Tag Archives: insurance

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.

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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.

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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.

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Filed under Fraud, Personal Injury Protection (PIP)

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

Tesla Announced Launch of Its Insurance

Tesla announced the launched of its own insurance and claims that it will provide customers with lower rates because of the safety features in its vehicles. According to Tesla, “because Tesla knows its vehicles best, Tesla Insurance is able to leverage the advanced technology, safety, and serviceability of our cars to provide insurance at a lower cost.”

Click here to read the article.

Filed under Technology

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)

Couple Denied Coverage After Water Heater Leak Under Policy’s Earth Movement Exclusion

Barbara and Charles Hatch had a water heater leak about 4,000 gallons of water flooding their home. Their insurance company, GeoVera Specialty Insurance Co., inspected the claim and issued payment to mitigate the damage. However, after then work had begun the Hatch’s discovered damage to the foundation and structure of the home.

Upon further inspection, GeoVera denied coverage based on the Hatch’s policy that excludes under the earth movement, which caused the foundation and structural damage. The district court ruled the structural damage to the Hatches’ home was excluded as the company claimed and GeoVera was entitled to summary judgment on that portion of the Hatches’ claim. In its decision, the district court explained that, under the policy, any damage caused by the accidental discharge of water from the water heater, including the structural damage to the Hatches’ home, was covered “unless otherwise excluded.”

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Filed under Property (Homeowners)

Brothers Sentenced in $20 Million Insurance Fraud Scheme

Former insurance agent Stuart Alan Starr of One Stop Insurance Agency pled guilty to conspiracy to commit wire fraud and wire fraud in April 2019. Starr’s brother, Glen Wayne Starr pled guilty to the conspiracy to commit wire fraud in August 2018. The brothers received the same sentence of 101 months in prison, followed by three years of supervised release. They are both been ordered to pay over $20 million in restitution to the financial institutions they defrauded.

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Filed under Fraud

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.

Click here to read the article.

Filed under Fraud, Healthcare

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