Archive for the ‘Insurance Fraud Arrest’ Category

MAN FILES FRAUDULENT PERSONAL INJURY CLAIM WITH SEPTA

July 2, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Joseph Hinton after receiving a referral from SEPTA.  On September 30, 2013, a SEPTA Route 38 bus was involved in an accident on the Benjamin Franklin Parkway. The Route 38 bus made minor contact with a 2007 Honda Accord and broke the sedan’s left side mirror. Hinton claimed that the accident caused him to sustain injuries to his back, neck and shoulders and he therefore retained counsel to file a personal injury claim against SEPTA. Hinton sought treatment for these alleged injuries and incurred medical bills in excess of eight thousand dollars. However, the investigation revealed that Hinton was not actually present on the bus at the time of the accident. Digital surveillance footage from the SEPTA Route 38 bus showed that there were thirteen passengers on the Route 38 bus but Hinton was not one of them. The surveillance footage shows that approximately fifteen minutes after the collision occurred, Hinton boarded the SEPTA bus and proceeded to talk to passengers in the back of the bus who were present when the accident occurred. Hinton was arrested on June 29, 2015 for Insurance Fraud and Attempted Theft by Deception for filing a fictitious personal injury claim against SEPTA. He is next scheduled to appear in Philadelphia Municipal Court for a status listing on July 6, 2015.

MAN FILES FRAUDULENT WORKER’S COMPENSATION CLAIM WITH ZENITH INSURANCE COMPANY

June 23, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Raheine Collins after receiving a referral from Zenith Insurance Company. Collins retained counsel to file a worker’s compensation claim on his behalf after he allegedly fell down a flight of stairs at Eulogy Bar and Restaurant. Counsel submitted a Bureau of Worker’s Compensation claim petition on Collin’s behalf in order that he could receive payment for injuries he allegedly sustained to his back, head and coccyx. In pursuit of this claim, Collins appeared for a Worker’s Compensation hearing in which he testified that he fell down a flight of stairs while working at Eulogy and then informed the chef and bartender of his injury. The chef and bartender were present at the hearing and their individual testimony contradicted Collin’s account. Both employees stated that they never learned that Collins had injured himself during the course of his employment.

 

Detectives retrieved medical records from Olney Orthopedics which indicated that Collins had sought treatment from February 7, 2013 until November 1, 2013 on eighty-nine separate occasions for treatment to his back and neck. The cost of the treatment exceeded twenty-two thousand dollars. Detectives also obtained medical records from Temple University Hospital which stated that Collins had sought treatment after falling on a SEPTA bus on January 21, 2013, one day after his alleged work injury. Inconsistencies in the origins of Collins’ supposed injuries drew further attention to the validity of his claim.

 

The investigation revealed that Collins did not injure himself while employed at Eulogy but had been terminated and subsequently attempted to file a worker’s compensation claim. Collins was arrested on June 4, 2015 for Insurance Fraud, Attempted Theft by Deception and Perjury. Collins waived his preliminary hearing and is next scheduled to be arraigned in Philadelphia Court of Common Pleas on July 6, 2015.

MAN REGISTERS VEHICLE WITH FRAUDULENT FLAGSHIP CITY INSURANCE FINANCIAL RESPOSIBILITY IDENTIFICATION CARD

June 23, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Norris Rhyanes after receiving information from the Philadelphia Police Major Crimes Auto Squad. Detectives obtained the title history for Rhyanes’ Dodge and learned that Rhyanes had registered the car with a Flagship City Insurance financial responsibility identification card. Detectives then contacted representatives from Infinity, of whom Flagship is a subsidiary, who stated that the listed policy number was not valid. Rhyanes was arrested for Forgery and Insurance Fraud on June 17, 2015. He waived his preliminary hearing and is next scheduled to be arraigned in the Philadelphia Court of Common Pleas on July 14, 2015.

MAN FILES CLAIM WHICH OCCURRED PRIOR TO PROGRESSIVE POLICY INCEPTION

June 23, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Robert Renzi after receiving a referral from Progressive Insurance Company. On February 21, 2015, Renzi purchased a policy from Progressive to insure his 2009 Kia Optima. In the afternoon of February 22, 2015, Renzi reported that he had been in an accident earlier that morning. Progressive investigators noted in the claim file that photographs of the damaged Optima show the vehicle covered in snow. Weather reports indicated that Philadelphia only received snowfall on February 21, 2015. Therefore, if Renzi had been in an accident on February 22, 2015, his car would most likely not have been still covered in and surrounded by undisturbed snow. The investigation revealed that Renzi purchased his policy with Progressive after his Kia Optima was already damaged in an accident. Renzi was arrested for Attempted Theft by Deception and Insurance Fraud on June 2, 2015. He is next listed for a status listing on June 30, 2015 in Philadelphia Municipal Court.

MAN FILES FRAUDULENT PERSONAL INJURY CLAIM WITH SEPTA

June 2, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Anthony Rosser after receiving a referral from SEPTA.   On September 7, 2012, Rosser was a passenger on the SEPTA Route K bus when the vehicle made minor contact with a truck while traveling on Adams Avenue in Philadelphia. Rosser then retained counsel to file a personal injury claim against SEPTA on his behalf.

Records indicate that Rosser told his medical providers that he was thrown back and forth following the alleged collision and that he had been forced to use his left arm to halt the impact. Rosser claimed that the accident had therefore caused him to suffer injuries to his neck, left shoulder and left arm. Rosser’s attorney submitted medical bills to SEPTA that were in excess of twenty-one thousand dollars.

 

Detectives interviewed the operator of the Route K bus who stated that while he was attempting to make a right hand turn onto Whitaker Avenue, he noticed that a truck on his left hand side was about to make contact with his bus. Although both vehicles stopped, the truck did make slight contact with the front left bumper of the bus. The operator stated that he distributed incident cards to passengers and then continued with his route. Surveillance footage from the Route K bus showed that Rosser was not disturbed during the incident nor was he jostled by the impact. Rosser was arrested for Insurance Fraud and Theft by Deception on May 28, 2015. He is next scheduled to appear for a status listing on June 1, 2015 in Philadelphia Municipal Court.

MAN REGISTERS TWO VEHICLES WITH TWO FRAUDULENT ALLSTATE INSURANCE FINANCIAL RESPOSIBILITY IDENTIFICATION CARDS

May 14, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Elzie Falu after receiving a referral from Allstate Insurance Company. On December 26, 2012, Falu was involved in an accident while driving a 1997 Dodge truck. A title history from the Pennsylvania Bureau of Motor Vehicles showed that Falu owned both a 1997 Dodge truck and a 2000 Dodge truck. On December 4, 2012, Falu registered his 1997 Dodge truck with an Allstate Insurance financial responsibility identification card and on October 8, 2014, Falu registered the 2000 Dodge truck with a different Allstate Insurance financial responsibility identification card. Detectives contacted representatives from Allstate who stated that neither financial responsibility identification card was valid, nor did the company at any point ever insure Falu. Detectives arrested Falu for two counts of Forgery and two counts of Insurance Fraud on May 6, 2015. He is next scheduled to appear in Philadelphia Municipal Court for a status listing on May 15, 2015.

HUSBAND AND WIFE CONSPIRE TO FILE FRAUDULENT ACCIDENT CLAIM WITH PROGRESSIVE INSURANCE COMPANY

May 14, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Spanish Alexander and Farrah Samuels for insurance fraud after receiving a referral from Progressive Insurance Company. On February 19, 2015, Spanish Alexander was driving his wife’s 2007 BMW when he struck the right side of a 2010 Mazda CX7 at the intersection of 4th and George Streets in Philadelphia. Spanish Alexander and his wife, Farrah Samuels, exited the car along with their daughter. Prior to the Philadelphia police arriving on the scene, Alexander approached the driver of the 2010 Mazda and accepted responsibility for the accident, but asked the driver to report that Farrah Samuels had been driving the car instead of him. Both Alexander and Samuels later fraudulently reported to Progressive Insurance Company in recorded statements that Samuels had been driving the BMW. The Nationwide insured driver of the Mazda also recounted the incident to Progressive and informed the investigator that Alexander had asked her to report that Samuels had been driving the car. The investigation revealed that Alexander was an excluded driver from Samuels’ Progressive insurance policy and therefore, he and his wife attempted to conceal the fact that Alexander had been driving in order that they would receive coverage for the accident. Alexander and Samuels were arrested on April 24, 2015 for Attempted Theft by Deception, Insurance Fraud, Criminal Conspiracy and False Reports. They are next scheduled for a status listing in Philadelphia Municipal Court on June 1, 2015.

 

WOMAN REPORTED PREEXISTING DAMAGES TO REPWEST INSURANCE COMPANY IN ORDER TO RECEIVE SETTLEMENT

April 14, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Sherida Archie after receiving a referral from Repwest Insurance Company. On August 1, 2014, a Repwest insured U-Haul truck struck a parked 2002 Mercedes Benz. Detectives retrieved the Philadelphia Police Department Accident Report which stated that the U-Haul had been traveling southbound when it struck the driver’s side of the Mercedes Benz and imploded the front tire and left multiple scratches on the driver’s side. However, the Repwest insurance file indicated that the driver of the U-Haul truck told Repwest that he did not cause any damage to the driver side of the Mercedes Benz during the accident beyond striking the tire. Rather, the driver stated that the scratches to the Benz were preexisting. Repwest investigators later learned that the Hartford Insurance Company had paid Sherida Archie three thousand dollars for identical damages to the Mercedes Benz in July of 2013 for a previous accident. Archie then reported the same damages to the Philadelphia Police and Repwest Insurance Company in August of 2014 in an attempt to receive a double payment for these same damages. Archie was arrested on April 6, 2015 for Insurance Fraud, Attempted Theft by Deception and False Reports. She is next scheduled to appear in Philadelphia Municipal Court on April 13, 2015 for a status listing.

MAN FILES FRAUDULENT PERSONAL INJURY CLAIM WITH SEPTA AND LIBERTY MUTUAL INSURANCE COMPANY

April 14, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Frank Hinton after receiving a referral from SEPTA.   On January 7, 2013, Hinton was a passenger on the SEPTA Route 2 bus when the vehicle had a minor collision with a parked 2000 Mercedes Benz. Hinton then retained counsel to file a personal injury claim against SEPTA and Liberty Mutual on his behalf. Hinton claimed that the accident had caused him to suffer injuries to his right hip, right knee, headaches, neck, shoulders wrist and back and that he therefore incurred medical bills in excess of nine thousand dollars. The investigation revealed that the slight collision could not have harmed Hinton. Detectives interviewed the operator of the Route 2 bus who stated that as he was driving the bus, the operator of a Liberty Mutual insured Mercedes Benz opened the driver’s side door of his parked vehicle and made contact with the bus. The bus had dents on the rear top and bottom right side panels; however, no injuries were reported by any of the five passengers on the bus. Detectives retrieved a SEPTA incident card which Hinton filled out in connection to this accident which read that the bus had swerved and he was subsequently thrown to the floor. Digital surveillance footage from the SEPTA Route 2 bus showed that Hinton was never thrown to the ground nor did he appear to be disturbed. Hinton was arrested on April 6, 2015 for Insurance Fraud and Attempted Theft by Deception. He is next scheduled to appear in Philadelphia Municipal Court for a status listing on April 13, 2015.

WOMAN FILES FRAUDULENT PERSONAL INJURY CLAIM AGAINST SAVE A LOT SUPERMARKET

April 14, 2015

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Marialana Cini after receiving a referral from Sedgwick Claims Management, which is the third party administrator for Save A Lot supermarkets. On October 25, 2012, Cini was shopping at the Save A Lot supermarket on the twenty-one hundred block of Lehigh Avenue in Philadelphia. Cini alleged that she slipped on a puddle of water near a meat case in the back of the store and consequently fell and injured her back and leg. Cini retained counsel to represent her in a personal injury lawsuit against the Save A Lot. Detectives reviewed the Save A Lot Customer Statement that Cini had filled out and the form indicated that while she was shopping in the store, Cini slipped and hurt herself on water leaking from a freezer case. Medical records state that Cini alleged that she twisted her back, neck and knee as a result of this fall. Detectives then retrieved the surveillance footage from the Save A Lot which shows that Cini was not injured while shopping in the store. The video shows Cini walking past a refrigerated meat case while headed towards the refrigeration box where the milk is kept. Cini paused in front of the meat case and looked at the floor. After picking up milk, Cini then went to the front of the store and spoke to an assistant manager. She then returned to the spill and took photographs with her cell phone before the manager met her at the area of the alleged incident. Cini then filled out a claims form and exited the store. At no point did surveillance footage show Cini slipping or falling. Detectives arrested Cini for Insurance Fraud and Attempted Theft by Deception on April 10, 2015. She is next scheduled to appear for a status listing on April 17, 2015 in Philadelphia Municipal Court.


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