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.