workers’ compensation fraud News

Attorney Turned Criminal Apologizes to Insurers for Giant Workers’ Comp Fraud

Sean Enrique O’Keefe said he started out as a “humanistic attorney,” but he became a mercenary and then a criminal who netted $700,000 a year by sending San Diego workers’ compensation claimants to dirty medical providers. O’Keefe on Wednesday morning …

FBI Seeks Victims of Alleged Nationwide Workers’ Compensation Fraud

The FBI is seeking to identify businesses that may be victims of an alleged nationwide workers’ compensation insurance, health care insurance, and pension plan fraud scheme. The FBI is urging businesses that purchased policies from Clovis, Calif.-based American Labor Alliance …

Fraud News: Fake Fall, Arson, Payroll Misrepresentation

New Jersey Man Fakes Fall for Insurance Money Police have arrested a New Jersey man who they say faked a slip and fall at a business to get insurance money. Prosecutors say the 57-year-old Randolph man was subcontracted to work …

Fraud News: Stolen Autos Scam, Medical Supply Fraud, Staged Crash Arrests

LoJack Signal on Reported Stolen Car Reveals Organized Insurance Fraud Ring Detectives from the California Department of Insurance, arrested four people early this morning for allegedly ripping off four auto insurers for more than $34,000 by filing fraudulent insurance claims. …

California Chiropractor Takes Plea in $150M Workers’ Comp Fraud Scheme

A 56-year-old chiropractor has pleaded guilty for his role in a massive workers’ compensation insurance fraud and conspiracy scheme, the Los Angeles County District Attorney’s Office announced today. Paul Turley, of Granada Hills, Calif., made a factual basis plea on …

Fraud News: Arson Scheme, Fraudulent Storm Claims, Fake COIs

California Man Sentenced to Six Years in Prison for Fraud in Connection with Arson Scheme U.S. District Judge Morrison C. England Jr. sentenced Brian J. Stone of Sacramento, Calif., to six years in prison and to pay over $243,000 in …

Feds: Doc Who Reviewed Thousands of Medical, Workers’ Comp Appeals is a Fraud

For years, Spyros Panos seemed like a successful orthopedic surgeon, seeing dozens of patients a day and bringing in millions of dollars in fees for his suburban New York medical group. In fact, he was inflating charges and billing for …

4 Tips to Successfully Use Social Media Discovery to Prove Insurance Fraud

Fraud steals $80 billion a year across all lines of insurance, according to the Coalition Against Insurance Fraud. The number of fraud cases has been rising over the last few years, primarily because of the increase of “soft” insurance fraud, …

Fraud News: Arson, Falsified Date of Loss, Workers’ Comp Premium Fraud

Georgia Woman Charged With Arson, Insurance Fraud A Georgia woman has been charged with first‐degree arson for allegedly setting fire to her home and one count of insurance fraud for submitting a fraudulent insurance claim, according to an announcement by …

Fraud News: Fake Claim and Crash Date, Workers’ Comp Double Dipping

Former Liberty Mutual Employee Charged With Filing Fake Claim for Ring Jessica Epler was charged in Spokane Superior Court with second-degree attempted theft and filing a false insurance claim for a diamond ring. The case was investigated by Washington Insurance …