insurance fraud News

Shady Adjuster and Alleged Fake Racist Attack Top Fraud Roundup

SoCal Adjuster Jailed for Embezzlement A former licensed public adjuster from Huntington Beach, Calif., was sentenced to 180 days in county jail and five years of felony probation after pleading guilty to three felony counts of embezzlement and one felony …

N.Y. High Court Sides with Carriers in Sham Owner Case

New York’s highest court ruled Tuesday that an insurer does not need to prove fraudulent intent to refuse payment for a medical bill from a professional corporation with a sham physician owner. The Coalition Against Insurance Fraud lauded the ruling …

Michigan Senate Approves Plan to Cut Car Insurance Rates

LANSING, Mich. — Michigan’s Senate passed legislation Tuesday aimed at cutting the country’s highest average auto insurance premiums by eliminating a requirement that drivers buy unlimited medical benefits to cover crash injuries. No other U.S. state has such a mandate. …

Minnesotan Pleads Guilty to Faking Death in $2M Insurance Scam

ST. PAUL, Minn. — A Minnesota man accused of faking his own death eight years ago in Eastern Europe to collect a $2 million life insurance policy has pleaded guilty. The St. Paul Pioneer Press reports that 54-year-old Igor Vorotinov, …

Los Angeles DA Charges 15 Chiropractors in Alleged Fraud Scheme

The Los Angeles County District Attorney’s Office has filed charges against 15 chiropractors in a $6 million insurance fraud and illegal kickback scheme involving automobile collision medical claims. The felony complaint in case BA477147 lists a total of 18 felony …

Third Defendant Convicted in California Arson Fraud Scheme

A federal judge on Thursday sentenced the last of three defendants involved in an arson fraud scheme, which led to seven Sacramento fires, to four years, nine months in prison. U.S. District Judge Morrison C. England Jr. also ordered 76-year-old …

Allstate, State Farm Sue Medical Providers for Fraudulent Billing

Two insurance carriers filed separate lawsuits last week against medical doctors and their pain-management clinics, accusing them of submitting bills for unnecessary medical procedures performed on vehicle-accident victims. State Farm Mutual Auto Insurance Co. filed suit in the U.S. District …

Manager for Insulation Contractor Pleads Guilty in Bid-Rigging Scheme

A branch manager for an insulation contractor pleaded guilty Monday for his role in schemes to rig bids and engage in fraud on insulation installation contracts, the U.S. Attorney’s Office for Connecticut announced. Gary DeVoe of Bethlehem, Connecticut entered a …

Philadelphia Woman Accused of Identify Theft, ‘Box Stuffing Scheme’

The Pennsylvania Attorney General’s office announced that criminal charges have been filed against a Philadelphia woman for organizing an identity and retail theft scheme valued at more than $100,000 that stole from stores across Southeast Pennsylvania. Myra Reddy, 54, was …

Busy Week Brings 3 Guilty Pleas, 2 Arrests for Insurance Fraud

Three Washington state residents pleaded guilty to charges after investigations by state fraud investigators last week, while two other people were charged with filing false claims. Stephanie Pepper Snider, 42, of Renton, pleaded guilty in King County Superior Court to …