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Fraud/Special Investigation

In response to the high demand for aggressive trial attorneys to defend against insurance fraud, Marshall Dennehey Warner Coleman & Goggin has significantly expanded its Fraud/Special Investigation Practice Group.
 
Insurance fraud is, understandably, no longer tolerated or in any way compromised by insurance companies and self-insureds. We work very closely with our clients in furtherance of that philosophy through relentless investigation, aggressive defense and prosecution in response to false and inflated insurance claims.
 
Our members supplement their litigation experience with up-to-date knowledge of the current trends in insurance fraud detection and prosecution areas by regularly attending and participating in seminars given by such educational agencies as the National Insurance Crime Bureau, International Association of Special Investigation Units and Certified Fraud Examiners. In addition, they also attend numerous local conferences and association meetings throughout Pennsylvania, New Jersey, Delaware, Ohio, Florida and New York.
 
Aggressive Fraud Defense
 
As a part of an overall aggressive fraud defense, the members of the Fraud/Special Investigation Practice Group believe that the "best defense is a good offense." Our trial attorneys are quite experienced in the investigation, defense and affirmative prosecution of fraudulent claims. The scope of their practice is focused on the individual claimant as well as organized groups or "rings." We routinely file suits and collect judgments against perpetrators of insurance fraud including both insureds and medical providers.
 
We have considerable experience with cases involving:

  • Medical provider fraud
  • Claimant fraud
  • Insurance claim inflation
  • Staged accidents
  • Application/rate evasion fraud
  • Workers' compensation fraud
  • Vehicle "give ups"
  • Suspicious jewelry losses and arsons

 
We maintain a centralized "fraud library" of fraud scams, investigations and perpetrators. Dissemination of this information to the group members, as well as a constant dialogue between attorneys, allows them to immediately incorporate current law and recent events in the fraud industry into defense strategies. We, in turn, enable our clients to incorporate this knowledge and experience into investigations by providing them with updates concerning recent developments in the industry. Our clients greatly appreciate the fact that we collaborate with them in the course of investigations in order to coordinate efforts and ensure that the goals of fighting fraud are met.
 
We would welcome the opportunity to work with you in vigorously defending against insurance fraud claims. Members of our practice group are also available to give presentations at your location or in one of our offices.

Jun 20, 2011
Attorneys obtained a defense verdict in a binding fire loss arbitration. Plaintiff claimed water damage resulting from three fires that occurred at our clients' investment property. Plaintiff occupied the home adjacent to our clients' rental...
Mar 1, 2010
Attorney was involved in the initiation of a Fraud investigation eventually resulting in the recent arrest of a local chiropractor, and 15 others . The fraudulent operation stemmed from phony treatment by the chiropractor and staged accidents. While...
Mar 23, 2009
Attorney was able to get Plaintiff's sole claim against our attorney client dismissed by way of Preliminary Objections filed in the Philadelphia County Court of Common Pleas. In this case, the Plaintiff brought a fraud claim against our client,...
Jul 7, 2008
Attorney obtained a voluntary withdraw on behalf of defendant insurance company on a fraudulent homeowner claim. The claim involved water and structural damages to the insured's home subsequent to a hail storm. The insured retained a public...
Jul 7, 2008
Attorney obtained a voluntary withdraw on behalf of defendant insurance company on a residency fraud claim. The claim involved PIP benefits for a seriously injured plaintiff who needed shoulder surgery. The insured's attorney voluntarily withdrew...

Pages

Articles September 3, 2015
Defense Digest Article March 1, 2015
Key Points: The increase in partnerships between chiropractors and acupuncturists throughout the country has led to increased PIP payouts and monetary effects on third-party litigation. An understanding of the common forms of acupuncture..., Defense Digest, Vol. 21, No. 1, March 2015 Defense Digest is prepared by Marshall Dennehey Warner Coleman & Goggin to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal...
Defense Digest Article December 17, 2013
By Nicholas D. Bowers, Esq.* Key Points: Where a civil plaintiff files for federal bankruptcy protection after the cause of action arose (date of loss), that plaintiff must disclose the civil case as an “asset” in his/her..., Defense Digest, Vol. 19, No. 4, December 2013 Defense Digest is prepared by Marshall Dennehey Warner Coleman & Goggin to provide information on recent legal developments of interest to our readers. This publication is not intended to provide...
Law Alerts October 18, 2013
The Supreme Court of Florida considered the certified question from the 11th Circuit Court of Appeals of “[w]hether, under FLA. STAT. § 627.736 [2008], an insurer can require an insured to attend an [examination under oath] as a condition..., Case Law Alerts, 4th Quarter 2013
Law Alerts October 18, 2013
The New Jersey Superior Court, Appellate Division, considered whether a New Jersey Superior Court judge could appropriately remand an appeal of a Forthright/National Arbitration Forum (Forthright) arbitration back to Forthright for further findings..., Case Law Alerts, 4th Quarter 2013

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March 20, 2015
Marshall Dennehey Warner Coleman & Goggin announced today that Harold L. Moroknek has joined the firm's Westchester County office as a shareholder in the Casualty Department. Experienced in a wide array of complex casualty liability matters, Mr. Moroknek primarily focuses his practice in the...
December 8, 2014
Jeffrey Rapattoni, shareholder in Marshall Dennehey's Cherry Hill office, was recently elected a board member of the National Society of Professional Insurance Investigators (NSPII). The organization is devoted to the identification, investigation and prevention of insurance fraud. Mr. Rapattoni...
May 16, 2014
The Casualty Department of Marshall Dennehey Warner Coleman & Goggin will hold a complimentary seminar, "Insurance Fraud 360," on Thursday, June 5, 2014, from 11:30 a.m. – 4:30 p.m. at the ACE Conference Center in Lafayette Hill. Designed for insurance fraud professionals, SIU investigators and...
Conference Nov 14, 2012
Join our distinguished panel for lunch and a discussion on issues relating to fraud.  
Seminar Nov 11, 2013
The 2013 Advanced Insurance Fraud Seminar will be held on November 11-12, 2013 at the Hilton St. Louis at the Ballpark, 1 South Broadway, St. Louis, MO.  Attorneys Jeffrey G. Rapattoni and Beau D. Hollowell will speak...
Conference Apr 27, 2015
The Pennsylvania Insurance Fraud Prevention Authority (IFPA), Delaware Valley and Greater Pittsburgh Chapters of the International Association of Special Investigation Units (IASIU) will host the 2015 Pennsylvania Insurance Fraud Conference on April...
Conference Jun 10, 2015
SIU Data Analytics: Sword and Shield for Florida Law Complex technology and analytics tools can significantly enhance organizational capabilities and effectiveness, especially in the investigation of staged accident fraud. With the relative newness...
Oct 6, 2015
Jeffrey Rapattoni, co-chair of the Fraud/Special Investigation Practice Group in the Cherry Hill office of Marshall Dennehey Warner Coleman & Goggin, has partnered with the National Association of Mutual Insurance Companies (NAMIC) to present a...
Conference Apr 7, 2016
Pennsylvania’s 2016 Insurance Fraud Conference, jointly hosted by the Pennsylvania Insurance Fraud Prevention Authority and the Delaware Valley and Greater Pittsburgh Chapters of the International Association of Special Investigation Units,...
Conference Apr 17, 2016
PLRB Claims Conference & Insurance Services Expo - the industry's largest and diverse educational conference. The claims conference delivers resources to improve job performance with nearly 100 educational classes, more than 50 percent new...
Seminar Jun 2, 2016
Join the attorneys of Marshall Dennehey for a discussion and in-depth look at trending topics in Fraud and SIU. Don't miss the panel discussion on emerging trends in fraud with insight from members of the insurance industry. Guest Speaker:...
Conference Nov 2, 2017
Jeffrey G. Rapattoni, a shareholder in the Casualty Department, is speaking on a panel at the 2017 CLM Southeast Conference on the topic -  Staged Accidents: The New Frontier. CLM Southeast Conference offers sessions in six tracks -...

Chair

James H. Cole
Chair, Property Litigation Practice Group
(215) 575-2635
jhcole@mdwcg.com

Co-Chair

Jeffrey G. Rapattoni
Co-Chair, Fraud/Special Investigation Practice Group
(856) 414-6076
jgrapattoni@mdwcg.com

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