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🚀 Guardian institutes a major upgrade! Guardian Financial Services has just increased the payout for policyholders diagnosed with conditions covered under our additional payout definitions. On first glance, this may not seem like a major change from Guardian but it actually equates to a doubling of the additional amounts paid for sums assured up to £200,000. This constitutes a sizeable increase and bolsters Guardian’s position at or around the top of the CIExpert quality tables. This update is now available for comparison, members can login now to find out more 👉 https://lnkd.in/eHNgiVXs #CIExpert #Guardian #PolicyUpdate #Advisers #Upgrade
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⭐️ YOU DON’T WANT TO MISS THE #WCIConference ⭐️ Our very own Kimberly Fernandes will be speaking at the #WCI Conference August 21st to discuss #WorkersCompensation and #Fraud! Don't miss this insightful session with a few of the top industry experts. #WCIConference #WorkersComp #LegalInsights #WCI2024 #Innovation #FraudPrevention #Justice #Motivation #OrlandoConference
Excited to announce that our very own Kim Fernandes will be speaking at the #WCI Conference! Join her on August 21st at 9:00 a.m. for: "Not All Claims Are Fraudulent; Do You Know the Difference; Do You Know How to Handle Them When They Are?" This panel discussion on #workerscompensation #fraud will help you learn when to raise fraud concerns and its potential impact. Don't miss this insightful session with industry experts. Joining Kim will be: Moderator Gene Donnelly (Assistant Vice President, National Anti-fraud Program, Zenith Insurance Company) and Speakers John Sargent (Senior Vice President, Delta Group) and Claimants' Attorney Glen Wieland (Wieland & DeLattre, P.A.). #WCIConference #WorkersComp #LegalInsights #WCI2024
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Did you know that unaccredited individuals offering to gather evidence in support of a benefits claim cannot lawfully assist or charge a fee? I received the following information from the Veterans Benefits Administration, Veterans Benefits Newsletter for March 2024 (https://lnkd.in/efGiFxux). March is Fraud Prevention Month and VA is committed to protecting Veterans’ hard-earned benefits from claims predators by raising awareness among Veterans, their loved ones and advocates about the tactics used by claim predators. Veterans and beneficiaries should be cautious of unaccredited individuals offering to gather evidence in support of a benefits claim because they cannot lawfully assist or charge a fee to do the following: - Consult or give advice to VA claimants. - Collect evidence for a claim. - Prepare and file an initial or supplemental claim. - Submit requests for higher level review. - Submit an appeal to the Board of Veterans’ Appeals. To check on whether an individual or group is accredited, go to the Department of Veterans Affairs Accreditation Search at https://lnkd.in/eZXKAcES To understand what may be happening in the future for unaccredited companies and individuals see this summary (no endorsement of the Dolman Law Group is implied by this link) https://lnkd.in/eJ8R5dHw #veteranssupport #veteranssupportingveterans #veterans #veteransbenefits #militarytransition #vabenefits
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Stay on top of fraud and abuse news by signing up for the Investigations Blog authored by my expert colleagues - the latest article is below. (PS - Cailfornia connections, the "UC" here is "University of Colorado.")
UCHealth Settles FCA Violations for $23 Million | ArentFox Schiff
afslaw.com
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These rules will be adapted as time goes on to what will be needed. That both the insurer and the consumer protection perspectives seem to feel that the rules are either too burdensome or didn’t go far enough means they’re probably just what is needed at this point in time. That does not mean that something more might be needed later or, conversely, that the burden might need to be decreased.
7 states adopt AI rules; insurer compliance called 'significant lift'
https://insurancenewsnet.com
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Having media connections can be extremely helpful in getting your carrier moving. Insurers are able to get away with perpetrating fraud because policyholder abuse thrives on anonymity; therefore, one call from a news outlet can really get the ball rolling on the carrier-side, for they know that the media is now nosing around. Check out this link where the APA has been featured on news channels, or if you are a reporter looking to cover this beat, you can contact us here. #FraudFighters #APA #APAintheNews #Reporters #InsurerFraud
Reporting - The American Policyholder Association
https://apassociation.org
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Shared post to Warn of #Fraud by #databreach by #Aviva Devastated, I was targeted by Aviva when my #buildingsurveyor husband #Adrian #lawson-gill died. Nicola West with Aviva falsified a death settlement claim pretending to pay me his life insurance by formal agreement signed in a death settlement claim. They then intercepted the payment in money laundering to deny me the money and to instead lock it in an account for my 2nd and 3rd son who had association with my financial advisor. They have all benefitted out of the money and it is fraud but is being covered up by the firms, Ombudsman and FCA (Financial Conduct Authority) I cannot believe there are no safeguarding rules for financiap advisors being allowed to process death claims for widows. There was no death certificate (death could not be registered as there was an inquest into his death as he died of a heart aneurysm at home), no grant of probate, no will yet the advisor was able to steal the money for 2 of our 5 sons who exclusively benefit and omitting 3 of 5 sons and myself despite this breaching contracts and the agreed death claim instruction. It is alarming and I was recently threatened by CEO of Aviva Amanda Blanc office (not the usual advisors who had sent letters) this threat was significant and I was contemplating how to answer it. My boyfriend was growing stressed by this and we had a discussion, 5 minutes later my 8 year old little boy Teddy responded to this boyfriend teasing him in banter and there was an eruption and he threatened to stay my son picking up a bread knife. This is crazy Aviva threats against me seem to be seeping into my life, it was traumatic and has impacted me and my little boy as I had to calm the situation and risk getting stabbed myself. My little boy for one month has been having these melt downs at school and I have filmed it as there have been dozens of these so far in one month. He is traumatised and Aviva are to blame as my little boy believes his dad didn't love him and his 2 estranged siblings who have stolen the money (students of Nottingham Trentham University and Loughborough University) have basically got away with bank robbery and dismissed me as a mother and their autistic older brother and their twin brothers now age 8 years. So much trauma has been caused by this theft of life insurance. Let this be a warning to others https://lnkd.in/gb8BT-b7 And me also breaking down https://lnkd.in/gDn86Wif The FCA despite reporting on a broadcast that I (named Amy Lawson Gill ) must be entitled to a review dismissed by the Ombudsman, the FCA fail to protect the vulnerable (bereaved), disabled or children and support fraud in financial services https://lnkd.in/gtmUp9Tv #fca #financialadvisor #financialabuse #stjamesplace #westwealthmanagement #amandablanc #ceo #economicabuse #moneylaundering #lifeinsurance #investment #trusts #trustbond #wwmvip #nicolawest #lawsongill
FCA confirm Aviva and St James Place must look at Widow's complaint, so must the Ombudsman
https://www.youtube.com/
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You can run, but you can’t hide. That’s how forensic investigators approach sniffing out fraud in the healthcare sector. Read more in this interview from Health Beat. https://lnkd.in/dNyiGKA2
Corruption trap: Why healthcare fraud is costing you money - Bhekisisa
https://bhekisisa.org
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State Board Declines Case Against HLA Client: PBM audits may result in collateral consequences, including licensing and disciplinary proceedings. In this case, HLA's experienced defense attorneys successfully convinced the State Board to decline further investigation, effectively resolving the matter at an early stage. https://lnkd.in/eGYHTCw4
State Board Declines Case Against HLA Client
healthlawalliance.com
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Uncover the critical discourse surrounding the 'fog of war' excuse in the context of COVID-19 fraud. This article by Roger Lewis of Goldberg Kohn Ltd. delves into how the unprecedented conditions of the pandemic do not justify fraudulent activities, especially concerning financial dealings under the False Claims Act. With a focus on a case involving a New Jersey hospital system, the piece challenges the notion that emergency situations can excuse deceptive practices aimed at securing undue financial gain. Read more about the implications and legal standpoints.
The Fog of War Is Not an Excuse for Covid Fraud
https://www.healthcarebusinesstoday.com
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