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Insurance Claims professional presents articles and videos on insurance, insurance Claims and insurance law for insurance Claims adjusters, insurance professionals and insurance lawyers who wish to improve their skills and knowledge. Presented by an internationally recognized expert and author.
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August 05, 2025
Senator & Wife’s Guilty Verdict Sustained

Selling Office of US Senator is an Unforgivable Crime

Post 5161

See the full video at https://lnkd.in/gvGJ2nBW and at https://lnkd.in/gxw-mmBB, and at https://zalma.com/blog plus more than 5150 posts.

Go Directly to Jail, Do Not Pass Go, Claim of Innocence Unbelievable

SUMMARY OF THE CASE

Nadine Menendez, along with then-Senator Robert Menendez, Wael Hana, Jose Uribe, and Fred Daibes, was indicted for participating in a bribery scheme. The charges included conspiracy to commit bribery, honest services wire fraud, extortion under color of official right, and obstruction of justice. Both were found guilty at trial. Mrs. Menendez moved to overturn the jury verdict.

In UNITED STATES OF AMERICA v. NADINE MENENDEZ, No. (S4) 23-Cr-490 (SHS), United States District Court, S.D. New York (July 31, 2025) the USDC upheld the convictions after a lengthy analysis of issues raised by Ms. Menendez.

KEY POINTS

  • Bribery and Corruption:

    The evidence presented was sufficient to prove a corrupt quid pro quo involving official acts related to the Egypt scheme, New Jersey state criminal matters, and the Daibes federal prosecution scheme.

  • Menendez promised to sign off on a foreign military sale to Egypt and exerted pressure on the USDA to favor IS EG Halal Certifiers Inc., a company owned by Hana.

  • Payments and benefits received included mortgage payments, consulting fees, and a Mercedes-Benz convertible .

  • Obstruction of Justice:

    Menendez and Nadine Menendez attempted to obstruct justice by creating false documents and transmitting false information to the grand jury.

    They fabricated a cover story that payments received were loans, not bribes .

  • Conspiracy to Act as an Agent of a Foreign Principal:

    Menendez acted as an agent of Egypt by sharing sensitive information and assisting Egyptian officials in various ways.

    The evidence showed Menendez’s shift in public position to be less critical of Egypt and his involvement in meetings and communications with Egyptian officials .

  • Venue and Legal Proceedings:

    The court found that venue was proper in the Southern District of New York for all counts.

    The court denied Nadine Menendez’s motion for a judgment of acquittal and a new trial, finding no manifest injustice.

  • Multiplicitous Counts:

    Counts 1 and 15 were found to be multiplicitous, and judgment was imposed on only one of these counts .

Conclusion

The court upheld the jury’s verdict, finding sufficient evidence to support the convictions on all counts. The motion for a new trial was denied, and the court emphasized the importance of ensuring justice and maintaining the integrity of the legal process .

Defendant’s motion for a judgment of acquittal pursuant to Federal Rule of Criminal Procedure 29 was denied on the ground that the evidence at trial was more than sufficient to sustain her conviction on all counts; in addition, defendant’s motion for a new trial pursuant to Federal Rule of Criminal Procedure 33 was denied on the ground that defendant has failed to identify any injustice – let alone a manifest injustice – requiring a new trial.

ZALMA OPINION

Senator and Mrs. Menendez engaged in multiple schemes with, among others, the government of Egypt that allowed them to gain money and gold bars in exchange for favorable action in the US Senate. The Crime was egregious and the convictions were rendered by the jury after hearing convincing evidence. Although the opinion is lengthy none of the claims made by Mrs. Menedez for a new trial or an acquittal were convincing.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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00:06:36
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2 hours ago
Man Bites Dog Story – Hertz Sues Alleged Fraudsters

Hertz Succesfully Refuses to Pay Alleged Fraudulent Health Care Providers

Post 5222

Read the full article at https://www.linkedin.com/pulse/man-bites-dog-story-hertz-sues-alleged-fraudsters-zalma-esq-cfe-efbgc, see the video at and at and at https://zalma.com/blog plus more than 5200 posts.

Proactive Victim of Fraud Defeats Health Care Providers

In Hertz Vehicles, LLC v. Alignment Chiropractic, P.C., et al, Index No. 157368/2024, 2025 NY Slip Op 33627(U), Motion Seq. No. 001, NYSCEF Doc. No. 46, Supreme Court, New York County (September 30, 2025) Plaintiff alleged it is not obligated to pay no-fault benefits for the medical treatment of defendants for injuries while occupants of a 2023 Hyundai, owned and self-insured by Hertz.

FACTUAL BACKGROUND

Plaintiff moved for a default judgment against defendants Alignment Chiropractic, P.C., and many other alleged health care providers.

Plaintiff also ...

00:06:28
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3 hours ago
Man Bites Dog Story – Hertz Sues Alleged Fraudsters

Hertz Succesfully Refuses to Pay Alleged Fraudulent Health Care Providers

Post 5222

Read the full article at https://www.linkedin.com/pulse/man-bites-dog-story-hertz-sues-alleged-fraudsters-zalma-esq-cfe-efbgc, see the video at and at and at https://zalma.com/blog plus more than 5200 posts.

Proactive Victim of Fraud Defeats Health Care Providers

In Hertz Vehicles, LLC v. Alignment Chiropractic, P.C., et al, Index No. 157368/2024, 2025 NY Slip Op 33627(U), Motion Seq. No. 001, NYSCEF Doc. No. 46, Supreme Court, New York County (September 30, 2025) Plaintiff alleged it is not obligated to pay no-fault benefits for the medical treatment of defendants for injuries while occupants of a 2023 Hyundai, owned and self-insured by Hertz.

FACTUAL BACKGROUND

Plaintiff moved for a default judgment against defendants Alignment Chiropractic, P.C., and many other alleged health care providers.

Plaintiff also moved...

00:06:28
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November 05, 2025
Not Nice to Shop the Federal Court to Avoid State Court

Who’s on First? State or Federal Court

Post 5222

Read the full article at https://lnkd.in/gWj97cFs, see the video at https://lnkd.in/gtS6CpUX and at https://lnkd.in/gQEAeyHc,

Conflict Between State & Federal Court Requires Abstention

See the video at https://lnkd.in/gtS6CpUX and at https://lnkd.in/gQEAeyHc,

Conflict Between State & Federal Court Requires Abstention

Hector David Campoverde was injured at a Brooklyn construction site in 2015. Campoverde was an employee of Vazquez Bro Restoration Inc., a subcontractor for C.C.C. Renovation Inc., which was itself a subcontractor for general contractor L&M Builders Group LLC. In Starr Indemnity & Liability Company v. Scottsdale Insurance Company, No. 24-CV-3309 (PKC) (TAM), United States District Court, E.D. New York (September 30, 2025) was asked to determine whether one or more of the involved insurers is obligated to indemnify Campoverde, and in what order Camporverde can receive indemnity, from one or more insurer.

Underlying Incident:

Campoverde sued the ...

00:07:43
October 31, 2025
The Zalma Philosophy of Claims Handling – Part 9

The Professional Claims Handler
Post 5219

Posted on October 31, 2025 by Barry Zalma

An Insurance claims professionals should be a person who:

Can read and understand the insurance policies issued by the insurer.
Understands the promises made by the policy.
Understand their obligation, as an insurer’s claims staff, to fulfill the promises made.
Are competent investigators.
Have empathy and recognize the difference between empathy and sympathy.
Understand medicine relating to traumatic injuries and are sufficiently versed in tort law to deal with lawyers as equals.
Understand how to repair damage to real and personal property and the value of the repairs or the property.
Understand how to negotiate a fair and reasonable settlement with the insured that is fair and reasonable to both the insured and the insurer.

How to Create Claims Professionals

To avoid fraudulent claims, claims of breach of contract, bad faith, punitive damages, unresolved losses, and to make a profit, insurers ...

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October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail
Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.
My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail

Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.

My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
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