Claims fraud is an insurance scam that involves fabricating a murder or death in order to obtain money.
What is insurance fraudulent activity?
- Fraud happens when someone willfully makes a false statement to acquire a benefit or advantage to which they are not otherwise entitled or when someone willfully withholds a benefit to which they are legally entitled.
- The suspect intended to commit fraud. A crime with "particular" intent is insurance fraud. This means that a prosecutor must demonstrate that the defendant deliberately committed a fraudulent act. A task is finished. It suffices to only make a false statement to an insurer knowing it to be untrue.
- Both the action and the intention must match. It is not illegal to have one without the other. As long as the suspect has committed an act and had the intent to conduct the offense, actual financial loss is not required.
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