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About Insurance Fraud Law in Aurich, Germany

Insurance fraud arises when a person intentionally provides false information, stages a loss, exaggerates damage, or otherwise deceives an insurer to obtain a benefit to which they are not entitled. In Aurich, as in the rest of Germany, insurance-related dishonest conduct can lead to both criminal and civil consequences. Criminally, deceptive acts that cause financial loss to another are usually prosecuted under the German Criminal Code as fraud. On the civil side, insurers rely on the Versicherungsvertragsgesetz - the Insurance Contract Act - and contract terms to refuse or reclaim benefits, cancel policies, or seek damages.

This guide explains why people in Aurich may need a lawyer, the main legal rules and processes to expect, practical steps to take when you are involved in a dispute or an investigation, and local resources that can help. It is general information and not a substitute for personal legal advice tailored to your situation.

Why You May Need a Lawyer

Insurance-fraud matters often involve overlapping criminal and civil issues. You may need a lawyer in Aurich if you face any of the following situations:

- You have received a police invitation, charge, or criminal complaint alleging fraud connected to an insurance claim.

- Your insurer has denied a claim and is seeking repayment, policy rescission, or cancellation on grounds of misrepresentation or intentional conduct.

- You are under civil counterclaims from the insurer for compensation of paid benefits or additional damages.

- You suspect a third party is committing insurance fraud that affects you or your business and you want advice about reporting, evidence preservation, or civil remedies.

- You are a professional who may be implicated in organized or repeated suspicious claims and need to protect your professional and criminal interests.

A qualified lawyer can explain criminal exposure, negotiate with prosecutors or insurers, prepare a defence, preserve rights during police questioning, and represent you in court or in settlement talks. In many cases early legal advice reduces risk, prevents damaging admissions, and improves outcomes.

Local Laws Overview

Key legal frameworks relevant to insurance fraud cases in Aurich include the following:

- Criminal law - Deceptive acts that lead to financial loss are commonly prosecuted as fraud under the German Criminal Code. Criminal proceedings are initiated by the public prosecutor and can lead to fines, probation, or imprisonment, depending on severity and intent.

- Insurance contract law - The Versicherungsvertragsgesetz (VVG) governs duties when entering into and performing insurance contracts. Important elements include the obligation of the insured to disclose material facts, the duty to notify the insurer about a claim, and the insurer's rights when an insured has acted intentionally or with gross negligence.

- Civil remedies - Insurers can refuse payment, demand repayment of benefits, rescind the contract, terminate coverage, or claim damages under general civil law. Civil claims are handled in the local civil courts; procedural rules and deadlines are important.

- Administrative and regulatory frameworks - Regulatory bodies and criminal investigators, including regional police and state criminal authorities, may investigate suspected fraud. Supervisory requirements apply to insurance intermediaries and companies.

In Aurich, local enforcement may involve the police and the public prosecutor for the district, and civil disputes are handled before the appropriate local courts. Complex or cross-border cases may involve regional or federal authorities.

Frequently Asked Questions

What exactly counts as insurance fraud in Germany?

Insurance fraud covers intentional deception aiming to obtain or increase an insurance payment or to avoid an obligation to pay. Typical examples are staging accidents, exaggerating losses, submitting forged invoices, making false statements about facts material to coverage, and claiming for non-existent damage. Whether a specific action constitutes fraud depends on intent and the causal link to the insurer's loss.

Can a simple mistake or incorrect information become insurance fraud?

Inadvertent mistakes or honest misstatements usually do not amount to criminal fraud. However, false statements that are intentional or reckless can lead to criminal charges and civil consequences. Under the Insurance Contract Act, even negligent failures to disclose relevant facts can give an insurer rights to reduce or deny coverage in some cases. If you are unsure, consult a lawyer before making statements or signing declarations.

What can happen if I am suspected of insurance fraud in Aurich?

If suspected, you may be interviewed by police, receive a notice from the insurer demanding repayment or policy rescission, or face a criminal charge filed by the public prosecutor. Possible outcomes include dismissal of proceedings, settlement, criminal conviction with fines or imprisonment, civil repayment orders, and loss of insurance coverage. The exact consequences depend on the facts, evidence, and intent.

Do I have to speak to the police if they ask questions?

You have the right to remain silent when questioned by police or prosecutors to avoid self-incrimination. It is wise to exercise this right and consult a criminal-lawyer before making detailed statements. If you choose to speak, avoid giving statements without legal advice and do not sign any admissions without your lawyer present.

Can my insurer refuse a claim if they suspect fraud?

Yes. If the insurer has credible evidence that the claim is fraudulent or that material information was intentionally withheld or falsified, they can refuse payment and may seek repayment of amounts already paid. They can also rescind the contract or terminate coverage in certain circumstances. You can challenge these actions with legal advice and, if needed, in court.

How should I respond if my insurer asks for documents or a recorded statement?

Provide truthful documents that exist, but avoid creating false documentation. Before giving a recorded statement or extensive documentation, consider consulting a lawyer. Your lawyer can advise which documents to provide and can negotiate the process with the insurer to protect your legal interests.

What evidence does an insurer or prosecutor usually rely on?

Common types of evidence include witness statements, expert opinions on damage causation, photographs, medical records, invoices, surveillance footage, phone or GPS data, and inconsistencies between accounts. Insurers and law enforcement may also use data analysis to detect patterns suggesting staged or exaggerated claims.

How do civil and criminal proceedings interact in these cases?

Civil and criminal matters can run in parallel. Criminal proceedings focus on guilt and possible punishment, while civil proceedings address compensation and contract rights. A criminal conviction can strengthen a civil claim, but civil courts may also decide liability independently. Coordination by a lawyer is important to avoid harmful admissions and to plan legal strategy across both forums.

What kind of lawyer should I hire in Aurich?

Seek a lawyer with experience in criminal law (Strafrecht) and insurance law (Versicherungsrecht). A lawyer who handles both criminal defence and civil insurance disputes is best positioned to coordinate strategy. Confirm local court experience, fees, and whether the lawyer offers initial consultations to assess your case.

What steps should I take immediately after a dispute or accusation arises?

- Preserve all documents and evidence - do not delete files or discard records.

- Do not make unsolicited admissions to police, insurers, or third parties - request to speak with a lawyer.

- Keep a detailed timeline and notes about events and communications.

- Contact a lawyer promptly to review the situation and represent you during questions or negotiations.

Additional Resources

Below are organizations and authorities that can be helpful when dealing with insurance-fraud issues in Aurich and Lower Saxony - contact details can be found locally or via official directories:

- Local police - for reporting suspected fraud or to respond to a criminal investigation.

- Public prosecutor's office for the district - responsible for criminal prosecutions.

- Amtsgericht Aurich - local court for certain civil and criminal matters.

- Landeskriminalamt Niedersachsen - for specialized or complex fraud investigations at the state level.

- Verbraucherzentrale Niedersachsen - for consumer advice on insurance disputes and rights.

- Versicherungsombudsmann - the ombudsman for out-of-court dispute resolution with insurers.

- Rechtsanwaltskammer covering your region - to verify a lawyer's admission and find counsel with the right specialisation.

- Deutsche Anwaltauskunft and other legal referral services - to find lawyers with relevant experience in criminal and insurance law.

Next Steps

If you are in Aurich and facing an insurance-fraud issue, follow these practical steps:

- Stop and assess: Do not make rapid admissions or sign declarations without legal advice.

- Preserve evidence: Keep all correspondence, photos, bills, contracts, and electronic records related to the claim or incident.

- Get legal help: Contact a lawyer experienced in both criminal defence and insurance law as soon as possible. Ask about initial consultation, costs, and representation options.

- Prepare for interviews: If you must attend police or insurer interviews, request to have your lawyer present or seek brief legal advice beforehand.

- Consider dispute-resolution options: In civil disputes, discuss with your lawyer whether negotiation, mediation, ombudsman procedures, or court action is the best path.

- Keep records of all steps you take and communications you receive. Timely and organised documentation improves your position.

Remember that early, informed legal guidance in Aurich can materially affect outcomes. If you are uncertain about any step, seek a consultation with a qualified lawyer to protect your rights and to receive advice tailored to the facts of your case.

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Disclaimer:
The information provided on this page is for general informational purposes only and does not constitute legal advice. While we strive to ensure the accuracy and relevance of the content, legal information may change over time, and interpretations of the law can vary. You should always consult with a qualified legal professional for advice specific to your situation. We disclaim all liability for actions taken or not taken based on the content of this page. If you believe any information is incorrect or outdated, please contact us, and we will review and update it where appropriate.