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Insurance Fraud

West New York Financial Advisor Gets 3+ Years for $4M Health Care Fraud Scheme: Feds West New York Financial Advisor Gets 3+ Years for $4M Health Care Fraud Scheme: Feds
West New York Financial Advisor Gets 3+ Years for $4M Health Care Fraud Scheme: Feds  A 55-year-old West New York financial advisor was sentenced to 41 months in prison on Monday, Nov. 18, for orchestrating a $4 million scheme to defraud public health insurance plans, authorities said. Kaival Patel was convicted last December in Camden federal court of conspiracy, health care fraud, and money laundering, US Attorney Phillip Sellinger said. Patel must also pay $4.72 million in restitution and serve three years of supervised release, Sellinger said. According to court documents and trial evidence, Patel operated ABC Healthy Living LLC, a company that marketed high-cost c…
Viral Dashcam Footage Shows Vehicle Reversing On NY Highway In Apparent Insurance Fraud Attempt Viral Dashcam Footage Shows Vehicle Reversing On NY Highway In Apparent Insurance Fraud Attempt
Viral Dashcam Footage Shows Vehicle Reversing On NY Highway In Apparent Insurance Fraud Attempt Authorities are investigating a case of attempted insurance fraud after the victim’s shocking dashcam video of the incident went viral online. “Everything happened so fast,” Ashpia Natasha, recounted in a video on TikTok that had more than 68M views as of press time. She said she was alone driving eastbound on the Belt Parkway in Queens, toward the Southern State Parkway, on Wednesday, Oct. 16, when another driver cut her off and slammed on his brakes. At first, her dashcam video shows what appears to be just a close call; she hits her brakes and avoids crashing into the other ve…
Three People Conspired To Fake Life Insurance Policies: Hudson County Prosecutor Three People Conspired To Fake Life Insurance Policies: Hudson County Prosecutor
Three People Conspired To Fake Life Insurance Policies: Hudson County Prosecutor Three Queens residents were arrested and charged over the past month, with creating phony life insurance policies in Hudson County, authorities said. Auditya Ramotar, 69, in his role as a license life insurance provider, fraudulently obtained two life insurance policies for an individual without their consent, Hudson County Prosecutor Esther Suarez said. Leona Ramroop, a 58-year-old phlebotomist, generated falsified medical records to support fraudulent claims that would benefit accounts associated with Ramotar and Bhogewattie Ramotar, a 57-year-old Queens resident, Suarez said. Auditya is…
Contractor Behind Leaky, Moldy Jersey City Buildings Busted For Phony Insurance: Prosecutor Contractor Behind Leaky, Moldy Jersey City Buildings Busted For Phony Insurance: Prosecutor
Contractor Behind Leaky, Moldy Jersey City Buildings Busted For Phony Insurance: Prosecutor A 37-year-old North Jersey resident was arrested on Thursday, Sept. 12 and charged with theft and forgery on accusations he submitted a fake insurance certificate, authorities said. Prince Narang's company, Artisan Design and Construction, was hired to perform contract work on a residential building in Jersey City, Hudson County Prosecutor Esther Suarez said.  Narang, of Glen Ridge, submitted a bogus insurance certificate to the property owner and bank to obtain a construction contract, Suarez said.  The owner tried to file an insurance claim for property damag…
West New York Man Fudged Accident Report To Collect Insurance: Prosecutor West New York Man Fudged Accident Report To Collect Insurance: Prosecutor
West New York Man Fudged Accident Report To Collect Insurance: Prosecutor A 31-year-old West New York man was charged with insurance fraud on Thursday, Aug. 8, after he altered an accident report in 2023 to make it look like he had insurance at the time of the crash, authorities said. Anthony Ayala purchased an insurance policy with Progressive Insurance on June 27, 2023 and then filed a claim alleging his Jeep Wrangler was involved in a single vehicle crash in Allamuchy, Hudson County Prosecutor Esther Suarez said. Ayala submitted altered New Jersey State Police reports to support the claim, Suarez said. An investigation revealed the crash occurred on June …
NJ Trucking Company Owner Lied To Pay Lower Premiums, Prosecutor Says NJ Trucking Company Owner Lied To Pay Lower Premiums, Prosecutor Says
NJ Trucking Company Owner Lied To Pay Lower Premiums, Prosecutor Says A 36-year-old Warren Township man who ran a fuel delivery trucking company was arrested and charged on Thursday, May 9, with insurance fraud, authorities said. Rajinder Randhawa was misrepresenting his garage location on a commercial auto policy application, and an audit revealed eight trucks belonging to the trucking company were listed as being garaged in Bridgewater, Somerset County Prosecutor John McDonald. In truth, the trucks were located in Linden. By stating the trucks were being garaged in Bridgewater instead of Linden on the insurance application, Randhawa paid a mu…
'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts 'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts
'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts A Baltimore man was sentenced to a year and a day in federal prison for paying people to bribe drug addicts in New Jersey to go to specific rehab centers -- some as far as California. John Devlin, 37, is one of seven people who took deals from the government and admitted participating in a plot to defraud health insurance companies through patient brokering in several states, U.S. Attorney for New Jersey Philip R. Sellinger said. The confessed schemers enlisted "recruiters" to pay users addicted to heroin and other drugs with "robust" private health insurance several thousand dollars to ent…
NJ Doc Accused Of Sexually Abusing Patients Now Charged With Insurance Fraud: Prosecutor NJ Doc Accused Of Sexually Abusing Patients Now Charged With Insurance Fraud: Prosecutor
NJ Doc Accused Of Sexually Abusing Patients Now Charged With Insurance Fraud: Prosecutor A New Jersey doctor accused of sexually abusing six of his patients has now been charged with insurance fraud — as has his office manager, authorities said. Gurvindra Johal, 56, of Colonia, was arrested back in March for  inappropriately touching of two patients under his care at an urgent care center on Broad Street in Newark, according to Acting Essex County Prosecutor Theodore N. Stephens. Another woman later came forward saying the physician sexually assaulted her while under his care at Amboy Urgent Care, located at 469 Cornell Street, Perth Amboy, Middlesex County Prosecutor Yola…
PA Man Charged With Torching NJ Home For Insurance Money PA Man Charged With Torching NJ Home For Insurance Money
PA Man Charged With Torching NJ Home For Insurance Money A Pennsylvania man already awaiting trial in connection with other incidents was charged with setting fire to a former home in Cherry Hill to collect on the insurance. Richard Orlandini, 62, of Wilkes Barre, collected at least $75,000 from Allstate by "recklessly placing others in danger of death or bodily injury,"  New Jersey Attorney General Matthew J. Platkin said. Firefighters reported finding the two-story single-family home on Chapel Avenue West well-involved shortly before 1:30 a.m. Oct. 20, 2018. No injuries were reported and the house had to be demolished. Orlandini deli…
NJ Woman, 72, Indicted For Using Dead Caregiver's Info To Keep Collecting Insurance Payments NJ Woman, 72, Indicted For Using Dead Caregiver's Info To Keep Collecting Insurance Payments
NJ Woman, 72, Indicted For Using Dead Caregiver's Info To Keep Collecting Insurance Payments A 72-year-old New Jersey woman used phony timesheets and a bogus bank account from a dead caregiver to fraudulently collect insurance payments for long-term care from him, state authorities charged. Leoncia Hutchinson of Metuchen deposited the payments from the Continental Casualty Company into a dedicated account, then slid the funds back into her own, an indictment returned by a grand jury in Trenton alleges. For six months, Hutchinson treated the man’s death as “a moneymaking opportunity,” New Jersey Attorney General Matthew J. Platkin said in announcing the indictment on Wednesday, Nov.…
Bayonne Man Popped For Insurance Fraud: Prosecutors Bayonne Man Popped For Insurance Fraud: Prosecutors
Bayonne Man Popped For Insurance Fraud: Prosecutors A 26-year-old Bayonne man was arrested and charged with submitting a fake insurance claim for a car crash, authorities said. Frank Olivero was arrested by the Hudson County Prosecutor's Office Insurance Fraud Unit on Tuesday, May 23, Esther Suarez said. Olivero filed a claim with Progressive Insurance Company falsely claiming his 2017 Honda Civic was damaged while he was parked in New York City in January 2003, Suarez said. The damage had actually occurred prior to that date, Suarez said.  Olivero was charged with insurance fraud in the third degree and was released pending his first c…
Details Emerge Around Widow Of NJ ‘Animal Whisperer’ Who Continued Vet Practice Without License Details Emerge Around Widow Of NJ ‘Animal Whisperer’ Who Continued Vet Practice Without License
Details Emerge Around Widow Of NJ ‘Animal Whisperer’ Who Continued Vet Practice Without License The widow of a revered North Jersey veterinarian known as the “animal whisperer” had help from two alleged co-conspirators from New York in continuing to operate her husband’s clinic without a license, it was recently revealed. Alia Muslih, 41, of Montclair originally was accused of posing as a veterinarian following her husband’s death in order to keep the Totowa Animal Hospital open. A massive 77-count grand jury indictment returned earlier this month in Paterson lays out additional details. Included are allegations that Muslih had help from Marco A. Gamarra, 64, of the Bronx and Yaser I…
Jersey City Men Pull Switcheroo In Attempt To Milk Money Out Of Mercedes Benz Crash: Prosecutor Jersey City Men Pull Switcheroo In Attempt To Milk Money Out Of Mercedes Benz Crash: Prosecutor
Jersey City Men Pull Switcheroo In Attempt To Milk Money Out Of Mercedes Benz Crash: Prosecutor Two Jersey City men have been charged with insurance fraud after prosecutors claim they tried to pull a switcheroo following a car crash in 2022. Shelton Sutton and Kevin London, both 36, were arrested following an investigation from the Hudson County Prosecutor's Office Insurance Fraud Unit. Sutton was arrested on Monday, April 3, while London was arrested back in February, Hudson County Prosecutor Esther Suarez said.  Sutton was involved in a crash in Jersey City in March 2022 while driving a Mercedes Benz owned by London, Suarez said. During the crash investigation, Sutton identifie…
Little Ferry Laborer Torched Truck For Insurance Money, Authorities Charge Little Ferry Laborer Torched Truck For Insurance Money, Authorities Charge
Little Ferry Laborer Torched Truck For Insurance Money, Authorities Charge A laborer from Little Ferry was charged with torching his pickup truck outside his own home for the insurance money. Louis M. Molino, 40, was arrested soon after firefighters responding to a quiet Couchon Drive neighborhood near Route 46 found the 2008 Nissan Frontier ablaze around 11:30 p.m. Friday, Jan. 13, Bergen County Prosecutor Mark Musella said. Little Ferry police and members of Musella’s Major Crimes Unit, assisted by the Bergen County Sheriff’s Bureau of Criminal Identification, collected enough evidence to charge Molina with aggravated arson, arson and risking widespread injury o…
Passaic County Chiropractor Charged With $372,000 Insurance Fraud Passaic County Chiropractor Charged With $372,000 Insurance Fraud
Passaic County Chiropractor Charged With $372,000 Insurance Fraud A 69-year-old chiropractor from Passaic County was charged with submitting $372,000 worth of bogus insurance claims, authorities said. Patrick Capizzi of North Haledon was released pending a first appearance in Central Judicial Processing Court in Paterson following his arrest on Monday, Jan. 9, Passaic County Prosecutor Camelia M. Valdes announced on Tuesday. Members of her Insurance Fraud Unit charged Capizzi with healthcare claims fraud and tax evasion, the prosecutor said. They began examining Capizzi’s practice in late October 2020 after receiving “a report of inappropriate billi…
Somerset County Driver Sentenced For Homicide, Fraud: Prosecutor Somerset County Driver Sentenced For Homicide, Fraud: Prosecutor
Somerset County Driver Sentenced For Homicide, Fraud: Prosecutor A Somerset County man will spend five years in state prison after authorities say he struck and killed another traveler while driving on a suspended license.  According to the county Prosecutor's Office, George L. Rodriguez, 68, of Bedminster, was driving north on Routes 202/206 toward the intersection with River Road just before 7 p.m. on Nov. 13, 2020.  Investigators said Rodriguez turned left into the intersection instead of taking the designated "jug handle" turning lane and slammed into a compact sedan head-on at 50 miles per hour. The other driver, 65-year-old Michael Sivul…
Ex-Hudson County Man Charged With Insurance Fraud Over $27K Diamond Ring Ex-Hudson County Man Charged With Insurance Fraud Over $27K Diamond Ring
Ex-Hudson County Man Charged With Insurance Fraud Over $27K Diamond Ring A 44-year-old Connecticut man formerly of Hudson County was arrested for filing a bogus insurance claim on a diamond ring valued at $27,000, authorities said. Duke Quarshie, of Norwalk, CT, was issued a payment from Assurant Insurance Company in 2016 for a claim regarding the ring, Hudson County Prosecutor Esther Suarez said. On June 2, 2021, Quarshie was living in North Bergen when filed a second claim for the same piece of jewelry. Quarshie was charged with one count of insurance fraud and arrested at the Hudson County Prosecutor’s Office in Jersey City on Wednesday, Nov. 23. He was…
Warren County Woman, 59, Made Fake Police Report, Filed Bogus Insurance Claim: Prosecutor Warren County Woman, 59, Made Fake Police Report, Filed Bogus Insurance Claim: Prosecutor
Warren County Woman, 59, Made Fake Police Report, Filed Bogus Insurance Claim: Prosecutor A 59-year-old Warren County woman who made a false police report and filed a bogus insurance claim about a stolen pickup truck has been charged, authorities said. Silvana Saleh, of Rose Lane in Hackettstown, told officers that her 2012 Chevy pickup truck was stolen from her barn when she was gone sometime between Friday, April 29 and Sunday, May 1, Warren County Prosecutor James L. Pfeiffer said in a release with local officials on Friday, June 3. The truck was subsequently entered in the national crime information center as stolen. On Tuesday, May 24, detectives learned that the truck had…
Dozens Of Bogus NJ Insurance Claims Filed By 2 Women: AG Dozens Of Bogus NJ Insurance Claims Filed By 2 Women: AG
Dozens Of Bogus NJ Insurance Claims Filed By 2 Women: AG Two women are accused of submitting dozens of fraudulent health insurance claims in New Jersey, authorities said. The women were indicted for allegedly submitting the fake claims to Aflac for medical treatment that they did not receive, according to Acting Attorney General Matthew J. Platkin. Hassanah Todd, 33, of Newark, N.J. and Shirell Todd, 32, of High Point, NC, were indicted on charges of conspiracy, insurance fraud, theft by deception, and falsifying or tampering with records, Plotkin said. The indictment was returned by a grand jury on Thursday, May 12. The indictment fu…
Ex-Police Officer Who Faked Her Death In Ukraine Nabbed For Retail Theft, Records Show Ex-Police Officer Who Faked Her Death In Ukraine Nabbed For Retail Theft, Records Show
Ex-Police Officer Who Faked Her Death In Ukraine Nabbed For Retail Theft, Records Show A former Baltimore police officer who allegedly faked her death in Ukraine to avoid going to trial over false sex assault accusations toward a Pennsylvania officer, has been arrested yet again for retail theft,  authorities say. Oksana Olkesandrivna Brown, 47, of Dallastown, was previously sentenced to serve two years probation, 50 hours of community service, and was banned from the Shrewsbury Township Walmart after she was convicted of stealing $30 worth of merchandise in 2018, court records show. Brown claimed she was sexually assaulted by a Pennsylvania state trooper while the…
Uber, Lyft Drivers Used Bogus Insurance Cards: Hudson Prosecutor Uber, Lyft Drivers Used Bogus Insurance Cards: Hudson Prosecutor
Uber, Lyft Drivers Used Bogus Insurance Cards: Hudson Prosecutor Three alleged rideshare drivers were arrested in New Jersey on insurance fraud charges, authorities said. Muhammad Khan, 21, Haq Khan, 24, and Yasir Raza, 34, have each been accused of collecting insurance money from ridesharing apps such as Uber and Lyft, for car accidents that never happened, Hudson County Prosecutor Esther Suarez said. The alleged drivers told the rideshare companies that the accidents occurred in a 2018 Tesla, which they claim was previously damaged in another accident, the prosecutor said. They say an insurance company determined the damage was a "total loss." It…
Jersey City School Security Got $17K From Bogus Medical Claims: Prosecutor Jersey City School Security Got $17K From Bogus Medical Claims: Prosecutor
Jersey City School Security Got $17K From Bogus Medical Claims: Prosecutor A Jersey City Public Schools security guard has been arrested for submitting 50 bogus medical claims and taking $17,000 in payouts through his employment, authorities said. Kaquan Vanliew, 34, submit the medical claims to AFLAC insurance between 2018 and 2021, and received the money from a policy obtained through his employment at the Jersey City Public Schools, Hudson County Prosecutor Esther Suarez said. Vanliew was charged with one count of Insurance Fraud, and arrested without incident at the Hudson County Prosecutor’s Office in Jersey City on Thursday, March 31. He …
Orange Man Towed, Junked 13 Vehicles Using Bogus Insurance Papers In North Jersey, Police Say Orange Man Towed, Junked 13 Vehicles Using Bogus Insurance Papers In North Jersey, Police Say
Orange Man Towed, Junked 13 Vehicles Using Bogus Insurance Papers In North Jersey, Police Say A 34-year-old New Jersey man was charged with theft after having more than a dozen vehicles towed and junked using bogus insurance papers, authorities said. Anthony Greene, of Orange, walked up to older model cars parked on Essex County streets and collected their vehicle identification numbers from Oct. 22, 2021, to Nov. 30, 2021, Newark Public Safety Director Brian A. O’Hara said. After receiving the information, he called tow companies to junk the cars and later put insurance on them, using the location of the theft as his home address, according to O'Hara. When the tow truck drive…
ARSON: Morris County Woman Started Fire That Killed Cat For Insurance Claim, Prosecutor Says ARSON: Morris County Woman Started Fire That Killed Cat For Insurance Claim, Prosecutor Says
Arson: Morris County Woman Started Fire That Killed Cat For Insurance Claim, Prosecutor Says A 46-year-old Morris County woman was accused of starting a fire that destroyed a home and killed a cat for insurance purposes, authorities announced Tuesday. Pamela Hankin, of Boonton, was charged with aggravated arson, insurance fraud, endangerment, and animal cruelty, Morris County Prosecutor Robert J. Carroll said in a joint release with Chief of Detectives Christoph K. Kimker, Morris County Sheriff James Gannon, and Pequannock Township Police Chief Daniel Comune. Authorities say Hankin intentionally started the fire in her room at the Prospect Avenue home she lived in on Wednesday, Jul…
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims A Bayonne-based chiropractor from the Jersey Shore with an insurance fraud conviction already on his record did it again, state authorities charged. Charles B. Boas, 73, of Matawan, got probation seven years ago after pleading guilty to collecting nearly $13,000 through bogus claims, records show. State officials announced Wednesday that they'd caught him in an even bigger scam -- this time involving hundreds of false submissions to Horizon Blue Cross Blue Shield. A grand jury in Trenton indicted Boas on 261 counts involving health care claims fraud, theft by deception and tax evasions, Ac…
Undercover Sting Busts Jersey City Taxi Service With Insurance Fraud, Prosecutor Says Undercover Sting Busts Jersey City Taxi Service With Insurance Fraud, Prosecutor Says
Undercover Sting Busts Jersey City Taxi Service With Insurance Fraud, Prosecutor Says Three owners of a Jersey City taxi service were arrested for having uninsured drivers operating uninsured vehicles, authorities announced Thursday. Aziz Ibrahim, 63; Michael Ibrahim, 23; and Theresa Ibrahim, 47 had been running three different companies under the names  A1 City Corp., 4M Enterprises Inc. and AAA City Bergen Inc., Hudson County Prosecutor Esther Suarez said. The four-month investigation included undercover airport rides by law enforcement officers who found that these companies were not legally insured and that the vehicles were being driven by unregistered dr…
Son Of Infamous Bergen County Burglar Charged With ID Theft, Unemployment Fraud Son Of Infamous Bergen County Burglar Charged With ID Theft, Unemployment Fraud
Son Of Infamous Bergen County Burglar Charged With ID Theft, Unemployment Fraud The son of an infamous Bergen County burglar was charged with unemployment fraud after a shoplifting bust in Virginia, authorities said. A judge ordered Daniel Gatson Jr., 24, of Ridgefield released this week after he was booked into the Bergen County Jail hours earlier, records show. Gatson assumed another identity to open bank accounts, then applied for and received unemployment benefits from the state of New Jersey, Bergen County Prosecutor Mark Musella said, without specifying the amount. Detectives in Fairfax County, VA discovered this while investigating a shoplifting, the prose…
PHONE SCAM: 'Grandson In Trouble' Ringleader Busted, Passaic County Authorities Say PHONE SCAM: 'Grandson In Trouble' Ringleader Busted, Passaic County Authorities Say
Phone Scam: 'Grandson In Trouble' Ringleader Busted, Passaic County Authorities Say You’ve probably heard of them, the heartless con artists who call elderly victims pretending to be a grandson or other young relative needing bail money right now. Authorities in Passaic County say they’ve nabbed one – a big one. Raymond Jacquez, 26, led a network of scammers who convinced victims they were a relative who’d been arrested or a lawyer working for that person, Passaic County Prosecutor Camelia M. Valdes said. The victims were urged to wire money to a bank account in Paterson so the relative could post bail, she said. Senior victims in Florida, Maryland, Vermont and Washington…
PA Woman Faked Her Death In Ukraine To Avoid False Sexual Assault Charges, Reports Say PA Woman Faked Her Death In Ukraine To Avoid False Sexual Assault Charges, Reports Say
PA Woman Faked Her Death In Ukraine To Avoid False Sexual Assault Charges, Reports Say A Pennsylvania woman has been charged with making a false report, insurance fraud and unsworn falsification to authorities after she allegedly faked her own death among other things.Oksana Olkesandrivna Brown, 46 of Dallastown, had a different 2020 than most people, she not only traveled internationally, but she came back from the dead, sort of. Brown allegedly fled the US and faked her death to avoid serving time for falsely accusing a Pennsylvania State trooper of sexual assault and to obtain a life insurance payout, reports York Daily Record. Brown -- a former Baltimore City police offic…
3rd Accused Arsonist Arrested In Jersey City Bodega Fire 3rd Accused Arsonist Arrested In Jersey City Bodega Fire
3rd Accused Arsonist Arrested In Jersey City Bodega Fire A 29-year-old man was the third person to be charged with torching a Jersey City bodega in 2019, authorities announced Tuesday. Jeremiah Lane surrendered at the Hudson County Prosecutor's Office Monday, and was charged in connection with the June 9, 2019 blaze at Tribu Minimart on Princeton Avenue, Hudson County Prosecutor Esther Suarez said. The shop's two owners, Amado Gonzalez-Abreu, 38, and Francisca Duran-Tejada, age 47, were charged last October, Suarez said. Gonzalez-Abreu and Duran-Tejada were charged with arson for insurance fraud purposes, while was charged with aggrava…
Jersey Shore Con Man, 73, Gets Three Years, Son Probation For $4M Insurance Scam Jersey Shore Con Man, 73, Gets Three Years, Son Probation For $4M Insurance Scam
Jersey Shore Con Man, 73, Gets Three Years, Son Probation For $4M Insurance Scam A 73-year-old Asbury Park man was sentenced to three years in state prison while his son got probation for an insurance scam that netted them $4 million, authorities said. Frank Pescatore, 73, and his son, former life insurance agent Evan Pescatore, 38, of Highlands finagled 18 policies with a combined face value of $61.5 million from eight insurance companies by paying the premiums, state Attorney General Gurbir S. Grewal said Wednesday. The process of providing applicants and insureds with a no-cost inducement to apply for life insurance policies by paying their premiums is known as “reba…