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    Fraud from inside and outside the courtroom - at adjustercom.net

  • PL: 18
  • PL: 18
  • PL: 18
  • PL: 18
  • PL: 18
  • PL: 18
  • When the fraud report comes from within.  It was Louis Santillan, Dr. Sim Hoffman’s collector, who reported Hoffman for claims fraud to the Department of Insurance and the Division of Workers’ Compensation.  

    It wasn’t a case that primarily came out of a Special Investigations Unit (SIU) at an insurance carrier or a third-party administrator (TPA).  It wasn’t like that, for example, where a workers’ compensation adjuster came to a company investigator and said, “Look at this claim,” and that carried the day with more claims streaming forward… Read More

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