Los Angeles Clerk Charged in Fraudulent Disability Claim Scam

March 10, 2006

California Insurance Commissioner John Garamendi reported the arrest of Linda Carleen Moore, 42, of Palmdale, on felony charges of falsifying an accident disability claim.

Moore, an employee of the Los Angeles County Department of Public Social Services (LADPSS) in Lancaster, was arrested by the California Department of Insurance Fraud Division on March 1 and booked into the Lancaster County Sheriff’s Station on $20,000 bail.

The charges stem from an investigation by the California Department of Insurance Fraud Division in Valencia. The Los Angeles County District Attorney’s Office charged her with three felonies: (1) Insurance fraud for making a false claim; (2) Falsifying documents in support of an insurance claim; and (3) Presenting false and misleading information in a claim for payment.

The case began when Workmen’s Auto Insurance Company (WAIC) reported to the CDI Fraud Division that Moore submitted fraudulent documents in support of her claim. She had been involved in an auto accident on Feb. 29, 2004 in which she claimed injuries. In June 2004, WAIC opened a bodily injury case for Moore’s claim of alleged injuries to her neck and back.

In March 2005, Moore allegedly submitted an altered doctor’s notice of disability form to WAIC, claiming her alleged injuries caused her to be disabled and unable to work from April 29, 2004 through November 1, 2004.

In the course of investigating the WAIC claim, it was discovered that Moore also filed an Accident Disability Claim with AFLAC Insurance Company on April 29, 2004, claiming she was disabled from April 29, 2004 through April 28, 2005 due to injuries suffered from an auto accident occurring on April 29, 2004.

Moore allegedly submitted falsified documentation to AFLAC indicating she was off work from Nov. 2, 2004 through April 28, 2005. The investigation revealed she returned to work on Nov. 1, 2004 and collected disability benefits from AFLAC while working for five months at the LADPSS from Nov. 2, 2004 through April 28, 2005. Moore received approximately $5,415.00 from AFLAC in disability benefits due to her claim.

The CDI’s Fraud Division arrested Moore with assistance from the Los Angeles County Police and the LADPSS. Also assisting in the investigation were the Special Investigative Units of Workmen’s Insurance Company and AFLAC Insurance Company.

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