Shows
iFraud Deep DiveS1 E17 Uber vs LA Law Group 7-21-25This episode of the Deep Dive discusses the lawsuit filed by Uber Technologies, Inc. against several defendants, including two law firms and a medical practice, alleging a widespread fraudulent scheme. The complaint, filed in the United States District Court for the Central District of California, accuses the defendants of orchestrating fake personal injury claims stemming from minor traffic incidents involving Uber vehicles. Specifically, the suit claims attorneys directed clients to specific medical providers for unnecessary treatments and inflated billing on a lien basis, concealing secret agreements to discount these bills.Support the show2025-07-2419 miniFraud Deep DiveS1 E16 Tradesman vs Subin 2nd Amendment ComplaintThis deep dive breaks down the "Second Amended Complaint" filed in the U.S. District Court for the Eastern District of New York by Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC (the Plaintiffs) against Subin Associates, LLP, and several individuals including Herbert S. Subin, Eric D. Subin, and Jorge Arturo Gonzalez Lupi, among others. The core of the complaint alleges a widespread fraud scheme involving staged construction accidents, fraudulent workers' compensation and personal injury claims, and unnecessary medical treatments designed to illicitly obtain...2025-07-2318 miniFraud Deep DiveS1 E15 Hard To Believe This Is Reality - Union Mutual v Liakas First AmendmentGet ready for this Deep Dive! This episode breaks down the federal Racketeer Influenced and Corrupt Organizations Act (RICO) lawsuit brought by Union Mutual Fire Insurance Company against Liakas Law, P.C., and Dean Liakas. We discuss the Defendants' request for a pre-motion conference to dismiss the complaint.In response, Plaintiff's counsel from Willis Law Group not only refutes these points, asserting Union Mutual's direct injury as an insurer, they detail specific of the allegations and it details an unbelievable story of alleged fraud, connections, and an incredible and complex web of fraudulent activity, medical neg...2025-07-1922 miniFraud Deep DiveS1 E14 Cry Havoc - KF Fraudemic UpdateThis mega sized Deep Dive breaks down the amazing Fraudemic Updates #69 issued by Khana Feld and their team of expert. From New York to Florida this deep dive is packed with information! Pull up a seat and get ready because there is a lot of information.Support the show2025-07-1729 miniFraud Deep DiveS1 E12 National Healthcare Fraud TakedownThis Deep Dive looks at the Justice Department's 2025 National Health Care Fraud Takedown, a record-breaking enforcement action that resulted in criminal charges against 324 defendants, including medical professionals, for schemes involving over $14.6 billion in intended loss. The takedown also involved significant asset seizures totaling over $245 million and prevented an additional $4 billion in fraudulent payments. It highlights various fraud types, such as transnational criminal organizations exploiting patient identities and AI, fraudulent wound care, prescription opioid trafficking, and telemedicine and genetic testing fraud. This collaborative effort by multiple federal and state agencies, including the FBI and HHS-OIG, underscores a whole-of-government approach to...2025-07-1715 miniFraud Deep DiveS1 E13 Enemy of My Enemy - Biondi v WingateThis Deep Dive Virtual takes a look into the civil action Law Offices of Lawrence Perry Biondi, P.C. vs. Horn, Anteorkidia et al. in Westchester Supreme Court, focusing on alleged "ambulance-chasing" and unlawful client solicitation by the defendant firm, Wingate, Russotti, Shapiro & Halpern, LLP (WRSH). Taking a look at the plaintiff's claims for tortious interference, defamation, unfair competition, civil RICO, and conspiracy, asserting that Wingate (WRSH) engaged in a systemic campaign of poaching clients through financial inducements and deceptive tactics. It further summarizes extensive discovery, including affidavits and depositions from both sides, which either corroborate or deny allegations...2025-07-1723 miniFraud Deep DiveS1 E10 Liberty Mutual v PARS Medical PCThis Deep Dive discusses how Liberty Mutual and its affiliated insurance companies are suing PARS Medical P.C., CADS Anesthesia Services PLLC, and several individuals for an alleged long-running scheme to commit no-fault insurance fraud in New York. The plaintiffs claim the defendants billed for services not rendered, medically unnecessary procedures, and at excessive rates, along with engaging in an unlawful referral and kickback arrangement with numerous other clinics. These alleged fraudulent activities, including various injections and "surgeries" often performed under unnecessary anesthesia, led to Liberty Mutual being wrongfully induced into paying over $827,000 for claims the defendants were not...2025-07-1718 miniFraud Deep DiveS1 E11 Every Dog Has It's Day - Subin's Temporary VictoryThis Deep Dive discusses the details of the Memorandum & Order from the United States District Court, Eastern District of New York, concerning the case of Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC v. Herbert S. Subin, Eric D. Subin, Jorge Arturo Gonzalez Lupi, and John Does 1-50. The court ultimately dismissed the RICO claims because the plaintiffs failed to adequately demonstrate direct injury and proximate causation as required under RICO law, finding their injuries too attenuated from the alleged fraud. Additionally, the court declined to exercise supplemental jurisdiction over the remaining state law claims and granted the...2025-07-1715 miniFraud Deep DiveS1 E9 Benefits of Surveillance In Fighting FraudIn this episode, we explore the powerful role of strategic surveillance in the fight against insurance fraud. Join us for a Deep Dive into recent findings shared by Tradesman Program Managers, highlighting how effective surveillance led to significant savings on fraudulent and exaggerated claimsSupport the show2025-07-1704 miniFraud Deep DiveS1 E8 Tradesman v Schwitzer et. al.This Deep Dive examines the Civil RICO suit filed by Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC against We'll discuss the mechanics, the players and breakdown this massive alleged fraud scheme. Support the show2025-07-1721 miniFraud Deep DiveS1 E7 NY Litigation Funding ActOn this episode of the Deep Dive we look at Lawsuit Lending (aka Third Party Litigation Funding or Litigation Financing) and the recent Consumer Litigation Funding Act - NY Senate Bill 1104A Support the show2025-07-1721 miniFraud Deep DiveS1 E6 Infrastructure Expansion Act of 2023This Deep Dive takes a look at bill HR 2542 otherwise known as the Infrastructure Expansion Act of 2023. What it's intended use is, where it is at today.Support the show2025-07-1710 min
iFraud Deep DiveS1 E1 Chubb Takes Stance on Litigation FinancingThis episode takes a look at the recent statements and calll to action by Chubb Insurance CEO Evan Greenberg.Originally aired: May 11, 20252025-07-1709 miniFraud Deep DiveS1 E3 Utica Mutual v SubinThis episode dives into the Civil RICO (Racketeering Influenced and Corrupt Organization Act) suit filed by Utica Mutual against the Subin Law Firm and others.Originally aired: May 13, 2025Support the show2025-07-1720 miniFraud Deep DiveS1 E5 Cyber Insurance and Third Party Litigation FundingToday's deep dive looks at how Third Party Litigation Funding or Litigation Financing are taking their toll on the Cyber Insurance industry. Originally Aired: May 29, 2025Support the show2025-07-1718 miniFraud Deep DiveS1 E2 Holton v NYCTThis Deep Dive brings you up to speed on an excerpt from Holton vs NYC Transit Authority and the discussion over Dr. Gerling.We will look at the main points of discussion and unpack the important pieces providing you with a good understanding of the source material in this case.Originally Aired: May 12, 2025Support the show2025-07-1710 miniFraud Deep DiveS1 E4 Congress Labor Law BillThis deep dive looks at the press release from Congressman Langworthy and the proposed changes to NY's Labor Law.Originally Aired: May 23, 2005Support the show2025-07-1708 min
Data SkepticFraud NetworksIn this episode we talk with Bavo DC Campo, a data scientist and statistician, who shares his expertise on the intersection of actuarial science, fraud detection, and social network analytics. Together we will learn how to use graphs to fight against insurance fraud by uncovering hidden connections between fraudulent claims and bad actors. Key insights include how social network analytics can detect fraud rings by mapping relationships between policyholders, claims, and service providers, and how the BiRank algorithm, inspired by Google’s PageRank, helps rank suspicious claims based on network structure. Bavo will al...2025-04-0242 min