Ohio Department of Insurance director Judith L. French announced that former attorney Anthony Fusco, of Youngstown, was sentenced on October 7 in the Mahoning County Court of Common Pleas to 18 months in prison for felony insurance fraud. Fusco was taken into custody after the sentencing hearing.
A department investigation revealed that Fusco altered and inflated client medical bills to defraud insurance companies of nearly $1 million. A telecommunications fraud charge was dropped as part of a guilty plea agreement.
Fusco, a pre-litigation attorney who worked for Kisling, Nestico & Redick, knowingly submitted inflated medical bills as part of bodily injury insurance claim settlements submitted to insurance companies. Knowingly submitting a false or deceptive statement as part of an application for insurance or insurance claim is a violation of Ohio law.
An audit of approximately 1,400 claim settlements Fusco handled between March 2017 and September 2019 revealed inflated medical bills had been included in 399 client claims submitted to 62 insurance companies. The medical bills were inflated by $859,464.44.
Fusco resigned from his position with Kisling, Nestico & Redick in October 2019. He joined the firm in December of 2015, approximately one month after admittance to the practice of law. According to the Ohio Supreme Court website, Fusco’s law license is inactive.
Fusco was indicted in January 2022.
SOURCE: Ohio Department of Insurance
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