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    Barry Zalma, Esq., CFE

    Interinsurance Exchange’s $7,870,557.89 Judgment Against Fraudster Stands

    Proactive Insurer Has to Fight to Renew Judgment Against Convicted Fraudster—Now insurer may collect on default judgement. In People Of The State Of California, ex rel. Interinsurance Exchange Of The Automobile Club Of Southern California v. Alex Semyon Mirsky, B297321, California Court of Appeals, Second District, Seventh Division (September 21, 2021) Alex Semyon Mirsky appealed... Read More
    Barry Zalma, Esq., CFE

    Multiple Types of Insurance Fraud

    We All Do it Fraud The California Court of Appeal, in Cassim v. Allstate Insurance Co., 94 P.3d 513, 33 Cal.4th 780, 16 Cal. Rptr.3d 374 (Cal. 07/29/2004), was faced with a trial verdict of bad faith against an insurer that it found was based upon prejudicial final argument leading the jury to believe that “some... Read More
    Dr. Munir Uwaydah at year’s end 2008. Copyright Lonce Lamonte, all rights reserved

    Shohet’s Questions Continue To Bounce Around Off All The Walls In Criminal Organization Munir Uwaydah Case In Downtown L.A. The Event Is Leticia Lemus’s Preliminary Hearing.

    It’s the late morning, January 27th 2021, Wednesday Leticia Lemus’s defense attorney, George Shohet, then wanted to know from witness Sergeant McCrillis if a staff person checked a box on one of the prescription forms if there would be anything wrong or illegal with that.  Deputy district attorney Dayan Mathai objected, stating the question called... Read More

    April Rose Ambrosio, San Diego dentist, is sentenced in nearly $900,000 fraudulent billings scheme.  She falsely claimed she performed 800 root canals on 100 patients over four years.

    April Rose Ambrosio, 59, of Mira Mesa, was sentenced today to six years in prison after pleading guilty to three counts of insurance fraud for falsely claiming she performed 800 root canals on 100 patients in four years though she lacks the specialized training required of an endodontist to perform root canals. Ambrosio fraudulently billed... Read More

    Operation Car Seat

    Detectives from the California Department of Insurance have arrested seven suspects in the Los Angeles area on 31 felony charges of auto insurance fraud.  A family-run organized auto fraud ring nicknamed Operation Car Seats allegedly filed a multiplicity of fraudulent auto insurance claims using receipts for high-end child car seats.  The seats cost an average... Read More

    Contra Costa undercover sting brings felony insurance fraud charges in auto body repair shops bust.

    To crack down on automobile insurance fraud, the California Department of Insurance, Contra Costa County District Attorney’s Office and the National Insurance Crime Bureau (NICB) conducted an undercover sting operation targeting auto body repair facilities across Contra Costa County. The operation resulted in eight felony counts of insurance fraud against four individuals, Estephanie Gonzalez-Marquez, 26, of... Read More
    Orange County Superior Court, Santa Ana, California; copyright Lonce Lamonte, all rights reserved

    Bradley Dean Groscost and Felix Koltsov arrested in $20 million workers’ compensation insurance fraud and kickback scheme

    Bradley Dean Groscost of Westminster and Felix Koltsov of Beverly Hills self-surrendered last week to the Orange County Central Justice Center after being charged with multiple felony counts of insurance fraud, money laundering, and unlawful referrals for allegedly conspiring to bill insurers in excess of $20 million as part of a kickback referral scheme. From... Read More

    During International Fraud Awareness Week, The San Diego District Attorney Puts Out Reminder.  Public Encouraged to Report Suspected Fraud.

    DA Charged More Than 800 Defendants in Fraud-Related Cases Last Year For several years, the owners of a local San Diego hotel cleaning janitorial service company called Good Neighbor Services, with nearly 800 employees, lied to tax authorities and their insurance provider by claiming to have almost no employees. This resulted in $6.8 million in... Read More
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