Tag Archives: Orlando

Orlando Woman Arrested for Arson and Burning to Defraud

Tondra Shenika Roberts was arrested for allegedly setting her car on fire on Christmas Eve. According to police reports, Roberts said the vehicle was supposed to be repossessed and she left the keys inside in case someone showed up to take it.

Investigators found the key in the ignition of the abandoned car as well as a box of matches on the driver’s seat and an empty Heineken bottle with a paper towel inside of it. Lab reports from the car came back positive for gasoline. Roberts said she filed an insurance claim for the damage.

Roberts is facing felony charges of arson and burning to defraud an insurer.

Click here to read the article.

Filed under Fraud

Four Arrested in Medicaid Fraud Scam Targeting Orlando Homeless

The Florida Attorney General’s Office announced on March 20, 2015 that four people have been arrested for Medicaid fraud. Homeless people were allegedly recruited to pose as patients in the Orlando fraud scheme, frequently in exchange for gas cards and temporary housing.

The defendants in the case are identified as follows:

  • Christina Benson, arrested in Georgia
  • Demetrious Davis, arrested in Florida
  • Harold Harrison, arrested in North Carolina
  • Dr. Sabiha Khan, arrested in Florida

Each individual faces at least one count of Medicaid Provider Fraud and one count of Organized Scheme to Defraud.

According to the investigation, Christina Benson, owner of Tranquility Healthcare Solutions in Orlando, billed Medicaid up to $3.2 million for psychosocial rehabilitation services that were neither warranted nor provided in a period of just 18 months. The announcement cited fraudulent payments of $215,000.

The company claimed to have worked with a local doctor, Sabiha Khan, as a treating provider, but many recipients said they had never met her. Additionally, untrained personnel—including some with criminal records—were allegedly used to deliver some services.

Click on the link for the Florida Attorney General announcement.

Filed under Uncategorized

Orlando Ranks #2 after Miami in Florida Questionable Claims, NICB Reports

The National Insurance Crime Bureau (NICB) recently released an analysis on questionable claims submitted by NICB member insurance companies from 2010 to 2012. Questionable claims (QCs) are those claims that NICB member insurance companies submit to the NICB for closer review and possible investigation. The NICB report analyzes questionable claims by loss city, core-based statistical area, policy type, loss type, and referral reasons.

The report revealed a shocking 23 percent spike in the number of questionable claims submitted in Florida from 2010 to 2012, rising from 8,723 in 2010 to 10,693 in 2012.

Miami generated the most QCs in Florida in 2012, with 2,309 QCs submitted to the NICB. Orlando generated the next highest level (877), followed by Tampa (690), Jacksonville (637), and Hialeah (361).  The most frequent types of loss were personal injury protection (PIP), bodily injury, other automobile, collision, and property damage.

The NICB reminds readers that QCs represent a small portion of overall claims. Of the 70.5 million in total national claims cited by NICB in 2012, only 116,268—or 0.164 percent were—questionable.

Florida Chief Financial Officer Jeff Atwater has taken measures to reduce the amount of insurance related crime in the state of Florida. In 2010, he launched Operation Sledgehammer—a multi-agency investigation into insurance fraud in the state of Florida. Despite state government’s attempts to crack down on insurance fraud, Florida still has the fifth highest insurance rates in the nation.

Click on the link to read the full NICB Report on Florida Questionable Claims.

Filed under Uncategorized