Tag Archive for: Insurance Fraud

R. vs. S.L. – Insurance Fraud Investigation

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Charge: Fraud Over $5000.

Issue: Given our client’s settlement of the fraud claim by paying funds back on a “without prejudice” basis, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to persuade the investigator to not forward any report for charge assessment. No charges were approved. No criminal record.

R. vs. E.E. and B.L. – Insurance Fraud Investigation

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Charges: Fraud; misrepresentation.

Issue: Whether it was in the public interest to proceed with a criminal investigation and prosecution.

Result: Mr. Gauthier was able to negotiate a civil settlement on our clients’ behalf resulting in an end to the matter. No police investigation. No criminal record.

R. vs. Z.Y. – Healthcare Insurance Fraud Investigation

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Charges: Fraud Under $5000.

Issue: Given the prompt repayment of restitution that we made on our client’s behalf, whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to persuade the investigator to not forward any charges for prosecution. No criminal record.

R. vs. T.X. – Insurance Fraud Investigation.

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Charge: Insurance fraud under $5,000 investigation.

Issue: Whether it was in the public interest to proceed with criminal charges.

Result: Mr. Gauthier was able to negotiate civil repayment and obtained a civil Release, ensuring that the matter would end. No criminal charges.

R. vs. M.P. – ICBC insurance fraud investigation.

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Charge: Insurance fraud.

Issue: Whether it was in the public interest to proceed with a criminal prosecution.

Result: Mr. Gauthier was able to steer our client through the investigation by helping our client rectify the fraudulent information that he had provided to I.C.B.C. No charges approved. No criminal record.

R. vs. R.M. – Insurance fraud investigation

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Charge: Fraud Under $5000.

Issue: Whether there was a public interest in proceeding with the prosecution in this extended health insurance fraud matter.

Result: Mr. Johnson was able to negotite a civil settlement and to persuade the investigator to not pursue a prosecution. No criminal record.