Tag Archives: Fraud

10 Unlicensed Workers Arrested in Fraud Sting

Florida Department of Financial Services and the Pinellas County Sheriff’s Office launched ‘Operation Stonewall,’ a three-day fraud sting to catch contractors allegedly agreeing to perform work without the required licenses and proper workers’ compensation insurance coverage.

Ten individuals were arrested in the fraud sting and could serve up to 5 years in prison if convicted.

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Filed under Property (Homeowners)

UPDATE – Miami School Bus Workers Arrested for Fraudulent Insurance Claims

Twelve Miami-Dade County Public Schools bus workers (both current and former) have been arrested for allegedly submitting $426,933 in fraudulent insurance using children’s information.

Fraud detectives found that the bus workers submitted 68 false accident claims between 2015 and 2018.

Click here to read the article. (Previous post)

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South Florida Pain Clinic Owner Sentenced in Health Care Fraud Case

Scott Novick, owner of pain clinics in Palm Beach, Broward and Miami, was sentenced to six and a half years in prison and forfeit almost $1.4 to Medicare. Novick pled guilty to conspiracy to commit health-care fraud resulting in Medicare losses in the amount of $2.2 million. He was sentenced to six and a half years in prison and ordered to forfeit $1.4 million to Medicare.

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Filed under Fraud, Healthcare

Cape Coral Roofing Company Accused of Taking Money and Not Completing Work

According to WINK News of Fort Myers, FL, twenty-four people are accusing Campbell Roofing and Sheet Metal of Cape Coral of taking deposits for roofing jobs, starting the work and abandoning the jobs. In some cases, the roofer never started the job at all.

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Filed under Fraud, Property (Homeowners)

Miami Woman Facing 47 Charges in Insurance Fraud Scheme

Shanequa Veal, alleged “ringleader” of an insurance fraud scheme, is facing 47 charges for these crimes. Veal is being accused of submitting about $357,000 in doctored insurance claims for herself and other people, including her two children.

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Arcadia Man Arrested and Charged with Insurance Fraud

Frank David Berry III of Arcadia was arrested and charged with insurance fraud after an investigation by State Department of Financial Services, Division of Investigative and Forensic Services. A man in a van backed out of a parking spot, collided with a Mercury which struck a Cadillac parked nearby. After the accident, Berry called the insurance company claiming that he was in the Cadillac at the time of the collision. He claimed he went to the hospital due to pain in his neck and back as a result of the violent crash.

The driver of the van and a witness, however, say Berry was not in the Cadillac at the time of the crash. Berry is captured on security video footage from the parking lot leaving his vehicle and walking into the store over a minute before the collision of the three cars. Berry is facing charges of insurance fraud and three counts of using a communication device to facilitate a felony.

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Kissimmee School Teacher Arrested for Staged Accident Scheme

Kissimmee elementary school teacher, Lanfranco Palman, is facing three felony charges for allegedly faking being hit by a car to defraud his insurance company. The staged accident occurred at a grocery store in 2016 where Palman claimed he was hit by a vehicle, but witnesses say he fell onto the hood after the car had stopped.

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Filed under Fraud

17 Unlicensed Contractors Arrested in Sarasota County Sting Operation

Sarasota law enforcement partnered with the Sarasota County Building Department, the Florida Department of Financial Services Division of Insurance Fraud and the Florida Department of Business and Professional Regulation on a sting operation to bust seventeen people who were allegedly doing unlicensed contract work.

During the three-day operation, detectives waited to see if the potential workers were licensed, registered, and insured to perform the work. The sting resulted in 17 arrests with 21 felony charges and 15 misdemeanor charges.

Click here for the news story.

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Filed under Property (Homeowners)

Tampa Bay Residents Charged in $200M Health Care Fraud Scheme

Jessica Linton of Clearwater and Juan Rodriguez of Tampa are two of 10 people who were charged in an indictment alleging over $200 million in insurance fraud. Linton is facing 24 charges in the indictment while Rodriguez is facing 6 charges including health care fraud, mail fraud and aggravated identity theft. The scheme included altering prescriptions to add non-prescribed drugs including Tramadol and ketamine.

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Filed under Fraud, Healthcare

Geico Seeks To Recover $20M in Racketeering Suit

As reported by Law360, Geico is seeking to recover at least $20 million in compensatory damages, in addition to costs, fees and punitive damages from a Florida chiropractor and his network of clinics.

On Thursday, May 30th, the insurer filed suit in Florida federal court against Mark A. Cereceda claiming civil racketeering violations and unjust enrichment as well as common law fraud and other claims.

According to the complaint, Geico says Mark A. Cereceda and his various Ceda Orthopedics clinics in Miami billed for services that were unnecessary, never provided and performed by people who were not properly licensed. Geico paid for physical therapy services performed by unsupervised massage therapists who are unqualified to perform physical therapy and who, under Florida law, cannot be reimbursed under PIP insurance. The insurer is also requesting a declaration from the court that it is not legally obligated to pay reimbursement of more than $75,000 in pending fraudulent PIP claims submitted by Cereceda’s clinics.

Cereceda has been sued by insurers at least three times over fraudulent medical billing and coding, delivering medically unnecessary chiropractic care and engaging in an unlawful referral scheme.

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