Gianelli & Morris’ Post

Safeguard your accident benefits. When it come to accident benefits fraud, financial organized crime networks will seek to maximized payouts without providing adequate care or ensuring enough funds are left for continued care. Unfortunately, this includes those with a duty to act with integrity, such as healthcare clinic owners, registered healthcare practitioners, lawyers and more. This checklist is designed to help keep track of accident benefits and protect against fraudulent billing. https://lnkd.in/gS2T9_4A #ScamsLeaveScars #insurancecrime #Collaboration #insurancefraud #insurancebrokers Insurance Brokers Association of Ontario Registered Insurance Brokers of Ontario (RIBO) Financial Services Regulatory Authority of Ontario (FSRA)

Did you know? The healthcare industry is also very susceptible to insurance fraud! Many fraudulent acts include billing services not provided and billing for expensive services with even higher rates. Double billing is also common insurance fraud in the healthcare industry. Have more insights in our blog: https://lnkd.in/gjyWKvcj #InsuranceFraud #HealthcareFraud #FraudPrevention #HealthcareIndustry #InsuranceAwareness

Long COVID claims tallied in California About 15% of COVID-19 claims with medical payments involved treatment for long COVID symptoms, the Workers’ Compensation Insurance Rating Bureau of California reported. More than one in seven COVID-19 claims filed between April 2020 and July 2021 also included treatment for long COVID over a 30-month, post-acute care period. The WCIRB also said 5% of all COVID-19 claims filed during that period, including indemnity-only claims, were estimated to involve long COVID. About 40% of COVID-19 claims that required hospitalization involved long COVID. Those claims also involved higher indemnity and medical losses than other COVID-19 claims, mostly as a result of the higher share of permanent disability claims, the WCIRB said.

🚨 Navigating Insurance Bad Faith Cases in Wisconsin 🚨 Dealing with insurance can be challenging, especially when encountering bad faith practices. In Wisconsin, policyholders often face issues like: ➡️Unjust refusal to pay a claim as per the policy terms ➡️Unreasonable delays in processing claims ➡️Demands for excessive paperwork or reports ➡️Making only partial payments or unjustly canceling coverage post-claim ➡️Insufficient efforts in investigating claims ➡️Intimidation or threats against policyholders ➡️Unwillingness to make fair settlement offers ➡️Denial of health coverage following a medical diagnosis Such practices breach the trust between the insurer and the insured and violate your rights. If you're facing any of these challenges, standing up for your rights is crucial. Our team is here to help you navigate through these complex situations, ensuring that insurance companies honor their commitments and treat you fairly. 🔍💼 Remember, you deserve transparent, fair, and responsive handling of your insurance claims. Don't settle for less! #InsuranceJustice #BadFaithInsurance #WisconsinLaw #StandUpForYourRights

Dealing with a denied insurance claim? You don’t have to navigate the appeals process alone. Our experts will work with you to understand why your claim was denied and how to challenge it effectively. Don’t give up on your benefits—let us advocate for your rights. Contact us today for a consultation and get the support you need to win your claim.  📞1-470-222-5720 🌐hicagllc.com ✉️info@hicagllc.com #HealthInsuranceConsulting #HealthcareConsulting #InsuranceHelp #InsuranceAdvice #HealthAdvice #HealthPolicy #HealthcarePolicy #HealthcareConsultant #InsuranceConsulting #HealthcareNavigation #PatientRights #InsuranceBenefitsAssistance #HealthAdvocacy

What happens when beneficiaries of life insurance policies are also persons of interest in criminal investigations? Our latest insurance article explores how insurers need to consider the impact of South Africa’s crime rates on risk assessment and policy wording to safeguard against paying out in cases where there is a suspicion of foul play against a claimant.

Know your rights! 🔔 The insurance ombudsman’s award is binding on the insurer and must be complied with within 30 days. Recognizing that many customers still don't receive resolutions even after winning at the ombudsman level, new guidelines have been introduced. It’s crucial to know that if a company fails to comply with the award within the stipulated 30 days, it is liable to pay a penalty of Rs 5,000 per day. Therefore, if you encounter such issues, be sure to write to your insurer and ask the penalty! #policyholder #insurance #health #ombudsman #claimrejection #misselling #fraud #polifyx

MICRO INSURERS (LONG TERM): EXEMPTION NOTICE ISSUED https://lnkd.in/dMgx3f6k #insuranceindustry #southafrica #micro #insurers #longterm #policy #protection #rules #exemption

As reported, * Centrelink (Services Australia) agrees to process claims within "the agreed timeliness standard", but well over 75 per cent of some types of claim fall outside this period, according to data from #ServicesAustralia tabled at Senate estimates this week. * #ServicesAustralia has not given a further explanation of exactly what the agreed timeliness standard is, although data tabled at Senate estimates showed that only 43 per cent of total claims were processed within the standards in the first four months of this year. * Looking over to the National Disability Insurance Agency and we also know from its reporting that only 1 of 10 Participant Service Guarantee measures met the legislated timeframes in the first three months of 2024 * As they say, compare the pair, same bureaucratic accountability, same #MinisterShorten, same failures to citizen outcomes #TruthtoPower Marie J. Mark Toomey Renee F. Graham Taylor https://lnkd.in/gx823bgP