Archive for the ‘Insurance Fraud Arrest’ Category

MOTHER AND DAUGHTER FILE FRAUDULENT INSURANCE CLAIM WITH PROGRESSIVE

November 17, 2016

Defendants:

  • Marie Peralte, age 51
  • Micheline Peralte, age 26

Charges:

  • Insurance Fraud 18 Pa C.S. § 4117 – F3
  • Theft by Deception 18 Pa C.S. § 3922 – F3
  • Criminal Conspiracy 18 Pa C.S. § 903 – F3

Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Marie and Micheline Peralte after receiving a referral from Progressive Insurance. On October 26, 2012, Micheline Peralte, daughter of Marie Peralte, was involved in an auto accident at the intersection of Adams Ave. and Whitaker Ave. Marie Peralte filed a claim with Progressive Insurance, where she reported that she was the driver and that her daughter was the passenger, and she further claimed that she sustained injuries from this incident. After this, the Peraltes hired an attorney to represent them against Progressive Insurance.

On November 19, 2012, a Progressive Insurance investigator interviewed the driver of the vehicle that hit the Peraltes. According to her, the driver of the other vehicle was a young African American female, and there were no passengers in the vehicle. Further, after the incident, family members of Micheline Peralte came to the scene. An ambulance was called, and the driver noticed that an older African American female was taken to the hospital by the ambulance. On April 16, 2016 the Insurance Fraud Unit opened an investigation into this matter after a referral from Progressive Insurance was received. During the course of this investigation, Insurance Fraud detectives obtained records from the hospital where Marie Peralte was taken to by the ambulance, and their attorney. The detectives find that both Marie and Micheline Peralte admit to their attorney and to hospital staff that it was Micheline who was the driver of the vehicle.

Marie Peralte and Micheline Peralte were arrested on November 14, 2016, and charged with Theft by Deception, Insurance Fraud, and Criminal Conspiracy. They are next scheduled to appear in Philadelphia Municipal Court for a status hearing on November 21, 2016.

MEN FILE FRAUDULENT PERSONAL INJURY CLAIM WITH STATE FARM INSURANCE COMPANY

November 10, 2016

Commonwealth v Anthony Harrison and Jesse Hughes

Charges:

  • Insurance Fraud 18 Pa C.S. § 4117 – F3
  • Attempted Theft by Deception 18 Pa C.S. § 3922 – F3
  • Criminal Conspiracy 18 Pa C.S. § 903 – F3
  • Unsworn Falsifying 18 Pa C.S. § 4904 – M2
  • False Swearing 18 Pa C.S. § 4903 – M2
  • False Reports 18 Pa C.S. § 4906 – M3

Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested Anthony Harrison and Jesse Hughes after receiving a referral from a private citizen. On October 2, 2013, a State Farm insured driver allegedly hit Anthony Harrison and Jesse Hughes while they were working on Conshohocken Avenue in Philadelphia. Both Harrison and Hughes filed a Philadelphia Police Report and retained private counsel. Harrison’s civil action compliant stated that he injured his back, left knee, left arm and neck. Hughes’ City of Philadelphia Accident, Injury and Illness Report stated that he was struck twice by the vehicle. Harrison sought medical treatment at Spring Chiropractic and both testified in an oral examination that they had been injured in this accident.

However, witness testimony later proved that only Hughes was injured in this accident. Both Harrison and Hughes gave statements that Harrison had also been struck by the State Farm insured driver in order that Harrison could file a fraudulent personal injury claim. Harrison was arrested on October 26, 2016 and Hughes was arrested on November 1, 2016. Both were charged with Criminal Conspiracy, Attempted Theft by Deception, Insurance Fraud, False Swear, Unsworn Falsifying and False Reports. They are next listed for a status hearing in Philadelphia Municipal Court on November 14, 2016.

###

WOMAN FILES FRAUDULENT PERSONAL INJURY CLAIM WITH GALLAGHER BASSETT INSURANCE COMPANY

October 11, 2016

Defendant:

Fantina Burgess

 

Charges:

Insurance Fraud 18 Pa C.S. § 4117 – F3

Attempted Theft by Deception 18 Pa C.S. § 3922 – F3

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit began investigating Fantina Burgess after receiving a referral from the Gallagher Bassett Insurance Company. Bassett is the liability carrier for the Shop Rite located at 2800 Fox Street in Philadelphia. On

July 5, 2016, Burgess filed a claim that she had slipped on spilled soda while shopping and twisted her ankle. Burgess hired counsel to represent her. However, video surveillance footage from the store showed Burgess intentionally staging the fall. It showed her walking up the aisle with a group of people. She leaves the aisle, turns back to look at the floor and then bends her legs and sits down. Burgess remained on the floor until customers and store employees notice her.

Based on surveillance footage and detective interviews, Burgess was arrested for Insurance Fraud and Attempted Theft by Deception. She is next scheduled to appear in Philadelphia Municipal Court on October 14, 2016, for a status listing.

MAN FILES FRUAUDULENT PERSONAL INJURY CLAIMS WITH NATIONWIDE AND ACCESS INSURANCE COMPANIES

October 3, 2016

Charges:

Attempted Theft by Deception 18 Pa C.S. § 3922 – F3 (2 counts)

Insurance Fraud 18 Pa C.S. § 4117 – F3 (2 counts)

 

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested Hondo Jackson after receiving a referral from Nationwide Insurance Company. On February 22, 2015, a Nationwide insured driver struck an unoccupied 2002 Chevrolet Impala. The impact then caused the Impala to strike a 2010 Nissan Maxima, which was also parked and unoccupied. Hondo Jackson later filed a claim with Nationwide Insurance Company alleging that he had been a passenger in the parked 2010 Nissan Maxima which belonged to his girlfriend. Jackson stated in his claim that he injured his neck and back as a result of this accident. Jackson then hired an attorney to represent him in this fraudulent claim.

Insurance Fraud Unit detectives retrieved the Philadelphia Police Department Non-Reportable Accident form which stated that the driver of a 2013 Chevrolet Impala struck a 2002 Chevrolet Impala and a 2010 Nissan Maxima, both of which were parked and unoccupied. Despite the fact that Jackson was not present in the vehicle, he sought medical treatment at the office of Dr. John Bowden for his alleged injuries. Detectives retrieved Jackson’s medical records which stated that he sought treatment for head, chest, neck and back injuries on multiple occasions between February and May 2015. Nationwide was billed thirty three hundred and seven dollars for Jackson’s treatment; however, the company denied his claim.

Detectives also learned that Hondo Jackson filed a personal injury claim with Access Insurance Company, under a policy that belonged to his mother, for injuries he sustained while he was seated in a parked car struck by a motor vehicle. Jackson stated that he sought treatment at Chestnut Hill Hospital, and later with Dr. John Bowden. Jackson also sought treatment at Freedom Medical Supply and Open MRI Center of Bala Cynwyd. Access was billed forty-one hundred dollars for Jackson’s medical treatment at this facility; however, they, too, denied his claim.

Finally, detectives interviewed the police officers who responded to the original accident scene. They both stated that the two cars struck by the Nationwide insured were parked and unoccupied at the time of the accident. Hondo Jackson was therefore arrested for attempting to defraud two insurance companies for injuries which were fabricated. Jackson was charged with two counts of Attempted Theft by Deception and two counts of Insurance Fraud on September 26, 2016. He is next scheduled to appear for a status listing in Philadelphia Municipal Court on October 7, 2016.

WOMAN FILES FRAUDULENT PERSONAL INJURY CLAIM AGAINST SEPTA

October 3, 2016

Charges:

Attempted Theft by Deception 18 Pa C.S. § 3922 – F3

Insurance Fraud 18 Pa C.S. § 4117 – F3

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested Lekita McDuffie after receiving a referral from SEPTA. McDuffie claimed that she had been injured while riding on the Route 47 bus on July 30, 2013. McDuffie claimed that the bus operator closed a door on her arm. On July 31, 2013, McDuffie called the SEPTA claims hotline and reported that she had boarded the Route 47 bus at the intersection of 5th Street and Somerville Avenue when the bus operator shut the door on her left arm. McDuffie stated that she went to Moss Rehab to obtain treatment for her injures. McDuffie later hired an attorney to represent her in a personal injury claim.

Insurance Fraud Unit detectives retrieved McDuffie’s medical records from Einstein Medical Center Elkins Park and Wyoming Chiropractic Center. The records indicated that McDuffie sought treatment at Einstein Medical Center Elkins Park on July 30, 2016 for alleged injuries to her arm. The Einstein Medical Center records indicate that personnel found that McDuffie was not suffering from swelling, tingling, numbness or neck pain. Furthermore, an x-ray performed on McDuffie’s arm showed that she had no fractures or dislocations. McDuffie’s medical records from Wyoming Chiropractic Center indicated that McDuffie’s arm had been caught in a SEPTA bus door and that she had been thrown back and forth and injured her neck and back. McDuffie sought treatment at Wyoming Chiropractic on thirty-eight different occasions between August 2013 and April 2014. The total amount of McDuffie’s medical bills reached eleven thousand eight hundred dollars.

Detectives retrieved surveillance footage from the Route 47 bus which showed that the bus door never closed on McDuffie’s arm. Furthermore, the footage shows that McDuffie used her left arm while on the bus, and after the alleged injury occurred. McDuffie never appeared to be disturbed during her time on the bus. She also never spoke to the operator while boarding the bus, nor did she seek assistance from any other passenger. McDuffie was arrested on September 21, 2016 for Attempted Theft by Deception and Insurance Fraud. She is next scheduled to appear in Philadelphia Municipal Court for a status listing on October 25, 2016.

MAN FILES FRAUDULENT PERSONAL INJURY CLAIM AGAINST SEPTA AND ERIE INSURANCE COMPANY

September 9, 2016

Charges:

Theft by Deception 18 Pa C.S. § 3922 – F3

Insurance Fraud 18 Pa C.S. § 4117 – F3

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated James Whitfield after receiving a referral from Erie Insurance Company. On August 2, 2015, an Erie insured van struck the exterior mirror of a parked SEPTA bus in the vicinity of 23rd Street and Ridge Avenue in Philadelphia. Whitfield was a passenger on the SEPTA Route 61 bus and he alleged that he injured his right arm, right elbow and neck as a result of this accident. Whitfield retained an attorney to file a personal injury claim against SEPTA and Erie Insurance Company on his behalf and he also sought medical treatment for his alleged injuries.

Insurance Fraud Unit detectives retrieved the Erie claim file which included a statement from the driver of the van. The driver stated that he was attempting to pass the SEPTA bus when the passenger side mirror of his van struck the driver’s side mirror of the bus. The Erie insured driver stated that he stop and spoke with the bus driver and a SEPTA supervisor, but soon left because there was no damage to either vehicle. Insurance Fraud Unit detectives also spoke to the operator of the bus who stated that her bus was not damaged during this incident nor were any of her passengers injured. The operator also stated that the only damages that the van sustained were minor scratches and a dent on the right side mirror. Detectives then retrieved the surveillance footage from the Route 61 van which showed that other than looking towards the van, Whitfield had no other reaction to the accident. He did not hit his arm as he claimed, nor was he jolted in any way.

Whitman was arrested on August 23, 2016 for submitting a fraudulent injury claim to SEPTA. He was charged with Theft by Deception and Insurance Fraud and is next scheduled to appear in Philadelphia Municipal Court on October 4, 2016 for a status listing.

MAN FRAUDULENTLY CASHES STATE WORKER’S INSURANCE FUND WORKER’S COMPENSATION CHECKS

September 9, 2016

Charges:

Forgery 18 Pa C.S. § 4101 – F3

Conspiracy 18 Pa C.S. § 903 – F3

Theft by Unlawful Taking 18 Pa C.S. § 3921 – F3

Theft by Deception 18 Pa C.S. § 3922 – F3

Access Device Fraud 18 Pa C.S. § 4106 – F3

Securing Execution of Documents 18 Pa C.S. § 4114 – M2

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit (IFU) investigated James Davis after receiving a referral from Special Investigators in the Pennsylvania Department of Treasury. The investigation revealed that the State Worker’s Insurance Fund (SWIF) had been paying workers’ compensation benefits to Elwell Davis prior to his death in 1980. Following Elwell Davis’ death, his surviving spouse, Elizabeth Davis, successfully petitioned to receive his SWIF benefit checks. In October of 2011, SWIF reviewed this claim and discovered that Elizabeth Davis had died in July of 2010. Subsequent to July 2010, sixteen SWIF benefit checks payable to Elizabeth Davis had been deposited into a number of different bank accounts.

After verifying Elizabeth Davis’ death by obtaining a death certificate, IFU detectives reviewed the checks and retrieved bank records. The records indicated that eleven of the sixteen checks had been endorsed “Elizabeth Davis to James Davis” and then signed “James Davis.” Bank records show that these checks were deposited into James Davis’ SB1 Federal Credit Union account using a Citizens Bank ATM machine.  Based on bank records and interviews, IFU detectives determined that Davis had allegedly deposited SWIF benefit checks belonging to the decedent, Elizabeth Davis. Davis was arrested for Forgery, Theft by Unlawful Taking, Theft by Deception, Access Device Fraud, Securing Execution and Criminal Conspiracy on August 18, 2016. Davis is next scheduled to appear for a status listing on September 27, 2016 in Philadelphia Municipal Court.

WOMAN ARRESTED FOR REPORTING AN ACCIDENT TO SAFE AUTO INSURANCE COMPANY THAT OCCURRED DURING A POLICY LAPSE

September 9, 2016

 

Charges:

Insurance Fraud 18 Pa C.S. § 4117 – F3

Attempted Theft by Deception 18 Pa C.S. § 3922 – F3

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested Luvenia Cottrell after receiving a referral from Safe Auto Insurance Company. On June 17, 2014, Cottrell was involved in a hit and run accident while her vehicle was parked along the 4800 block of Whitaker Avenue in Philadelphia. When Cottrell reported her accident to Safe Auto Insurance Company, she was told that her policy had been cancelled on June 10, 2014 for non-payment. On July 2, 2014, Cottrell reinstated her Safe Auto Insurance policy and then filed a claim on July 9, 2014 for damages identical to the ones caused by her earlier accident. The investigation revealed that Cottrell reported an accident that had occurred prior to the reinstatement of her Safe Auto Insurance Company policy. Cottrell was arrested for Insurance Fraud and Attempted Theft by Deception on August 22, 2016. She is next scheduled to appear in Philadelphia Municipal Court for a status listing on October 3, 2016.

MAN ARRESTED FOR REGISTERING VEHICLE WITH FRAUDULENT NATIONWIDE INSURANCE COMPANY FINANCIAL RESPONSIBILITY IDENTIFICATION CARD

September 9, 2016

 

Charges:

Forgery 18 Pa C.S. § 4101 – F3

Insurance Fraud 18 Pa C.S. § 4117 – F3

Tampering with Public Records or Information 18 Pa C.S. § 4911 – F3

False Swearing 18 Pa C.S. § 4903 – M2

Unsworn Falsification to Authorities 18 Pa C.S. § 4904 – M2

Tampering With Records or Identification 18 Pa C.S. § 4104 – M1

Securing Execution of Documents by Deception 18 Pa C.S. § 4114 – M2

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested John Jordan after receiving a referral from Nationwide Insurance Company. On July 5, 2014, Jordan was involved in an accident at the intersection of Adams Avenue and Tabor Road in Philadelphia and presented a Nationwide Insurance Company financial responsibility identification card to the driver of the other vehicle. This driver then called Nationwide in an attempt to file a claim and learned that Jordan’s policy number was fraudulent. Insurance Fraud Unit detectives retrieved Jordan’s Penndot title history and learned that Jordan used the same Nationwide Insurance financial responsibility identification card to register his 1999 Honda. Jordan was arrested for registering his vehicle with a fraudulent Nationwide Insurance Company financial responsibility identification card and then later presenting the card at the scene of an accident. Jordan was arrested for Forgery, Insurance Fraud, Tampering with Public Records or Information (F3), Tampering with Records or Information (M1), False Swearing, Unsworn Falsification to Authorities, and Securing Execution of Documents by Deception on August 29, 2016. He is next scheduled to appear in Philadelphia Municipal Court for a status listing on September 6, 2016.

MAN FILES FRAUDULENT PERSONAL INJURY CLAIM AGAINST SEDGWICK CLAIMS MANAGEMENT

August 19, 2016

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit arrested Charlton Prince after receiving a referral from Sedgwick Claims Management, a third-party administrator for claims against 7-11. On June 24, 2015, Prince went into the 7-11 located on 1500 JFK Boulevard in Philadelphia and allegedly slipped and fell while inside of the store. Detectives interviewed the 7-11 store manager, as well as a 7-11 field consultant, who were both present when Prince allegedly fell. The store manager stated that Prince told him that he slipped and fell and asked him to call an ambulance. Insurance Fraud Unit detectives retrieved surveillance footage from the 7-11, which shows Prince and another male walking together outside of the store and then enter the 7-11 separately. The man accompanying Prince approached the store’s soda machine and filled a cup with liquid. The male then proceeded to throw the liquid on to the floor. After the man left the store, Prince feigned falling on the spilled liquid as he lowered himself on to the floor. Prince then retained counsel to represent him in an injury claim for alleged injuries to his ankle, lower back, left hip and right elbow. Prince was arrested on August 10, 2016 for filing a fraudulent personal injury claim against 7-11. He was charged with Theft by Deception, Insurance Fraud and Criminal Conspiracy and is next scheduled to appear for a status listing in Philadelphia Municipal Court on August 16, 2016.