Fraud News

Lien Consolidation Court, Fraud Part of Focus at California Comp Conference

The state’s top two labor officials were understandably high on the impact they expect two bills recently signed by Gov. Jerry Brown will have on California’s workers’ comp system and bad actors who have clogged the lien process and driven …

California Insurance Agent Nabbed for Fraud Scheme Involving 100-plus Policies

Vicki Lee McGinley, 58, a licensed insurance agent in California, was arrested by the Kern County Sheriff’s department on seven counts of identity theft and seven counts of insurance fraud after allegedly misrepresenting policy and premium information to clients resulting …

Washington RV Salesman Charged on $81K Workers’ Comp Scam

A Tacoma, Wash.-area man faces a felony theft charge after he was caught working while receiving more than $81,000 in workers’ compensation disability payments. Bobby R. Johnson, 47, was charged with first-degree theft. The Washington Attorney General’s Office filed the …

California Saw $600M in Workers’ Comp Liens Filed by Convicted Providers

The California Department of Industrial Relations announced that $600 million in liens were filed against injured employees’ claims for workers’ compensation benefits by convicted or criminally indicted parties from 2011 through 2015. California’s workers’ comp law allows certain claims for …

Questionable Ferrari Loss Leads to Claim Withdrawal

Shannon Navejas, special investigator 2 with Mercury Insurance, shares how a claim for a 2000 collector edition Ferrari valued at $188,000 went up in smoke as a result of a thorough investigation which included the use of background checks, a …

New Jersey, Allstate Recover Millions in PIP Insurance Fraud Case

New Jersey insurance officials said they have recovered $3.5 million in a personal injury insurance fraud case involving chiropractors, physicians, medical facilities, billing companies and others. In a case connected to the same operation, Allstate Insurance recovered more than $20 …

Medical Malpractice Settlements Reached Against Michigan Cancer Doctor

Patients who filed medical malpractice claims against Detroit-area oncologist Farid Fata and three Michigan hospitals will receive settlements totaling $8 million. The settlements were approved July 20 in Oakland County Circuit Court. They will be distributed by an arbitrator later …

Southland Man Sentenced for Grand Theft After Posing as Insurance Agent

A Southern California man has been sentenced for grand theft for posing as a licensed insurance broker, selling insurance to commercial truckers and then pocketing premiums. Cristian Raul Videla, 34, of Van Nuys, Calif., pleaded no contest this week to …

Judge Tells Washington Woman to Repay $25K in Workers’ Comp Scam

A Washington woman injured in a robbery at her workplace pleaded guilty this week to felony theft. Yurizan Cuevas, 33, of Federal Way, reportedly worked full time as a nanny while claiming she was too disabled to work Cuevas was …

California Agent Allegedly Took $100K from Employer And Clients

Suren Hovhannisyan, 27, a licensed insurance agent of North Hollywood, Calif., was arrested at his residence this week on multiple felony counts of burglary, grand theft, and unauthorized use of access cards after allegedly scheming to embezzle over $100,000 from …