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The Subjectivity of Insurance Fraud Charges

Insurance fraud charges are hard to prove for several reasons, but the main reason stems from the fact that fraud charges can be subjective in nature. To prove this point, let’s look at some potentially subjective circumstances surrounding common fraud charges.

Is Someone Really Faking an Injury?

Some insurance investigators use pictures or videos of people “working” to “prove” that they lied about injuries and thus, fraudulently collected insurance payouts. Someone’s given information about a car accident can cause many problems and open potential criminal investigations for fraud. However, everyone has experience dealing with injuries that are hot and cold.

One day the injury makes it seemingly impossible to get work done, and the next day it feels fine. Therefore, while a photo of someone doing work when they say they are injured may seem bad, it could just be one of the good days.

Another example of the subjectivity of insurance fraud charges: the cost of damages.

Cost of Damages

Some insurance fraud investigators try to nail people for claiming the price of a lost item as too high, but as we all know, the price of an item is worth what someone is willing to pay for it, and this makes prices highly subjective.

For example, you could go to a brick-and-mortar store and find items that are twice the price of the same item online (and vice-versa). Therefore, what a fraud investigator sees as fraud may actually be a misunderstanding concerning the true value of losses or damages.

What’s more, even an improper report could lead to fraud charges. If a person reports an inaccurate time or date for an auto accident, it doesn’t mean they intended to defraud the insurance company. Often an honest mistake can look like intentional misconduct when, in actuality, it’s a simple error.

Need Help Defending Your Fraud Case?

If you or a loved one is facing fraud charges and need award-winning criminal defense, the Law Office of George Gedulin is here to help. Our firm has defended clients accused of massive fraud cases, which means we have experience obtaining justice in the face of seemingly insurmountable odds.

Call (858) 281-4605 now for a free consultation for your case.