Michael Randolph, 33, was sentenced to six months in jail and five years of probation Feb. 6, after pleading guilty to insurance fraud. The Simi Valley man was a gardener for the City of Los Angeles when he claims he fell off a truck and hurt his back and shoulder in 1996. In 1998, Randolph... Read More
From Police Academy to Prison Cell: Trainee Jailed for Workers’ Comp Fraud
An Oxnard man will serve three years in a California prison for his conviction on 14 counts of workers’ compensation insurance fraud. Jeffrey Rene Pilon, 41, was sentenced, Jan. 9, in Ventura County Superior Court. Pilon worked as a private security guard for Mission Security and Patrol in Santa Barbara, CA. After he was fired... Read More
California Department of Insurance (DOI) criminal investigators arrested Nasratullah Mohammad, of Canoga Park, Jan. 9, for grand theft and insurance fraud. Mohammad filed a 1996 workers’ compensation claim for back injuries he suffered while lifting and stocking merchandise at a 7-11 convenience store. Great American Insurance Company accepted the claim and proceeded to pay Mohammad... Read More
California Public Insurance Adjuster Accused Of Accepting Kickbacks
A Sacramento man could lose his license as a public insurance adjuster for allegedly accepting more than $66,000 in kickbacks from a contractor. Earlier this month, the California Department of Insurance (CDI) Criminal Investigation Branch filed the “Accusation” with the intent to revoke the license of Troy Cross. CDI’s investigation alleges that Cross, the owner... Read More
California Man Among Those Filing Fraudulent 9/11 Claims
A Moreno Valley, California man could face charges for fraudulently claiming he was injured when he ran for his life from the collapsing World Trade Center Towers. Keith Way, 47, claimed to have received burns on his face while escaping down the stairs of one of the towers. He later recanted his story, admitting that... Read More
Woman Busted On Workers’ Compensation Fraud Allegation
A 37-year-old Riverside woman has been arrested by California Department of Insurance (CDI) investigators on workers’ compensation fraud and perjury charges. Martha Rodriguez (aka Graciela Castro) was booked into Riverside County Jail on a $5,000 felony warrant. CDI investigators said that in December 1998, Rodriguez alleged an injury as a temporary employee for a staffing... Read More
A task force including the California Department of Insurance (CDI) has put the kibosh on a multi-million scam, resulting in the sentencing of a Sacramento man who conspired in a complicated nationwide insurance scheme intended to defraud investors and the insurance industry. The 15-month joint investigation code-named “Operation Cleansheet” was conducted by CDI Fraud Division and Investigations... Read More
Work Comp Fraud Brings $728,000 Tab for Restitution
A San Jose man has agreed to pay $728,000 in restitution for insurance fraud after pleading no contest to three felony counts in Santa Clara County Superior Court. Daniel Francis Elliot Jr., 52, was charged with providing false or fraudulent information to reduce workers’ compensation premiums with two separate WC insurance carriers. Elliot was also charged with willfully... Read More
