Tag Archives: Florida

South Florida Insurance Agent Arrested in Senior Annuity Scam

South Florida insurance agent Alberto Soulier was arrested for allegedly selling a fictitious annuity policy to a senior citizen. Soulier presented false annuity documents and pocketed approximately $99,000 in premiums from the victim.

Soulier was charged with Misappropriated Insurance Funds, Organized Scheme to Defraud, and Grand Theft and could face up to 75 years in prison if convicted.

Click here to read the article.

Filed under Fraud

Unlicensed Florida Doctor Arrested For Unlicensed Medical Treatments and Fraudulent Billing

Ozioma Maduka of Osceola Injury Center, LLC was arrested for allegedly practicing healthcare without an active, valid Florida medical doctor’s license as well as fraudulently billing unlicensed medical treatments. Maduka billed two insurance companies for more than $4,400 in claims for unlicensed treatment of auto accident victims.

Maduka could face up to 5 years in prison if convicted.

Click here to read the article.

Filed under Fraud, Healthcare

Florida Doctor Arrested for Allegedly Defrauding Nine Auto Insurers

According to a statement from the Florida Department of Financial Services, Dr. Celestino Santi was arrested for allegedly defrauding nine auto insurance companies our of more than $500,000 in unlicensed medical billing.

Investigators reveal that Santi was allegedly acting as a “straw owner” of Accident Care Center of Boggy Creek to disguise the identity of the unlicensed, true owner of the motor vehicle accident medical treatment center.

Click here to read the article.

Filed under Fraud, Personal Injury Protection (PIP)

Perry Police Searching for Possible Windshield Scammers

Police in Perry, FL are receiving reports about possible scammers billing insurance companies for windshield repairs but not completing the work. The reports say that two people claim to work for “At Home Auto Glass” out of Sarasota. Police are working to identify the suspects.

Click here to read the article.

Filed under Fraud

Roig Lawyers Complimentary Webinar – Injections Don’t Need To Be Painful

Injections SM - 5

We are pleased to announce a webinar perfect for October, “Injections Don’t Have to be Painful” presented by Orlando Managing Partner Scharome Wolfe. The webinar will take place on Tuesday, October 29th at 1:00 pm. This course explores the use of injections by pain management physicians and their teams. This CE is approved for 1 credit for Florida adjusters.

REGISTER NOW!

Filed under Firm News

Three Miami Arrests in Physical Therapy Clinic PIP Fraud Scheme

Three individuals from the Miami physical therapy clinic Professional Medical Practice have been arrested in an alleged personal injury protection (PIP) fraud scheme. The clinic owner Alean Machado, recruiter Barbarito Leyva-Claro, and physical therapist Yoandra Rodriguez-Pena were charged with Insurance Fraud, Grand Theft, Patient Brokering and Organized Scheme to Defraud.

An undercover investigation uncovered the scheme which paid $2,500 for patients that participated in the fraudulent physical therapy sessions. Two insurance companies were billed over $39,000 in fraudulent claims from the clinic. Machado, Rodriguez-Pena and Leyva-Claro could face up to 45 years in prison if proven guilty.

Click here to read the article.

Filed under Fraud, Personal Injury Protection (PIP)

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.

Click here to read the article. (Previous post)

Filed under Fraud, Property (Homeowners)

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.

Click here to read the article.

Filed under Legislation, Property (Homeowners)

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.

Click here to read the article.

Filed under Fraud, Healthcare

Land o’ Lakes Medical Marketing Company Owner Found Guilty in $2M Medicare Fraud Scheme

David Brock Lovelace, the owner of the medical marketing company DBL Management LLC, was found guilty of Medicare fraud. After a four-day trial, Lovelace was found guilty of conspiracy to pay health care kickbacks and structuring currency transactions to avoid the reporting requirement.

Lovelace paid cash kickback and bribes in exchange for the referral of Medicare beneficiaries’ DNA swabs. He was then paid a percentage of the reimbursements from the $2.2 million in claims submitted by a clinical lab.

Click here to read the article.

Filed under Fraud, Healthcare