Friday, August 7, 2020
Fraud from inside and outside the courtroom - at adjustercom.net
Marin County District Attorney’s Office prosecuted a workers’ compensation fraud case against Marlene Cavalcanti, 40, who pleaded guilty to two felony counts of insurance fraud and identity theft after falsifying documents to receive an additional $10,590 on her workers’ compensation claim.
Cavalcanti, employed as an executive assistant, reportedly fell at work and sustained injuries. As a result of her subsequent workers’ compensation claim, Cavalcanti received more than $42,000 in total temporary disability payments in addition to her medical treatment.
An investigation by the Department of Insurance revealed after being placed on disability, Cavalcanti ceased medical treatment and began working for another company. During this time, she submitted multiple fictitious doctors’ reports in an attempt to continue to receive disability payments from the workers’ compensation insurer. When confronted by detectives, Cavalcanti ultimately admitted to the fraudulent documents and forged doctors’ signatures.
“Every dollar paid on a fraudulent insurance claim increases the cost to California consumers who are forced to pay higher premiums to make up for the loss to insurers,” said Insurance Commissioner Ricardo Lara. “We remain committed to finding and fighting fraud... Read More
Randy Rosen, M.D., a Beverly Hills surgeon and his girlfriend, Liza Visamanos of Los Angeles, have just been charged with looting ~$52 million from insurance payers in a fraud scheme that involved contracting body brokers to pay patients at Southern California sober living facilities to undergo medically unnecessary surgeries, medical testing, and other medical... Read More