Jeffrey G. Rapattoni

Chair, Personal Injury Protection (PIP) Litigation Practice Group
Co-Chair, Fraud/Special Investigation Practice Group
Shareholder

    Jeffrey joined Marshall Dennehey in 2008 and serves as the chair of the firm’s PIP Litigation Practice Group, co-chair of the firm's Fraud/Special Investigation Practice Group and is a member of the Board of Directors. He focuses his practice on insurance fraud, bad faith and SIU related matters working with carriers both in the US and internationally.

    Jeffrey litigates insurance fraud and fraud-related matters throughout the state of New Jersey and many other jurisdictions. He acts as national coordinating counsel to several insurance companies and helps clients develop strategies for defending complex litigation related to medical provider fraud, PIP and other emerging insurance issues. In addition, Jeffrey frequently consults with insurance carriers across the country to help integrate internal analytical platforms, create risk management protocol and conduct fraud-related investigations.

    He has extensive training and background in provider-based investigations, underwriting fraud, policy voidance, and staged accidents. Other practice areas include large loss property claims, coverage, general civil litigation, and appellate practice. He is an experienced mediator and coordinates investigations for companies in the healthcare, insurance, gaming, hospitality and other industries. As part of his practice, Jeffrey has worked with experts in the fields of cause and origin and bad faith as well as local and federal authorities.

    Jeffrey possesses a unique understanding of the value of big data analytics in improving outcomes in the SIU environment. In 2017, Jeff was invited to join the Advisory Board of the BigData@Rutgers certificate program. In this capacity, he provides input on curriculum development to improve the program's offerings and value to the business community.

    He frequently lectures on insurance fraud, bad faith and data analytics topics for a number of local and national insurance organizations. He also provides legal education seminars for clients and organizations across the country.

    After graduating with a Bachelor of Arts degree from Villanova University in 1997, Jeffrey served as a legislative correspondent for United States Senator Arlen Specter in Philadelphia and Washington D.C., where he assisted in drafting legislation and conducting legal investigations. While attending Rutgers Law School, he served as a judicial extern to the Honorable Judge John A. Almeida, J.S.C. Burlington County-Civil Division, where he drafted tentative dispositions of the court and assisted in court-ordered mediation sessions. 

    Significant Representative Matters

    Defeated a bad faith action where plaintiffs sought treble and punitive damages based upon coverage denials.

    Secured a voluntary dismissal regarding a $750,000 fraudulently submitted homeowner's claim.

    Secured a voluntary dismissal with respect to a $375,000 homeowners/bad faith matter in which the insured submitted a fraudulent contents inventory.

    Through the use of medical and forensic accounting experts, Jeffrey has also been successful in collecting on behalf of insurance carrier clients large sums of money improperly paid to fraudulent medical providers.

    Classes/Seminars Taught

    The CAT's Out of the Bag: Insurance Fraud in Catastrophic Losses, CLM Annual Conference, Palm Desert, CA, March 24, 2022

    PI’s in the Field – Pre, During & Post COVID & New Manned/Unmanned Surveillance, Illinois Chapter of IASIU, March 18, 2022

    Charting the Course of Telehealth in the Post-COVID Landscape, ASHRM Webinar Series, April 27, 2021

    Rising Risk and Economic Hardship: Insights on Fighting Fraud in Uncertain Times, CLM Webinar, November 5, 2020

    Fraud Leadership Series: P&C Claims During Covid 19, FRISS Webinar, November 3, 2020

    The Civil and Criminal State of the SIU in 2020, The Ohio Chapter of IASIU, October 27, 2020

    All Hands Meeting- The Criminal State of the SIU in 2020, OIFP | NICB Webinar, October 7, 2020

    National Perspective, Local Impact; New Case Law Impacting the SIU IASIU Webinar, September 14, 2020

    SIU Litigation Trends Panel Discussion, IFM Webinar, May 12, 2020

    CLM COVID-19 Webinar Series: "Stop the Spread...Don't Let COVID-19 Infect You With Insurance Fraud," April 23, 2020

    Medical Investigator's Guide to the Modern SIU Claim, Speaker, New Jersey Special Investigators Association (NJSIA) Annual Conference, Atlantic City, NJ, October 2019

    How the Market is Falling Short on CAT Claims, CLM Southeast Conference, Orlando FL, October 2019

    How to Use Data in Your Advantage – Speaker, FRAUDTalks Conference, Amsterdam, Netherlands, September 24, 2019

    Secrets to Maintaining a Successful Major Case Unit , IASIU, Phoenix, AZ, September 2019

    Clamping Down On Fraud – Panelist, Casualty Actuarial Society Spring Meeting, New Orleans, Louisiana, May, 2019

    SIU’s Management of Brand Protection – Concerns and Consequences, IFM, Coronado, CA, March 2019

    Major Case From A-Z, IASIU 2018 Seminar & Expo on Insurance Fraud, Baltimore, MD, September, 2018

    Major Case From A-Z, Marshall Dennehey Insurance Fraud 360 Seminar, Lafayette Hill, PA, June, 2018

    The Evolving Partnership of Data Analytics and Claims, A.M. Best Webinar, May 3, 2018 (registration is required but no cost to view webinar)

    How Smart Data is Remaking Insurance Claims, A.M. Best Webinar, February 22, 2018 (registration is required but no cost to view webinar)

    Strategic SIU Management and Risk Avoidance – Moderator, 2017 Insurance Fraud Management Conference, Phoenix, AZ, March, 2017

    Insurance Fraud - Staged Accidents: The New Frontier - panel, 2017 CLM Southeast Conference, Atlanta, GA, November, 2017

    Trends and the Future State of SIU – Moderator, 27th Annual NJSIA Anti-Fraud Insurance Training Seminar, Atlantic City, NJ, October, 2017

    Major Case From A-Z, IASIU 2017 Seminar & Expo on Insurance Fraud, New Orleans, LA, September, 2017

    Ethics Roundtable, HB Litigation Northeast Corporate Counsel Forum, Atlantic City, NJ April, 2017

    SIU Management Panel, New Jersey Special Investigators Association (NJSIA) Annual Conference, Atlantic City, NJ, October 2016

    Deposing the Adjuster; Social Media and Big Data, IASIU Annual Seminar and Expo on Insurance Fraud, Red Rock, Nevada, September 2016

    Managing the Risk in SIU Investigations, Panel Moderator, Marshall Dennehey Insurance Fraud 360 Seminar, Lafayette Hill, PA, June, 2016

    Risk Management in SIU,  IFM/ISO- Insurance Fraud Management Conference, Savannah, Georgia, March 2016

    NAMIC Webinar: Contemporary Solutions to Provider and Claimant Medical Fraud, October 27, 2015

    NAMIC Webinar: Provider Fraud Investigations in Personal Injury Protection Claims, October 13, 2015

    NAMIC Webinar: Medical Provider Fraud in Uninsured Motorist/Bodily Injury Claims, October 6, 2015

    Building a Better Medical Major Case, New Jersey Special Investigators Association (NJSIA) Annual Conference, Atlantic City, NJ, October 2015

    SIU Data Analytics: A Sword and Shield for Florida Law, Florida Insurance Fraud Education Committee (FIFEC) 23rd Annual Conference, June 11, 2015

    Avoiding Risk in Managing the Anti-Fraud Function and Tracking the Value-Add of SIU, 2015 Insurance Fraud Management Conference, Coronado, California, March , 2015.

    Dissecting The Staged Loss Claim, Speaker, New Jersey Special Investigators Association (NJSIA) Annual Conference, Atlantic City, NJ, October 2014

    SIU Management Panel - Contemporary SIU Issues, Marshall Dennehey Insurance Fraud 360 Seminar, Lafayette Hill, PA, June 2014

    Managing and Investigating Billing Misrepresentations Under the New PIP Statute, Florida Insurance Fraud Education Committee (FIFEC) 22nd Annual Conference, June 12, 2014.

    Effectively Managing Contemporary Insurance Fraud Issues, National Society of Professional Insurance Investigators’ 2013 Advanced Insurance Fraud Seminar, St. Louis, MO, November, 2013

    Effectively Managing Major Case Investigations of Fraudulent Medical Providers, Speaker, New Jersey Special Investigators Association (NJSIA) Annual Conference, Atlantic City, NJ, October 2013

    Trending Contemporary Medical Fraud, IASIU's 28th Annual Seminar and Expo on Insurance Fraud, Atlanta, GA, September 2013

    "Contemporary Medical Fraud Issues," Marshall Dennehey Insurance Fraud Perspectives Seminar, Cleveland, OH, November 2012

    "Effectively Managing Complex and Emerging Issues," NJSIA 22nd Annual Fraud Seminar, Atlantic City, NJ, October 2012

    "Discussions of Recent Florida Case Law Developments Regarding EUO Methodology and Limitations," FIFEC - Florida Insurance Fraud Education Committee, Orlando, FL, June 2012

    "Effectively Managing Contemporary Provider Fraud Issues," Marshall Dennehey Fraud Seminar - Insurance Fraud Perspectives, Lafayette Hill, PA, June 2012

    "Proper Interaction and the Role of the Public Adjuster During an Arson Investigation,"  ICAC - National Arson Training Seminar, Las Vegas, NV, February, 2012

    "Managing Public Adjuster Issues," IFM - Insurance Fraud Management Conference, Phoenix, AZ, March, 2012

    NJSIA – Anti-Fraud Training Seminar, Acupuncture Fraud and Abuse, October 2011

    2010 NJSIA Auto Theft Investigations; Hail Fraud Claims; Public Adjuster and Homeowner's Fraud, Presenter 

    2010 IASIU Property Loss Fraud, Presenter 

    National Insurance Crime Bureau - 2010 - Hail Storm and Large Loss Property Claims

    Multi-State Auto Theft Investigation Review, 2010 - Combating Insurance Fraud Seminar, Conshohocken, PA 

    2010 IFM General Convention, Point of Sale Fraud, Co-Presenter 

    2010 IAA & ACFE Fraud Convention, Insurance Fraud, Presenter 

    2009 NJSIA SIU Investigations of the Future, Presenter 

    2009 NSPII Medical Provider Fraud, Presenter 

    2009 IASIU Public Adjuster Fraud, Presenter

    2008 IASIU Medical Provider Fraud, Presenter 

    2008 NJSIA Preferred SIU Strategies, Presenter 

    2008 NSPII Point of Sale and Underwriting Fraud, Presenter 

    2007 NJSIA Innocent Third Party Seminar, Presenter 

    2006 NJSIA Policy Voidance Seminar, Presenter 

    2005 NJSIA Public Adjuster Fraud Seminar, Co-Presenter 

    2004 NJSIA Underwriting Fraud Seminar, Co-Presenter 

    Published Works

    "Beyond Bad Faith: Expanding Bad Faith Damages - Fraud Fighting," Journal of Insurance Fraud in America, The Coalition of Insurance Fraud, March 3, 2022

    "Telemedicine Today & the SIU Response", SIU Today, Spring 2021.
    *Also re-published in the December 2021 issue of The NSPII Review, newsletter of the National Society of Professional Insurance Investigators. 

    "How COVID-19 Accelerated Telehealth in 2020," Law360.com, December 17, 2020 

    "Forecasting the Future of SIU Claims in a Post-COVID-19 World," PropertyCasualty360.com, December 15, 2020.
    *Also re-published in the December 2021 issue of The NSPII Review, newsletter of the National Society of Professional Insurance Investigators.  

    "How To Build A Major Case Unit - Advice From Three SIU Leaders," SIU Today, Spring 2019

    "Investigating the Claims Investigation," Claims magazine, November 2016

    "Something Wicked This Way Comes," Defense Digest, Vol. 14, No. 3 

    "On Borrowed Time," Defense Digest, Vol 17, No. 3

    Media Commentary

    The Evolving Partnership of Data Analytics and Claims, A.M. Best Webinar, May 3, 2018 (registration is required but no cost to view webinar)

    How Smart Data is Remaking Insurance Claims, A.M. Best Webinar, February 22, 2018 (registration is required but no cost to view webinar)

    Admissions
    New Jersey
    2002
    U.S. District Court District of New Jersey
    2002
    U.S. Court of Appeals 3rd Circuit
    2004
    Michigan
    2016
    Education
    Rutgers, The State University of New Jersey School of Law-Camden (J.D., 2001)
    Villanova University (B.A., 1997)
    Honors & awards
    Ohio Chapter of International Association of Special Investigators (IASIU) Service Award, 2020
    New Jersey Special Investigators Association (NJSIA) President's Award
    2018
    Advisory Board Member, BigData@Rutgers Certificate Program
    2017
    National Insurance Crime Bureau, Certificate of Appreciation
    2010
    New Jersey Special Investigators Association President's Award
    2009
    Counsel, Ohio Chapter of International Association of Special Investigators (IASIU)
    Associations & memberships
    Burlington County Bar Association
    Camden County Bar Association
    Claims and Litigation Management Alliance, Board Member and Secretary, South Jersey Chapter
    Claims and Litigation Management Alliance, Insurance Fraud Committee Member
    International Association of Special Investigators (IASIU)
    National Society of Professional Insurance Investigators (NSPII)
    New Jersey Insurance Defense Committee
    New Jersey Special Investigators Association (NJSIA)
    New Jersey State Bar Association
    South Jersey Claims Association
    Legal Affairs Committee of the Coalition Against Insurance Fraud, Member
    Year joined
    2008