insurance Company, No. 23-212, United States Court of Appeals, Second Circuit (June 20, 2025) affirmed the trial court ruling in favor of the insurer.
BACKGROUND
Great Northern refused to pay the full claim amount and paid Madelaine Chocolate only about $4 million. In disclaiming coverage, Great Northern invoked the Policy’s flood-exclusion provision, which excludes, in relevant part, “loss or damage caused by ....
Failure to Name a Party as an Additional Insured Defeats Claim
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Contract Interpretation is Based on the Clear and Unambiguous Language of the Policy
In Associated Industries Insurance Company, Inc. v. Sentinel Insurance Company, Ltd., No. 23-CV-10400 (MMG), United States District Court, S.D. New York (June 16, 2025) an insurance coverage dispute arising from a personal injury action in New York State Supreme Court.
The underlying action, Eduardo Molina v. Venchi 2, LLC, et al., concerned injuries allegedly resulting from a construction accident at premises owned by Central Area Equities Associates LLC (CAEA) and leased by Venchi 2 LLC with the USDC required to determine who was entitled to a defense from which insurer.
KEY POINTS
Parties Involved:
CAEA is insured by Associated Industries Insurance Company, Inc. ...
Exclusion Establishes that There is No Duty to Defend Off Site Injuries
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Attack by Vicious Dog Excluded
In Foremost Insurance Company, Grand Rapids, Michigan v. Michael B. Steele and Sarah Brown and Kevin Lee Price, Civil Action No. 3:24-CV-00684, United States District Court, M.D. Pennsylvania (June 16, 2025)
Foremost Insurance Company (“Foremost”) sued Michael B. Steele (“Steele”), Sarah Brown (“Brown”), and Kevin Lee Price (“Price”) (collectively, “Defendants”). Foremost sought declaratory relief in the form of a declaration that
1. it owes no insurance coverage to Steele and has no duty to defend or indemnify Steele in an underlying tort action and
2. defense counsel that Foremost has assigned to Steele in the underlying action may withdraw his appearance.
Presently before the Court are two ...
ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional
See the full video at https://lnkd.in/gK_P4-BK and at https://lnkd.in/g2Q7BHBu, and at https://zalma.com/blog and at https://lnkd.in/gjyMWHff.
Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the May 15, 2025 issue at http://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-05-15-2025.pdf
This issue contains the following articles about insurance fraud:
Health Care Fraud Trial Results in Murder for Hire of Witness
To Avoid Conviction for Insurance Fraud Defendants Murder Witness
In United States of America v. Louis Age, Jr.; Stanton Guillory; Louis Age, III; Ronald Wilson, Jr., No. 22-30656, United States Court of Appeals, Fifth Circuit (April 25, 2025) the Fifth Circuit dealt with the ...
Professional Health Care Services Exclusion Effective
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This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.
In Travelers Casualty Insurance Company Of America v. New Mexico Bone And Joint Institute, P.C.; American Foundation Of Lower Extremity Surgery And Research, Inc., a New Mexico Corporation; Riley Rampton, DPM; Loren K. Spencer, DPM; Tervon Dorsey, individually; Kimberly Dorsey, individually; and Kate Ferlic as Guardian Ad Litem for K.D. and J.D., minors, No. 2:24-cv-0027 MV/DLM, United States District Court, D. New Mexico (May 8, 2025) the Magistrate Judge Recommended:
Insurance Coverage Dispute:
Travelers issued a Commercial General Liability ...
A Heads I Win, Tails You Lose Story
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Posted on April 30, 2025 by Barry Zalma
"This is a Fictionalized True Crime Story of Insurance Fraud that explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is designed to help everyone to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the Perpetrators than any Other Crime."
Immigrant Criminals Attempt to Profit From Insurance Fraud
People who commit insurance fraud as a profession do so because it is easy. It requires no capital investment. The risk is low and the profits are high. The ease with which large amounts of money can be made from insurance fraud removes whatever moral hesitation might stop the perpetrator from committing the crime.
The temptation to do everything outside the law was the downfall of the brothers Karamazov. The brothers had escaped prison in the old Soviet Union by immigrating to the United...
