Facing insurance fraud allegations can be overwhelming, intimidating, and extremely difficult. The potential consequences that could come from a conviction can impact all areas of your life in significant ways. However, it is important to keep in mind that accusations do not mean you are guilty. You have the right to defend your innocence and can do so with the assistance of a Houston insurance fraud lawyer.
Having over 45 years of legal experience, along with extensive knowledge of state and federal statutes, gives me the resources and skills needed to be an excellent defense attorney. At The Law Offices of Richard Kuniansky, all cases are handled with the utmost care and respect.
I know how stressful it can be to deal with criminal charges, and I can provide you with the support you need while working diligently on an aggressive defense plan. Whether you’ve been charged with Medicare fraud, life insurance fraud, or property insurance fraud, I’m prepared to tirelessly defend you.
Insurance fraud in Texas is defined as knowingly and intentionally defrauding or deceiving an insurance company by providing them with false or misleading information. A person can commit insurance fraud when they are completing an insurance application or filing an insurance claim to receive benefits. Types of insurance fraud include:
There are multiple ways one can engage in insurance fraud, and they are as follows:
The state of Texas takes insurance fraud seriously. Depending on how severe the charges are, those accused of insurance fraud can face high penalties and possible prison time. The Texas Department of Insurance Fraud Unit investigates all reports of fraud in the state, working with attorneys, prosecutors, and fraud examiners.
The unit’s investigation process consists of interviewing witnesses, sending out subpoenas for relevant documents, analyzing all documents and evidence collected, conducting necessary surveillance, executing search warrants as needed, and filing a case report. If their findings are sufficient, the accused party may be arrested and could possibly be put on trial.
According to the Texas Department of Insurance, the following are common types of insurance fraud:
An individual can be charged with anything from a Class C misdemeanor to a first-degree felony if they commit insurance fraud. It all depends on the specifics of the act committed.
Intentionally deceiving an insurance company by paying, offering, asking for, or receiving benefits related to goods or services covered under an insurance policy is a method of fraud that can range in the severity of the charge. It is usually dependent on the amount of money involved and whether the act placed someone at risk of death or serious physical harm.
If an individual knowingly creates or presents a statement to their insurer that contains misleading or false information in order to receive payment from an insurance claim, the charges depend on the same factors. When a person knowingly creates or presents a statement to an insurer that contains misleading or false information while applying for an insurance policy, they may be charged with a state jail felony.
If you are convicted of insurance fraud, you can not only be subject to fines and possible prison time, but you can also be ordered to pay restitution, including court fees and lawyer fees, to the insurer that was affected.
As your defense attorney, I can investigate your case and come up with a defense strategy that works for your circumstances. Your chances of seeing a favorable outcome increase significantly with an experienced attorney on your side.
When a criminal insurance fraud case goes to trial, the burden of proof is on the prosecution. They have to provide evidence that shows, beyond a reasonable doubt, that the accused committed fraud. They must demonstrate that you knowingly and intentionally deceived the plaintiff and that you intended to defraud them.
There are a few possible defenses that can be used in a fraud case, depending on the circumstances of the case:
It is important to note that with each of these defenses, the burden of proof is on the defense. You must provide evidence that supports your defense and place doubt in the jurors’ minds regarding the prosecution’s claims. If there is a reasonable doubt, you could potentially avoid conviction, or you could receive less severe penalties.
A. There is a statute of limitations for felony insurance fraud in Texas. This countdown does not begin when the fraud is committed, as one might believe. It begins when the insurance fraud is discovered or when it reasonably should have been discovered. After discovering the fraud, the prosecution has to file charges within a certain time frame.
A. If you knowingly give false information to an insurance company in Houston, TX, a number of things can happen. The insurance company can deny your claim or reduce the payout amount. They could cancel your policy altogether, leaving you without insurance and potentially making it harder to get insurance in the future. You could face criminal charges, depending on how severe the false information is. The insurance company could also file a claim against you.
A. Yes, you can be sued for insurance fraud. If you submit false information in an insurance claim and receive a payout because of it, the insurance company can file a civil suit against you to get the money back. There is also the potential to face criminal charges for this act and be ordered to pay more money in fines.
A. After you file your claim, your insurance company has a certain number of days to acknowledge that they received the claim and begin their investigation. After getting the necessary documentation and information from you, they have another time frame in which to let you know if they will accept or reject your claim. If the claim is rejected, the insurance company must inform you of the reasoning in writing. There may be some exceptions to these timeframes under specific circumstances.
You don’t have to face fraud charges alone. Contact The Law Offices of Richard Kuniansky. I can address your concerns, answer your questions, and inform you of what comes next in this process. I am your trusted advocate, here to guide and support you every step of the way.
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