Insurance Fraud is the fraudulent act of defrauding insurance money by making a false offer or intentionally causing an accident in order to qualify for receiving insurance money.
There is no official charge of insurance fraud, but it is an act that may amount to “fraud” under Article 246 of the Penal Code, and if found guilty of the same crime, he will be punished with a prison term of up to 10 years.
In addition, there are many cases where the amount of damage caused by insurance fraud is high, and if the amount of damage is large, the first offender may be sentenced to imprisonment and imprisonment.
In this article, what is insurance fraud, and what happens when you get caught? We will also tell you what to do about it.
For those whose family members or themselves have been involved in insurance fraud
If you are complicit in an act that constitutes fraud, you can be arrested and convicted.
Fraud is punishable by up to 10 years in prison if convicted.
If your family has committed fraud, we recommend that you consult a lawyer.
Effectively hiring a lawyer can help you:
Settlement negotiations with victims
Show remorse by sending a letter of remorse or penance
accompany you when you go
Tips for getting an interview, etc.
The sooner you consult a lawyer, the greater the likelihood that the problem will be resolved.
There are many law firms that offer free initial consultations, so don’t hesitate to contact us.
Fraud Insurance Can Be Fraud | What are the requirements for proof of fraud?
As mentioned at the beginning, insurance fraud is the act of intentionally causing an accident or making a false offer to defraud insurance funds, and can amount to fraud.
To constitute a charge of fraud, the following four elements must be present:
- deception
- Mistake
- delivery law
- Transfer of ownership
Fraud is a crime even if attempted, so the crime is proven when there is an act of deception in 1. For example, if you make a false statement, such as that there was an insured accident, even if the insurance company did not pay out the insurance money in the end because it was a fraudulent claim, it would be a criminal matter like a felony. There is a possibility.
Jim | Lying to deceive the victim
Fraud simply means deceiving the victim with the aim of handing over money etc. Insurance fraud is the act of making a false claim to receive insurance money.
In the case of insurance fraud, the victim is the insurance company or entity paying the claim.
As stated above, attempted fraud is proven at the time the deception was committed.
False (Sakugo)|The other party is deceived
It is the misconception that an insured event occurred because an insurance company received a false claim.
This occurs when the insurance company pays the claim based on a false belief that there was an insured event that did not actually exist.
Transfer of ownership | Transfer of insurance money to the offender or a third party
The crime of completed fraud occurs when the insurance company pays the claim.
Insurance scams
So what exactly is insurance fraud? Insurance fraud methods can be broadly divided into two models as follows.
The insured event is a hoax
The amount of loss due to a fabricated or excessive insured event.
Manufacture of an insured event
A typical example of insurance fraud is making an insurance claim assuming the insured event did not occur in the first place.
Insurance claims are paid for accidents that occur accidentally, and insurance claims are not paid for accidents caused intentionally.
Therefore, claiming insurance funds by deliberately pretending that an accident happened as if it happened by accident is insurance fraud.
For example, acquaintances team up to cause an accident and buy Car Insurance.
simulating losses, etc.
The above is an act of falsification of the insured event itself, but it is an act of falsification of the damage caused by the insured event.
Insurance claims are usually paid for damage caused by an insured event. For this reason, excessively simulating loss or damage (presence or absence, degree of injury, etc.)