Recovery & Fraud Litigation

Here is who we represent and what we do . . .

  • Recover monies erroneously paid by governmental agencies in connection with property damage claims filed after a natural disaster.
  • We are national coordinating counsel for a leading life insurer’s recovery program relating to erroneously paid governmental life insurance benefits
  • Recover monies erroneously paid by health insurers as a result of fraud or error.
  • Enforce the subrogation rights of ERISA and self-funded insurance plans to recover eligible medical expenses paid on behalf of personal injury and workers’ compensation plaintiffs. Recover monies erroneously paid by health insurers as a result of fraud or error.

. . . and here are some of DO&CB’s successes:

  • Mediated and/or negotiated advantageous settlements on behalf of health insurers in several actions involving provider fraud litigations.
  • Negotiated advantageous settlements on behalf of life insurers regarding life insurance overpayments.
  • Litigated recovery of overpaid funds based on misuse of government awards for property damage claims filed after a natural disaster
  • Obtained a favorable arbitration decision and award holding that facility fees for office-based surgeries are not a covered benefit, and awarding the insurer amounts it had previously paid based on the provider’s misrepresentation of the site of service.
  • Represented health insurers in obtaining temporary restraining orders enjoining providers and billing companies from balance billing plan members pursuant to a scheme to coerce egregious overpayments from insurer.
  • Successfully opposed provider’s multiple motions in New Jersey Superior Court to dismiss counterclaims for fraud stemming from provider’s failure to collect co-insurance and deductibles.
  • Obtained summary judgment holding that provider’s failure to collect co-insurance and deductibles entitled insurer to recovery.
  • Obtained summary judgment holding that provider’s failure to collect co-insurance and deductibles entitled insurer to recovery.

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NEW YORK CITY OFFICE
40 Fulton Street, Suite 1501
New York, NY 10038

Phone: 212-971-3175
Fax: 212-971-3176

NEW JERSEY OFFICE
Four Century Drive, Suite 250
Parsippany, NJ 07054

Phone: 973-734-3200
Fax: 973-734-3201

PHILADELPHIA OFFICE
One Liberty Place
1650 Market Street, Suite 3600
Philadelphia, PA 19103

Phone: 215-665-5658
Fax: 215-569-8228