An Oklahoma insurance fraud attorney defends individuals accused of defrauding an insurance company by developing a defense strategy that challenges allegations of intentional deception, misrepresentation, or fraudulent claims. An insurance fraud lawyer protects the rights of their clients by ensuring the prosecution meets its burden of proof and advocating for their client through the entire criminal process including investigation, negotiation, and litigation. The criminal attorneys at Phillips & Associates have a strong record of success in representing clients facing charges of fraud and helping them receive the best possible outcome in their case.

Insurance fraud involves someone intentionally lying, exaggerating, or using false information in order to receive benefits from an insurance company that are not legitimately entitled to receive. Insurance fraud can be charged as a misdemeanor or felony depending on the amounts of money involved. Penalties for insurance fraud in Oklahoma include fines, restitution, and jail time.

What Types of Insurance Fraud Charges do We Defend?

The defense attorneys at Phillips & Associates defend clients on a wide range of insurance fraud charges including worker's compensation, provider, agent or broker, healthcare, life insurance, and disability insurance fraud. The types of insurance fraud charges we defend are listed below.

• Workers Compensation Fraud: involves false or exaggerated claims related to injuries that occur in the workplace such as faking an injury or exaggerating the level of harm to get benefits.
• Provider Fraud: occurs when a medical provider, such as a doctor, submits false or inflated billing, including charging for services that were never performed to receive a larger reimbursement from an insurance company.
• Agent or Broker Fraud: involves an insurance professional such as a broker deceiving clients or insurers, including misrepresenting the terms of a policy, skimming premiums, or issuing completely fake coverage.
• Healthcare Insurance Fraud: involves submitting false medical claims, engaging in "phantom billing", or upcoding services in order to receive improper payments from insurers or government healthcare programs such as Medicaid or Medicare.
• Life Insurance Fraud: involves deceptive practices related to life insurance policies, such as falsifying information on an application, staging death claims, or concealing important and relevant facts.
• Disability Insurance Fraud: occurs when someone falsely claims or exaggerates a disability in order to get benefits, or continues to collect disability payments when they are capable of working.

Those charged with insurance fraud should contact a defense attorney at Phillips & Associates of Oklahoma City before talking to anyone else. Contact our Oklahoma fraud attorneys at (405)-418-8888 for a free consultation regarding your insurance fraud charges.

What is Insurance Fraud?

Insurance fraud is an intentional act of deception in which a person or entity uses misrepresentation, concealment, or false documentation to obtain money, benefits, or other value from an insurer. Insurance fraud takes place when a policyholder or third party submits a fraudulent claim, inflates or exaggerates a legitimate loss, or makes up a story in order to receive indemnity payments in excess of what is covered under their insurance policy.

What Are Examples of Insurance Fraud?

Medicaid fraud accusations may include elder abuse and present in a variety of ways, including:

• Billing for more expensive treatments or services that those provided
• Private financial arrangements for provider pay in exchange for billing
• Billing for hours and/or services not provided
• Double billing multiple insurance companies for the same service or procedure
• Billing for services that prove medically unnecessary

While billing errors may easily occur, they may be tried in a federal court. Depending on the severity of your allegations and how they are handled, you may be facing felony charges. You need an experienced white collar crime lawyer to fight for the best outcome possible.

What Are the Penalties for Insurance Fraud in Oklahoma?

The penalties for a conviction on charges of insurance fraud in Oklahoma include both criminal and civil penalties. Criminal penalties include jail time and substantial fines. Felony insurance fraud is punishable by up to ten (10) years in prison and a fine of $5,000. Misdemeanor insurance fraud is punished by up to one (1) year in county jail and a $500 fine. Courts may also require the defendant to pay restitution to the insurer for any losses they incurred. The defendant can also face civil liability should the insurance company decide to pursue it.

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