Criminal Defense: NYC Insurance Fraud Lawyers

Last Updated on: 15th March 2025, 10:34 pm

NYC INSURANCE FRAUD LAWYERS

We are Spodek Law Group, a nationwide federal defense law firm created by Todd Spodek. If you’re on our website, you might be under investigation for insurance fraud, or you could be worried that charges might be filed against you. This is a very serious legal situation that can go out of control. That means you are at risk prison time, which disrupts your personal life, damages to your finances, and leaving you with a permanent criminal record.

Let’s be brutally honest: If you’re facing insurance fraud allegations in New York City, you are at risk of severe consequences. A conviction that was imposed by the court could lead to major fines or incarceration. This forces you to deal with the stigma of a fraud offense, which impacts job opportunities and your ability to move forward in life. If you think you can handle these charges on your own, you are lying to yourself. That cavalier attitude can cause you to make mistakes, which the prosecutors might exploit and use as proof of guilt. At Spodek Law Group, our NYC insurance fraud attorneys can help you. We have over 50 years of combined experience, and we have handled extremely tough situations like yours.

WHAT IS INSURANCE FRAUD?

Insurance fraud is a type of crime that happens when someone tries to claim insurance benefits by using false information or by hiding facts on purpose in order to get financial gain. This type of fraud can include filing claims that were inflated, lying about an incident that was staged, or failing to report crucial details that would affect the policy and negatively harm the insurance provider. According to the New York State Department of Financial Services, insurance fraud costs consumers and companies billions of dollars each year. That means law enforcement agencies aggressively pursue cases, which will lead to investigations that might involve multiple government offices and tough prosecutors.

Even a small lie in a claim can result in a full-blown legal case that could result in felony or misdemeanor allegations. This leads to a criminal record, which will destroy your chance at future work opportunities and can harm your entire household. The legal system does not tolerate fraud, and if you are found guilty, you should expect a penalty that might include restitution, which means paying back money to the insurance company or other injured parties. You can also face additional fines that can run into thousands—or even millions—of dollars, and the court could hand down a prison sentence that can tear you away from your family and end your career.

POTENTIAL PENALTIES UNDER NEW YORK LAW

The laws in New York take insurance fraud seriously. An individual who was arrested for insurance fraud can be charged under N.Y. Penal Law Article 176, which provides the exact definitions and punishments. If you are convicted, the outcome that is imposed could include:

• Felony Convictions: A conviction that was labeled as a felony can lead to multiple years in state prison. That means you can lose your freedom and face a long period of probation.
• Criminal Fines: The court can impose huge fines that destroy your savings. This might cause personal or business financial ruin and permanently harm your credit.
• Restitution Orders: You could be ordered to pay back the money that was improperly claimed or paid out, which adds further financial strain and legal obligations.
• Professional Consequences: You might lose licenses or certifications, which prevents you from keeping your job or acquiring new employment in the future.

Any of these punishments can crush your normal way of life. This is why you need a top rated criminal defense lawyer who understands these laws and knows how to fight back.

WHY SPODEK LAW GROUP?

We are Spodek Law Group, and we focus on getting the best possible outcomes for our clients. We have a strong reputation for delivering white-glove service, meaning we handle every stage of your case with personal attention. Our criminal attorneys have experience dealing with state and federal investigations, and we know how to build a defense strategy that protects you from the most severe penalties. We are available 24/7, which means you get immediate attention, and that could prevent prosecutors from gathering more evidence against you.

We do not want excuses or half-truths; we only want facts. When clients hide things from us, they end up damaging their own defense. That leads to missed opportunities or contradictions that can blow up in court. We cut through rationalizations, which is the nonsense that people create to avoid facing reality. If you want to earn the best possible chance at beating these charges, you need an attorney who calls out blind spots and forces you to think strategically. We will do exactly that.

HOW INSURANCE FRAUD HAPPENS

There are many types of insurance fraud. We have seen clients face charges for:

• Auto Insurance Fraud: A driver who was in a collision might invent injuries or exaggerate the damage in order to collect higher payouts.
• Homeowner’s Insurance Fraud: People who create false evidence of theft or exaggerate the cost of stolen items can be targeted.
• Healthcare Insurance Fraud: Doctors and clinics can file inflated claims, and patients might submit phony bills that cause higher premiums.
• Disability Fraud: Individuals who pretend they are unable to work can trigger investigations that unravel their entire life if the claim is fake.

When the government collects proof that you lied, they might rely on recorded statements or digital data. If investigators find that your statements were inconsistent, they can use them as proof of fraud. Evidence that was illegally obtained may sometimes be challenged in court. That can lead to the evidence being thrown out, which might weaken the prosecutor’s case and result in a dismissal or better plea bargain.

POSSIBLE DEFENSE STRATEGIES

We believe that each client deserves a customized defense strategy. Some people argue that they never had criminal intent in mind when the insurance fraud event occurred, which means they did not knowingly commit fraud. It is crucial to have intent in order to prove insurance fraud. A conviction that was based on errors in the investigator’s process can be overturned or reduced if we show the court that you were misidentified. We will try to find important paperwork that was filed incorrectly, or that the alleged “false statement” was a simple oversight. That can help us highlight reasonable doubt about your guilt.

Another potential defense is proving there was a violation of your rights. For example, evidence that was gathered without a proper search warrant can be excluded. When evidence is excluded, the prosecutor usually lose a key piece of their argument. This often leads to dismissed or reduced charges, which keeps a felony off your record and helps you avoid extreme outcomes.

We are prepared to leverage all options. We will file necessary motions that force prosecutors to disclose all evidence, which gives us a way to see potential gaps or mistakes. Once we find those weaknesses, we will move fast to get your charges reduced or dropped. If the state refuses to negotiate a fair deal, we will not hesitate to go to trial, which is where our courtroom experience sets us apart from other firms.

LINKS TO OFFICIAL SOURCES

We encourage you to learn more about New York’s approach to insurance fraud and how authorities investigate insurance fraud. You can also see how the FBI addresses insurance fraud cases on the federal level. These government websites that are packed with data can help you see how seriously they take these offenses, which should motivate you to hire an attorney right away.

FREQUENTLY ASKED QUESTIONS

YOUR NEXT STEP

Our philosophy is that every Spodek Law Group client deserves our full dedication and legal help. We do not sugarcoat the facts dealing with insurance fraud. If you are facing insurance fraud allegations, we will hold you accountable for any half-truths or omissions, because your future is at stake. That forces you to be honest, which helps us shape the defense that saves your life from total chaos. If you reach out to us now, we can schedule a risk free consultation, and we can begin working on a legal strategy to protect you. This is not something you want to delay, because every day you wait gives the government more time to build a case.