UPDATE: New Charges Filed Against Jacksonville Contractor & Suspected Fraudster

Eighteen new charges have been filed against Jacksonville contractor, Wyatt Green. Green was arrested in April on charges of organized fraud, forgery and grand theft. The list of Green’s victims has grown from a handful to 19. Homeowners contacted I-TEAM saying that their insurance companies had paid Storm RS to make repairs to their homes that were never completed.

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Filed under Fraud, Property (Homeowners)

Five People Charged in Mail-order Prescriptions Patient-Brokering Kickbacks

Five people have been charged with patient brokering, insurance fraud, money laundering, and racketeering in connection with a scam that raked in hundreds of thousands of dollars in kickbacks. Authorities allege that hundreds of prescriptions, many of them fraudulent, were sent to Express Care Pharmacy with prices ranging from $646 to $5,614. Many of the prescriptions were forged, unnecessary, or submitted without the patients or treating physician’s consent, according to the police report.

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Filed under Fraud, Healthcare

North Palm Beach Center Treatment Center Operator Arrested for Fraud

Alonderay Johnson was arrested on charges of fraud after it was revealed that she was allegedly operating Garden of New Beginnings’ treatment center without a license. Johnson was not only practicing without a license, but she also used a forged college degree and a 10-year career at Shands Hospital at the University of Florida to get the job.

Johnson’s arrest came as a result of a complaint that a client of the North Palm Beach Center treatment center attended a weekly NA/ALLANON meeting unsupervised and under the influence.

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Two Roig Partners Recognized by The Best Lawyers in America©

Roig Lawyers is proud to announce that two of our partners have been selected by their peers for inclusion in the 2020 Edition of The Best Lawyers in America.

Congratulations to Nelson C. Bellido, Managing Partner of Miami Office and our Tampa Partner Peter S. Nayrouz on being recognized for Insurance Litigation three years in a row!

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Clearwater Man Pleads Guilty in VA Benefits Fraud Scheme

Home care businessman Roland Brown pleaded guilty to paying $1M in bribes to a long-time friend who worked for the Department of Veteran Affairs. The scheme defrauded the organization’s benefits program for children with spina bifida. According to Brown’s plea, he allegedly set up Legacy Home Health in order to submit more than $3 million in false claims to the VA. This scheme is only one of several scams pulled off by Brown’s friend.

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Medical Biller Sentenced to 4 Years for Healthcare Fraud Scheme

Sabrinea Brooks of Port St. Lucie was sentenced to four years in federal prison after pleading guilty to wire fraud, access device fraud and forgery. Brooks used her four jobs in healthcare billing from June 2014 through April 2015 to simultaneously work her fraud scheme rerouting over $873,000 to bank accounts that she controlled.

 

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Florida Supreme Court Dismisses Review of Assignment of Benefits Dispute

A divided Florida Supreme Court discharged jurisdiction and dismissed the review proceeding of an assignment of benefits case due to a law that was passed this spring revamping the AOB system.

According to court documents, the policyholders, John and Liza Squitieri assigned benefits to Restoration 1 to clean up water damage in their home. However, their insurance company Ark Royal Insurance Co. refused to pay the full amount. Restoration 1 sued Ark Royal for breach of contract but lost in circuit court and appeals court.

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Filed under Legislation, Property (Homeowners)

Investigation into Minor Vehicle Collision Reveals Autonomous Vehicle Risks

The National Transportation Safety Board (NTSB) recently released results from its investigation into a minor collision involving an autonomous shuttle bus and a commercial truck in 2017. No one was injured in the crash; however, the incident did highlight some autonomous vehicle risks.

The autonomous shuttle operates on a predetermined route but does not have a steering wheel, brake pedal, or accelerator pedal. The attendant could only operate the shuttle using a hand-held controller which was not easily accessible when the incident occurred. A new policy was implemented that made the controller more accessible throughout a trip.

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Pharmacy Owner Arraigned On Charges of Healthcare & Wire Fraud

Andrew Fisher, the president and part-owner of Physician Specialty Pharmacy, is being accused of conspiracy to commit health care fraud, wire fraud, and money laundering. Allegedly, Fisher and five co-conspirators submitted more than $4.8 million in fraudulent claims for prescriptions for compounded pain cream, scar cream, and wellness capsules. According to the indictment, Fisher agreed to fill prescriptions at his pharmacy while using drug formations that would maximize the amount his pharmacy could bill to insurance companies.

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New Claims Technology to Tackle Increased Water Damage Claims

There have been a lot more claims for water damage than wind damage in recent years, including the trillions of gallons of water Texas experienced when Hurricane Harvey hit in 2017. Since that time, water damage claims have gone up each year, representing more than 50% of hurricane claims.

Here are a few of the new technologies in the following areas are being used to help combat this uptick in water and flood loss:

  • Faster, easier and better-targeted forms of communication
  • Faster estimating
  • Virtual inspections
  • Damaged item valuation
  • Smarter vendor selection using data and analytics

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Filed under Property (Homeowners)