Fraud News

9 People Sentenced in $500K California Auto Insurance Fraud Ring

Michael Charles Young, 30, of Sacramento, Calif., the reported leader of a large auto insurance fraud ring, was sentenced to more than 10 years in state prison for bilking insurance companies out of an estimated $500,000 by filing fraudulent insurance …

Workers’ Comp Lien Proceedings in California Scheduled for Drobots

The Division of Workers’ Compensation has scheduled lien consolidation proceedings in August for suspended providers Michael D. Drobot, Michael R. Drobot and Philip A. Sobol. Combined, the three have roughly 13,000 liens, which have been consolidated pursuant to the chief …

Southern California Agent Charged for Targeting Injured Workers’ Benefit Funds

Tom Fallon, 63, of Long Beach, Calif., is being arraigned today in Superior Court in Long Beach on multiple felony charges including theft by embezzlement and money laundering. Fallon’s daughter, Christina Fallon, 28, also of Long Beach, is scheduled to …

California Department of Workers’ Comp Says 441K-plus Lien Declarations Filed

The California Division of Workers’ Compensation is reporting that 441,070 supplemental lien declaration forms were filed. This amount represents half of the 882,648 liens filed in California’s workers’ comp system between Jan. 1, 2013 and Dec. 31, 2016 for which …

Rand Report Recommends Analytics for Fraud Prevention in Workers’ Comp

The California Division of Workers’ Compensation has posted a report from the Rand Corp. with recommendations to prevent fraud in the workers’ compensation system. The Department of Industrial Relations last year requested that the Rand assess medical provider fraud in …

Investigation Solutions Assists in $32 Million Employer Fraud Case

San Diego, CA, June 21, 2017- Investigation Solutions, Inc. (ISI) worked alongside the California Department of Insurance in a $32 million workers’ compensation fraud case that resulted in an arrest earlier this month. Detectives at the DOI arrested Gina Marie …

California Division of Workers’ Comp Suspends Psychiatrist for Fraud

California’s Division of Workers’ Compensation has suspended Pasadena psychiatrist Jason Hui-Tek Yang from participating in the state’s workers’ comp system following his conviction in Riverside County Superior Court for his involvement in an insurance fraud conspiracy that referred patients for …

10 Lawyers, 6 Others Charged in Alleged California Insurance Fraud Scheme

Ten lawyers and six others were charged in a multi-million-dollar workers’ compensation fraud scheme that authorities say targeted Latinos in California. The charges were filed after a multi-year investigation into a scheme involving the illegal recruitment of more than 30,000 …

California Business Owner Nabbed in $32M Workers’ Comp Fraud Scheme

Detectives with the California Department of Insurance arrested Gina Marie Gregori, 55, of Lafayette, for allegedly underreporting payroll and duping insurers out of $32 million. Gregori was charged with 19 felony counts and is being held on $5.2 millino bail …

California Division of Workers’ Compensation Suspends Two, Including Drobot

California’s Department of Industrial Relations and the Division of Workers’ Compensation has suspended two more medical providers from participating in California’s workers’ compensation system. The suspensions were made possible by the passage last year of Assembly Bill 1244, which requires …