Practice Areas

Insurance Fraud

Atlanta Insurance Fraud Lawyers

Insurance fraud has been around since the inception of insurance, making it one of the better-known white-collar crimes in American law. Therefore, regardless of whether you are confronted with a state or federal charge, it is crucial to treat it with the utmost seriousness.

Although insurance fraud may not result in the same punishment as for violent crimes, being found guilty can still result in a substantial sentence. A conviction can lead to penalties such as fines, imprisonment, and other sanctions.

The Arora Law Firm has extensive experience dealing with fraud charges and white-collar crime accusations. 

If you live in Atlanta, the state of Georgia, or anywhere in the US and you need a serious criminal defense team to back you, give our firm a call.

How can you be charged with Insurance Fraud?

What is Insurance Fraud?

Insurance fraud is the act of utilizing deceitful methods to acquire money from insurance companies. Prosecutors prioritize the prosecution of such fraudulent activities to make a show of force.

Georgia Insurance Fraud Laws

Insurance fraud is predominantly dealt with at the state and local level, via the Georgia Insurance Commissioner’s Office and the Department of Revenue. While health care fraud such as Medicaid fraud is handled by the State, Medicare fraud is a federal crime. According to Title 33 of the Georgia Code, insurance fraud occurs when an individual knowingly or willfully commits certain acts. For example, part of the criminal code defines committing insurance fraud as engaging in any of the following activities:

  • Making or aiding in the making of false or fraudulent or material misrepresentations. 
  • Receiving money for the purpose of purchasing insurance and converting such money for a person’s own benefit;
  • Issuing fake or counterfeit insurance policies, certificates of insurance, insurance identification cards, or insurance binders; or
  • Making a false or fraudulent representation as to the death or disability of a policy or certificate holder in any written statement or certificate for the purpose of fraudulently obtaining money or benefit from an insurer

The crime of insurance fraud is committed by an individual, acting either as an agent, representative or on behalf of an unauthorized insurer, who knowingly and willfully or recklessly engages in the following activities, either directly or indirectly:

  • Soliciting, negotiating, procuring, or effectuating insurance or annuity contracts or renewals thereof;
  • Soliciting, negotiating, procuring, or effectuating any contract relating to benefits or services;
  • Disseminating information as to coverage or rates;
  • Forwarding applications;
  • Delivering policies or contracts;
  • Inspecting or assessing risk;
  • Fixing of rates;
  • Investigating or adjusting claims or losses;
  • Collecting or forwarding of premiums; or
  • In any other manner representing or assisting such an insurer in the transaction of insurance with respect to subjects of insurance resident, located, or to be performed in this state.

Any person who knowingly and willfully with intent to defraud subscribes, makes, or concurs in making any annual or other statement required by law to be filed with the Commissioner containing any material statement which is false commits the crime of insurance fraud.

Fines and Sentences - Insurance Fraud

The severity of penalties for insurance fraud hinges on various factors such as the location and prosecution of the offense, the monetary value implicated, and the defendant’s criminal record. In Georgia, insurance fraud is considered a felony and imposes significant repercussions. If convicted, the defendant may face imprisonment of two to ten years, a fine up to $10,000, restitution to affected parties, and potential civil penalties.

 

If you’re charged or under investigation for insurance fraud, the first thing you need to do is contact a criminal defense attorney. Our attorneys have the experience and results necessary to defend you effectively and protect your rights.

We are committed to providing high-quality legal representation to every client we serve, and we look forward to helping you navigate this difficult time.

Our Practice Areas

Drug Offenses

As soon as you are arrested or discover you are under investigation, the clock is ticking. To ensure the best possible outcome in your drug case, you need to act quickly and hire a criminal defense firm that is experienced, knowledgeable and able to protect your rights during even the toughest litigation.

 

Appeals

When you decide to launch an appeal, every moment is critical. Criminal statutes have strict time limits on appeals, so you need to act quickly and hire an appellate attorney who is experienced, knowledgeable and willing to efficiently and effectively review the entire court order of your case.

Criminal Defense

At Arora Law, we handle all criminal law cases that include DUI charges, drug charges — from small-quantity possession to large-quantity manufacturing — and white collar crimes such as fraud and forgery.

DUI Defense

A conviction for driving under the influence (DUI) becomes part of a permanent criminal record that follows you for the rest of your life. At Arora Law, we understand that serious offenses such as DUI call for serious litigation.

Expungement

When someone is arrested in Georgia the impact could remain long after the case is closed. If a case is not closed out properly, it could lead to issues with employment, housing, financial loans, educational tuition and the like.

White Collar Crime

At Arora Law, our attorneys have the experience and legal expertise in protecting clients’ rights and reputations when they’ve been charged with white-collar offenses. As former prosecutors, we anticipate how the prosecution will build its case, enabling us to build a strong defense against harsh penalties.

Contact Us