iFraud Deep Dive

iFraud Foundation
  • ٥٫٠ (١)
  • الأعمال

Welcome to iFraud Deep Dive, an official podcast series of the iFraud Foundation — where we tackle the toughest issues facing the property and casualty industry in the fight against fraud. Each episode features in-depth conversations breaking down complex issues into easily consumable information that we can all understand.  We explore the fraud landscape, expose emerging threats, and highlight actionable solutions. From staged accidents and collusive networks to litigation abuse and regulatory gaps, we go beyond the headlines to bring you the insights that matter. Whether you’re a carrier, broker, employer, attorney, or regulator, if you’re committed to protecting the integrity of our industry then this podcast is for you. Subscribe now and join us in building a smarter, stronger, fraud-resilient future.

  1. قبل يوم واحد

    S2 E18 The Spinal Surgery Bait and Switch

    On this episode of the Deep Dive… What happens when the plaintiff’s own medical expert becomes the focal point of a fraud investigation? In this episode, we unpack a explosive legal motion in which the defense seeks permission to introduce evidence of what it describes as a systemic fraudulent billing scheme tied to the plaintiff’s expert witness, Dr. Sebastian Lattuga. According to court filings, the defense alleges that Dr. Lattuga and his practice, New York Spine Specialist, performed medically unnecessary spinal surgeries, inflated charges far beyond New York’s No-Fault fee schedules, and used questionable financial mechanisms — including alleged improper benefit revocations and private lien agreements — to extract excessive payments and high-interest returns from personal injury claimants. At the heart of the motion is a strategic legal question: Should the jury hear about these alleged prior bad acts to evaluate the doctor’s credibility and potential financial motive? The defense argues that this isn’t just about treatment decisions — it’s about bias, profit, and whether expert testimony is being shaped by financial incentives tied to litigation outcomes. If permitted, the cross-examination could fundamentally shift the trajectory of the case — transforming what appears to be a standard injury claim into a broader examination of litigation-driven medicine, fee schedule manipulation, and the intersection of medical testimony and alleged insurance fraud. This isn’t just a fight over one surgery. It’s a fight over credibility, motive, and the integrity of expert evidence in high-stakes personal injury litigation. Let’s dive in. Support the show

    ١٧ من الدقائق

  2. قبل يومين

    S2 E17 Lawyers Accused of Manufacturing Spinal Surgeries

    This episode of the Deep Dive discusses a newly filed complaint in the Supreme Court of the State of New York that alleges a sweeping, coordinated insurance fraud scheme involving the Subin law firms and a network of medical providers. At the center of the lawsuit, brought by New York Marine & General Insurance Company, is what the plaintiff describes as a calculated “blueprint” — a repeatable model designed to steer claimants toward unnecessary spinal surgeries, manipulate medical narratives, and artificially inflate the value of personal injury settlements. The complaint goes further, alleging falsified medical documentation, collusive litigation tactics, and the exploitation of a mentally ill claimant who underwent surgery despite conflicting medical evidence and prior hospital clearances. According to the filing, this was not an isolated incident but part of a broader pattern of systemic abuse. The insurer is seeking treble damages and punitive awards under Judiciary Law § 487 and General Business Law § 349, arguing that the conduct represents chronic deceit that undermines both the legal system and the integrity of the claims process. In this episode, we break down the allegations, the legal strategy behind pursuing attorneys personally, and what this case could mean for fraud enforcement, litigation abuse, and accountability within New York’s personal injury ecosystem. Let's Dive In! Support the show

    ١٩ من الدقائق

  3. ٦ فبراير

    S2 E16 Caught Dancing While Claiming Disability

    Right from the press, this episode of The Deep Dive breaks down a stunning Newsday investigation uncovering a sophisticated insurance fraud network operating across Long Island. The report details an alleged web of staged car accidents and slip-and-fall schemes involving dozens of doctors, law firms, and recruited participants, designed to generate millions of dollars in fraudulent insurance billings. Legal filings point to unnecessary and unwarranted medical procedures, including surgeries performed at select facilities, used to artificially inflate personal injury claims. Even more damning, investigators cite social media footage showing claimants engaging in strenuous physical activity while simultaneously claiming total disability. Authorities say the case highlights coordinated racketeering efforts that exploit both the legal and healthcare systems, costs that ultimately land on the backs of honest policyholders. This is not an isolated incident...it’s a pattern. And today, we’re taking a closer look.  Let's Dive In! Support the show

    ١٨ من الدقائق

  4. ٥ فبراير

    S2 E15 Liakas Law In City Hall

    They say that art imitates life, but really it seems lately that life is imitating art in the form of a Grisham novel.  This episode of the Deep Dive we are discussing Ali Najmi, a prominent attorney and close associate of Mayor Zohran Mamdani.  He is facing scrutiny over his dual roles in New York City’s government and a private legal practice. While serving as the head of the committee responsible for selecting local judges, Najmi also acts as a "special adviser" to Liakas Law, a firm currently battling a federal lawsuit for allegedly orchestrating massive insurance fraud. Ethics experts warn that this arrangement mirrors the corruption of former official Sheldon Silver, suggesting that Najmi could potentially influence the bench to benefit his firm's legal interests.  Critics are particularly concerned because the firm frequently sues the city, creating significant conflicts of interest for a top mayoral aide. Despite the firm’s denial of the fraud allegations, observers worry that the administration is allowing private legal actors to exert undue control over the judicial appointment process. Grab your popcorn and let's dive in. Support the show

    ١٥ من الدقائق

  5. ٤ فبراير

    S2 E14 Unnecessary Spinal Surgery & The Subin Blueprint

    This episode of the Deep Dive we're discussing  a third-party complaint filed by 4640 Broadway LLC against a group of medical providers and clinics. The filing alleges a sophisticated insurance fraud scheme involving staged or exaggerated accidents and medically unnecessary spinal surgeries.  What's interesting is the indication that central to the claim is the "Subin Blueprint," a purported collaboration between a law firm and doctors to maximize legal settlements through high-cost, preplanned treatments. The defendants are accused of fraud, kickbacks, and deceptive business practices that exploit vulnerable patients for financial gain. Furthermore, the complaint highlights specific instances where patients received invasive procedures despite contradictory medical imaging or severe mental health concerns. Ultimately, the property owner seeks indemnification and damages, arguing that the underlying personal injury lawsuit is a product of manufactured evidence. Let's Dive In! Support the show

    ٢٠ من الدقائق

  6. ٢ فبراير

    S2 E13 The Fraud Behind Your $4K Auto Insurance

    This Deep Dive discusses and op-ed by Tom Stebbins, Executive Director of the Lawsuit Reform Alliance of NY.   Discussing the reform which Governor Kathy Hochul is spearheading, it is a comprehensive legislative agenda to lower auto insurance premiums by targeting systemic legal and criminal fraud. The state currently faces insurance costs far above the national average due to staged collisions and a no-fault system that incentivizes unnecessary litigation and medical inflation. The proposed reforms aim to tighten injury definitions and limit payouts for bad actors, mirroring successful measures that recently reduced rates in Florida. Additionally, advocates are calling for increased transparency regarding third-party lawsuit funding to expose the financial incentives behind coordinated fraud rings. Ultimately, these measures seek to prioritize financial relief for families over the profits of personal injury attorneys who benefit from the status quo. Let's Dive In! Support the show

    ١٦ من الدقائق

  7. ٢٩ يناير

    S2 E12 The Law Firm Monetizing Human Bodies GNY v Subin

    This Deep Dive discusses the incredible legal complaint filed by Greater New York Mutual Insurance Company (GNY) against an extensive network of defendants for allegedly orchestrating a massive insurance fraud scheme. GNY claims that Subin Associates and other law firms collaborated with medical providers, litigation funders, and "runners" to recruit claimants for staged or exaggerated accidents. These claimants were reportedly directed to undergo medically unnecessary surgeries and invasive treatments solely to artificially inflate the value of personal injury and workers' compensation lawsuits. The lawsuit alleges that these parties functioned as a racketeering enterprise that utilized mail and wire fraud to extort settlements from insurers. GNY seeks to dismantle this operation, citing violations of the RICO Act and state laws regarding insurance fraud and deceptive business practices. Based on the detailed accounts of multiple "exemplar" claimants, the plaintiff argues that this coordinated misconduct undermines the legal system and increases insurance costs for the general public. Let's Dive In! Support the show

    ١٧ من الدقائق

  8. ٢٧ يناير

    S2 E11 GNY Enters The Ring: RICO v Liakas

    Buckle up for this episode of the Deep Dive as Greater NY Insurance (GNY) enters the RICO battle!  We'll be discussing the complaint filed by the Greater New York Mutual Insurance Company which details an extensive racketeering and fraud scheme involving staged accidents and falsified medical claims. GNY alleges that a network of law firms, medical providers, and "runners" collaborated to recruit claimants and perform unnecessary surgeries to inflate settlement values. According to the suit, these participants utilized fraudulent documentation and predatory practices that directly contradict the insurance company’s founding principles of fairness and protection. The lawsuit identifies specific "wheels" of activity where recruiters organized fake trip-and-fall incidents, primarily targeting vulnerable immigrant populations.   Let's Dive In! Support the show

    ١٦ من الدقائق
مشاهدة الكل (٧٥)

حول

Welcome to iFraud Deep Dive, an official podcast series of the iFraud Foundation — where we tackle the toughest issues facing the property and casualty industry in the fight against fraud. Each episode features in-depth conversations breaking down complex issues into easily consumable information that we can all understand.  We explore the fraud landscape, expose emerging threats, and highlight actionable solutions. From staged accidents and collusive networks to litigation abuse and regulatory gaps, we go beyond the headlines to bring you the insights that matter. Whether you’re a carrier, broker, employer, attorney, or regulator, if you’re committed to protecting the integrity of our industry then this podcast is for you. Subscribe now and join us in building a smarter, stronger, fraud-resilient future.

المعلومات

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    iFraud Foundation
  • سنوات النشاط
    ٢٠٢٥ - ٢٠٢٦
  • الحلقات
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  • التقييم
    فاضح
  • حقوق النشر
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  • موقع البرنامج على الويب
    iFraud Deep Dive