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TORONTO’S FRAUD LAWYERS

 

Insurance and Health Benefits Fraud Cases

Insurance fraud, the act of making fraudulent claims for insurance benefits, is an issue that appears in a variety of different forms throughout the Greater Toronto Area and Ontario. These cases can be very complex, making the assistance and counsel of a knowledgeable defence lawyer particularly valuable.

Damien R. Frost, a criminal defence lawyer with more than 30 years of experience, works closely with clients who face accusations of insurance fraud. Before talking to the insurance company about the situation, contact Mr. Frost and his associates to learn about your rights during a free consultation.

Allegations of insurance benefits fraud can have a significant impact on your livelihood, your career, and your family. An allegation of insurance benefits fraud could result in being charged with criminal offences, being terminated from your employment, or being sued by the insurance company.

It may come to your attention that you are being audited or investigated by an insurance company in a number of ways. For example, you may be informed by one of your health practitioners that they have received inquiries about your claims for paramedical, dental, and other services. You may also be contacted by an Investigator from an insurance company by phone, email or in person about your claims. You could also be brought into a HR meeting by your employer and asked to explain the claims in question. 

Insurance fraud may relate to Homeowners insurance polices, car insurance policies, medical insurance plans, including OHIP, and the Ontario Drug Plan.

Internal Insurance Company Investigations

Before insurance fraud matters are turned over to the police, they are often investigated internally by the insurance company. When Toronto insurance fraud defence lawyer Damien R. Frost and his associates are involved early on in the process, they are often able to achieve a resolution to the matter before criminal charges are laid. They work hard to save clients from the stress and financial strain of a criminal case as well as the damage that can result to someone’s reputation and standing in the community from these types of allegations. You should not speak with an insurance investigator or your employer about any health benefits claims at issue before speaking with a lawyer.

Criminal Penalties for Insurance Fraud

A conviction arising from insurance fraud charges can also result in a number of penalties, depending on your previous criminal record. If you have previously been involved in fraud, the chances of incarceration increase. If you have no prior convictions or a compelling personal circumstance, a conviction could result in a lesser fine or other penalty.

Businesses, including health clinics, are often investigated for Insurance Fraud.

This can negatively impact the business, the business owner, its employees and customers. Your business may learn that it is being investigated for insurance fraud from clients whose claims have been audited, or your business may be contacted by an insurance investigator directly.

Insurance fraud investigations against businesses can lead to delisting of services, civil suits, criminal charges, and Professional College Complaints.

Being delisted by an insurance company can be devastating for your business, as the insurance company will no longer reimburse claims for services your business or clinic provides. You should not speak with an insurance investigator without first speaking with a lawyer.

Damien Frost & Associates LLP has represented countless individuals and businesses who are being investigated for insurance fraud. Do not wait until you have been sued, charged with criminal offences, or delisted by an insurance company. Click here to contact Damien Frost & Associates LLP. We will work to ensure the best possible resolution with no surprises along the way.

Contact a Toronto Insurance Fraud Defence Lawyer

To arrange a free initial consultation with Damien R. Frost & Associates, call 416-923-1900 or contact the legal defence firm via email today.

Members of The Criminal Lawyers Association, Toronto Lawyers Association, Ontario Bar Association 
and Advocates' Society.

Additional Articles
  • Ten Things to Know About Insurance Benefits Fraud and Misuse
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    Ten Things to Know About Insurance Benefits Fraud and Misuse. Both employees and employers pay into private health-benefits plans. Just because part of your pay cheque goes into your plan, that does not mean you are entitled to use the benefits uncon...
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  • Employers are Cracking Down on Insurance Benefits Fraud Schemes
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    There have been several high-profile investigations by Toronto employers revealing wide-spread insurance fraud schemes. In 2017, St. Michael’s Hospital fired 31 employees after $200,000 in false insurance benefit claims were discovered. In 2018...
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  • Insurance Benefits Fraud Regulated Health Professionals
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    Hospitals and health care facilities across the province have experienced numerous cases of practitioners misusing workplace benefits plans. As a result, many healthcare practitioners are being terminated from their employment, or are otherwise h...
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REVIEWS

Very Pleased Working with Rebecca

"I have been very pleased working with Rebecca. She worked very efficiently, professionally and cared for every step, as we went through the process with Ontario College of Pharmacists. Initially I thought I would be going through a nightmare ,when I received my paperwork from Ontario College of Pharmacists, but Rebecca made the process seamless and the outcome was positive. Thank-you Rebecca and I would highly recommend your excellent professional service to others."

NP

Very Professional and Helpful

I hired Ms Rebecca Young regarding a legal matter in October 2015. I found her and the firm to be very professional and helpful. The whole process took about one year to resolve. I followed her advice and the outcome was in my favour. I would recommend her for her professionalism, knowledge and pleasant attitude.

I.S.

Pleased with the Outcome

"Daniel, Thank you for your excellent work. I am pleased with the outcome. I didn’t feel ‘prosecuted’ and I believe that is due to your excellent advocacy skills and rapport with the Court."

AF

Very Pleased with Mr. Frost’s Representation

"We were very pleased with Mr. Frost’s representation. He provided us with the best possible legal representation. He was dedicated to obtaining a tremendous resolution in what was complex litigation while being always mindful that we required a cost-effective solution."

BB

Damien Frost & Associates LLP

30 St. Clair Avenue West,
Suite 202, Toronto, ON M4V 3A1

Phone: 416-923-1900

Toll Free Number: 1-800-329-3951

Fax: 1-866-235-6191