RIM Insurance Industry Articles

Great articles can be found here from the worldwide insurance industry. Providing informative RIM: Risk Integrity Management articles on fraud, investigations, loss control, security, safety and employee incentive training.

LEGISLATION

Obama vows to use bounty headers to go after fraud

March 15, 2010, Washington, DC — During a Monday speech in Ohio, President Barack Obama vowed to go after health care fraud in government programs. The speech was Obama’s third in a week discussing the health insurance overhaul currently before Congress. Last week during a trip to St. Charles, Mo., Obama discussed efforts to…

more info > White House speech

ARSON

Renters charged with torching gas station in Indiana

March 15, 2010, Plymouth, IN — The renters of a Marathon gas station have been charged with arson and insurance fraud after allegedly setting fire to the property on North Michigan Street. Maranda L. Taylor, 32, and Edward Michael Strauss, 27, both of LaPorte, have been charged in connection with the Class B and C felonies…

more info > South Bend Tribune

MEDICARE/MEDICAID

Cancer doctor in Va. headed to prison for $1.2M scam

March 15, 2010, Norfolk, VA — A local cancer doctor who practiced for 35 years was sentenced this morning to a little more than five years in federal prison for bilking government-run health insurance programs out of $1.2 million. Dr. Ronald Poulin apologized to his family and his patients but refused to take responsibility for…

more info > Virginian-Pilot

STAGED CRASHES

19 charged with crashing cars for profit in Florida sweep

March 15, 2010, Tallasassee, FL — lorida CFO Alex Sink today announced that her statewide sweep of staged accident scammers last week resulted in the arrest of 19 suspects, including arrests in Ft. Myers, Miami, Orlando, Pensacola, Tampa, and West Palm Beach. Since July 2009, CFO Sink’s investigators have arrested 259 people…

more info > CFO news release

ARSON

N.Y. man charged with setting fire to hotel and eatery

March 15, 2010, Cincinnatus, NY — A Cincinnatus man has been charged with setting fire to a landmark hotel and restaurant more than two years ago to collect $137,000 in insurance, according to the New York State Insurance Department. George Merchant, 61, was charged with felony arson, insurance fraud, grand larceny, falsifying…

more info > The Post-Standard

DISABILITY FRAUD

Disability claimant in N.J. indicted for $39,000 fraud

March 15, 2010, Trenton, NJ — Attorney General Paula T. Dow and Criminal Justice Director Stephen J. Taylor announced that a Mercer County man has been indicted for allegedly collecting more than $39,000 by submitting fraudulent disability insurance claims. According to Acting Insurance Fraud Prosecutor Riza Dagli, Emeka…

more info > N.J. AG news release

AUTO FRAUD

YouTube video of car crash leads to fraud arrest in Calif.

March 15, 2010, Diamond Bar, CA — Diamond Bar man and his sister received a crash course in insurance fraud when they were arrested because a YouTube video shows his car — which they claim crashed on a Southland freeway — flying off a mountain road during a race, it was reported today. Investigators said Jay Chen, 21, and Tracy…

more info > Fox L.A.

RATE EVASION

Car salesman in Mass. accused of unlawful policy sales

March 15, 2010, Somerville, MA — A Somerville car salesman was formally accused of using stolen identities to sell fraudulent auto insurance policies during an arraignment in Suffolk Superior Court in Boston on Friday, the Attorney General’s office announced. Wanderson Silva, 31, of Malden, was indicted on Friday by a Suffolk…

more info > Boston.com

WORKERS COMP

Comp claimant in Calif. charged with defrauding feds

March 15, 2010, Vacaville, CA — A Vacaville resident is in hot water after a federal grand jury charged him with falsely denying he had outside employment and income. Michael Howell, 59, is charged with committing fraud in order to receive approximately $305,000 in workers’ compensation benefits.United States Attorney Benjamin B.…

more info > The Reporter

Motorcyclist in S.C. pleads guilty to faking theft

February 12, 2010, Irmo, SC — An Irmo man has pleaded guilty to insurance fraud. Mitchell Brent Clark, 20, of Irmo, pleaded guilty to presenting a false claim of more than $1,000. Judge G. Thomas Cooper Jr. of Richland County Court of General Sessions sentenced Clark to three years in prison suspended to 18 months probation.…

more info > Sc Insurance News Service

LEGISLATION

Surveillance restriction bill advances in Colorado

February 12, 2010, Denver, CO — State lawmakers voted 6-5 Thursday evening for a bill that would make it more difficult for insurance companies to do surveillance on workers they think are faking injuries or filing bogus workers’ compensation claims. Two Democrats on the House Judiciary Committee voted for the bill so the entire…

more info > 9 News

FRAUD FIGHTING

Md. fraud unit awarded grant to investigate burned cars

February 12, 2010, Baltimore, MD — The fraud division of the Maryland Insurance Administration recently received a $7,500 grant from a regional group to further investigate claims linked to abandoned or burned automobiles. The grant was issued by the Maryland/D.C. Anti Car Theft Committee (ACT), a group of insurers who aid projects…

more info > IFAweb

DRUG DIVERSION

CNN documentary profiles pain clinic abuse in Florida

February 12, 2010, Broward County, FL — This gripping 15-minute documentary by independent Miami journalist Amber Lyon offers vivid close-ups of Florida’s pain clinics, which supply pushers from other states that have more effective regulation. She talks to some of the lost young addicts living on the streets.…

more info > CNN

MEDICARE/MEDICAID

Mass. clinic to pay state $450K for unneeded testing

February 12, 2010, Boston, MA — A Springfield clinical laboratory, in a settlement to resolve allegations of Medicaid fraud, on Thursday agreed to reimburse $450,000 to the state’s Medicaid program. Between 2004 and last year, Life Laboratories billed Medicaid, a health program for the poor and disabled, for urine and…

more info > Mass Live

WORKERS COMP

Comp claimant in Calif. headed to prison for three years

February 12, 2010, San Bernardino, CA — A 45-year-old Victorville resident was sentenced to three years in state prison for committing workers’ compensation insurance fraud. Rosalind Rochelle Warr pleaded guilty in 2005 and was put on probation, during which time she was ordered to repay over $118,000 for insurance benefits she…

more info > Daily Press

WORKERS COMP

Calif. roofing contractor convicted of $38M comp fraud

February 12, 2010, Santa Ana, CA — A Laguna Hills man accused of enriching himself in a $38 million workers’ compensation insurance-fraud scheme was convicted today, prosecutors said. Michael Vincent Petronella, 51, was found guilty by a jury of 33 felony counts of insurance fraud and a sentencing enhancement of aggravated white…

more info > Orange County Register

MEDICARE/MEDICAID

Pair in Wash. accused of stealing IDs to bill Medicare

February 12, 2010, Seattle, WA — Two Seattle-area men are facing federal charges on allegations that they attempted to bilk a seniors health program out of millions of dollars. In separate grand jury indictments filed in U.S. District Court, federal authorities contend both men followed identical schemes in setting up shell…

more info > Seattle PI

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