On the Pulse…Our Fraud/Special Investigation Practice Group

Defense Digest, Vol. 24, No. 2, June 2018

By James H. Cole, Esq.

In response to the high demand for aggressive trial attorneys to prosecute insurance fraud, Marshall Dennehey Warner Coleman & Goggin continues to expand its Fraud/Special Investigation Practice Group’s national footprint.  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 various states, including but not limited to Pennsylvania, New Jersey, Delaware, Ohio, Florida and New York.

 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 affirmative litigation and collect judgments against perpetrators of insurance fraud including insureds, medical providers, contractors and anyone else adverse to the insurance industry.

We have considerable experience with cases in various jurisdictions involving:

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


We enable our clients to incorporate our 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. The group is also well versed in the use and understating of data as it applies to the claim space so that we are able to enhance our work product in the fraud environment.

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.

*Jim is the Co-Chair of our Fraud/Special Investigation Practice Group and a shareholder in our Philadelphia, Pennsylvania office. He can be reached at 215.575.2635 or jhcole@mdwcg.com.



Defense Digest, Vol. 24, No. 2, June 2018. 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 advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2018 Marshall Dennehey Warner Coleman & Goggin. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.