The Insurance Fraud Practice Group of White and Williams LLP provides a broad spectrum of legal services to clients in the insurance industry.  Utilizing an interdisciplinary approach, members of the Group draw upon their collective expertise to counsel a wide variety of insurance clients, including life, disability, homeowners, personal property, commercial, general casualty and mutual insurance carriers.  The Group concentrates its practice on cases of suspected fraud and is dedicated to meeting insurers’ needs in confronting fraudulent or exaggerated claims.

Members of the Insurance Fraud Practice Group aggressively resist fraudulent claims.  We understand the red flags of insurance fraud including late notice of claim, exaggeration of damages and loss, impeding access to basic claim information, criminal conduct and the like.  We also understand the need to vigorously press as a plaintiff, where appropriate, policy recission and damages when fraud exists in the insurance application or in the claim.

Life, Disability and Health Insurance Claims

The Group has extensive experience and expertise in the defense of life and disability insurance claims, including fraudulent claims for benefits. We vigorously press the defenses of fraud in the application, fraud in the claim, first manifestation of sickness, legal disability and loss of professional licensure unrelated to disability, insurable interest, ERISA pre-emption, and pre-existing condition.  Additionally, the Group uses the Pennsylvania Insurance Fraud Prevention Act to pursue civil remedies for insurance fraud when there are material misstatements in the insurance application or in the claim.  Our practice Group seeks attorney’s fees, costs, and treble damages, where appropriate, and prosecutes insurance fraud, on the civil side, through the Fraud Prevention Act.

Commercial and Property Damage Claims

Our attorneys work with insurance carriers investigating and resisting unfounded commercial and property losses, before and after litigation, on the basis of application misrepresentation, arson, concealment and fraudulent claim presentation.  We understand the science of fire origin as it relates to arson, as well as basic accounting as it relates to business interruption coverage.  With expertise in closely-related coverage issues arising under statutes and policy terms, the Group handles claims arising from business interruption, jewelry theft, inland marine and other specialized property forms.

Third Party Personal Injury Claims

Our practice Group has a specialized team to handle third party personal injury cases where fraud is suspected.  Cases involving staged accidents, fabricated injuries and exaggerated damages are vigorously defended.  Emphasis is placed on intensive tailored discovery, a thorough workup of all aspects of the file, and an aggressive trial of the case to establish insurance fraud in the claim.  The Insurance Fraud Prevention Act provides our clients with the opportunity to counterclaim for damages, including the costs of the investigation and attorneys fees, which is pursued when appropriate.

Insurance Fraud Counseling and Compliance

With the mounting pressure on State insurance regulators to reduce insurance fraud, suspected fraud has gained increasing importance in the insurance industry.  Since insurers are required, under the anti-fraud law, to set up specialized insurance fraud units, we have policies and procedures to work in tandem with our clients in these matters.  Our Firm has experience in counseling clients on the impact of anti-kickback and anti-referral laws on healthcare transactions and arrangements, compliance with insurance fraud statutes and defending against State investigations into potential compliance violations.  We develop a partnership with our clients to insure compliance.

Our Group is committed to providing clients high quality legal representation with dedication and excellence, through trial, in the hard hitting arena of insurance fraud litigation.