Insurance Fraud in Construction Claims

Описание: Fraud in Construction Claims: Navigating New York Labor Law and RICO Lawsuits
Learn how to identify, address, and expose fraud in construction claims with this expert-led recording from MSO, Inc.’s 2025 Virtual Education Seminars. In this session, John Anello, a Partner at Callahan & Fusco, LLC, provides an in-depth analysis of the fraudulent landscape surrounding New York construction litigation. Attorney Anello brings extensive experience in insurance defense and commercial litigation, offering a unique perspective on the "scams, scandals, and shakedowns" currently impacting the P&C insurance industry.

What You Will Learn in This Seminar

This presentation explores why New York's specific legal environment has led to its ranking as the #2 "Judicial Hellhole" in the United States, with an estimated $89 billion in excessive legal costs. Key topics include:
• New York Labor Law 240 (The Scaffold Law): An overview of the antiquated 1885 statute that imposes absolute liability for elevation-related hazards, regardless of a worker's contributory negligence.
• The Cost of Absolute Liability: Insights into why New York’s general liability insurance costs are the highest in the country, often adding hundreds of millions in costs to public and private projects.
• Recognizing Fraud Patterns: A look at the "pipeline" of fraud, including staged accidents, the use of "runners" to recruit plaintiffs, and collusion between law firms and medical clinics for unnecessary surgeries.
• RICO Lawsuits: An analysis of recent federal civil RICO claims brought by insurers against law firms and healthcare providers alleging coordinated schemes to inflate claim values.
• The Role of Artificial Intelligence: How AI and integrity databases are helping insurance companies detect patterns of fraud—such as shared addresses among dozens of claimants—early in the litigation process.
• Best Practices for Adjusters and Insureds: Practical guidance on thorough accident reporting, witness documentation, and personnel file review to successfully shift the legal landscape.
About MSO, Inc. (The Mutual Service Office, Inc.)
Since 1944, MSO, Inc. has been a trusted authority in the Property & Casualty insurance industry. As a national advisory rate service bureau, MSO provides customized policy forms, actuarial services, and statistical data to help insurers underwrite risks profitably and accurately. Our "Underwriters Corner" and educational seminars provide insurance professionals with the "Expert Insights" needed to navigate complex emerging issues like insurance fraud and hazard mitigation.

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Analogy for Understanding Fraud Detection: Fighting insurance fraud is like maintaining a complex irrigation system. While the "absolute liability" of certain laws can act like an unstoppable flood, utilizing AI and integrity databases acts as a series of sensors and filters. By catching the "debris" of fraudulent patterns—like staged accidents or suspicious medical referrals—early on, insurance professionals can prevent the entire system from being overwhelmed by artificial costs, ensuring the "water" (insurance protection) continues to flow to those who truly need it.