According to investigators, quite a few victims had made premium payments to WNP Insurance Services, Inc. in Upland operated by Nio and Poelman, for the function of securing commercial auto insurance coverage. Nevertheless, the suspects submitted fraudulent information to the insurance carriers regarding the policyholders’ activities exposing the customers to possible uncovered losses and the insurance companies to risk they were unaware of.
Buy Insurance Today.com has listed resources below to use if you believe this has happen to you.
What is Insurance Fraud?
Fraud happens when somebody intentionally lies to achieve some benefit or gain to which they are not otherwise entitled or someone knowingly denies various benefit that is expected and to which someone is entitled. Based on the precise issues involved, an alleged criminal act may be handled as an administrative proceedings by the Department of Insurance or the Fraud Division may handle it as a criminal affair.
The core mission of the Fraud Division is to safeguard the public and put a stop to financial loss through the detection, investigation, and arrest of insurance fraud offenders. The Fraud Division acts as the main law enforcement agency in the State of California for investigating different types of Suspected Fraudulent Insurance Claims.
Categories of Crimes Investigated Include:
Vehicle Collision
Auto Property
Medical
Life
Workers’ Compensation
Other
Fire
Property
Healthcare
Investigation Division
The mission of the Investigation Division is to safeguard California Consumers by investigating alleged violations of laws and regulations pertaining to the selling of insurance and seeking correct enforcement act against violators.
The Insurance Commissioner has established a case handling priority practice for the Investigation Division which helps to categorize major cases and prioritize the Division’s resources.
Variations of Violations Investigated Include:
Premium Theft
Life & Health Senior Citizen Abuse
Insurance Company Deceptive Fraudulent Acts
Bogus/Unauthorized Insurance Companies
Public Adjuster Violations
Title Company Rebate Activity
Bail Industry Misconduct
Also the Department of Banking and Insurance could be able to aid you via their Division of Insurance – Consumer Protection Services.
Consumer Assistance
The Consumer Assistance Unit is responsible for investigating many kinds of insurance-linked inquiries and complaints that fall within the jurisdiction of the Department of Banking and Insurance. Requests for assistance or investigation involving all lines of insurance (other than Managed Care medical complaints) must be submitted to our Department through the Consumer Inquiry and Case Preparation Unit (CICPU).
Every inquiry or grievance is assigned toward an investigator who evaluations the case to guarantee that the insurance company and/or producer involved in the issue has complied with applicable insurance statutes in addition to regulations and that the consumer has been dealt with equitably. During conducting this analysis, the investigator will make contact with the insurer or producer and require that the licensee reply to all aspects of the complaint/investigation. Once the assessment is finish, the investigator will prepare and send to the consumer a printed report of our findings. In suitable conditions, a lawsuit will be referred to the Department’s Enforcement Unit for additional inspection, which may result in the imposition of administrative penalties.