Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations.
Workers' Comp Fraud Blotter - June 7, 2012
Former Criminal Court Judge, Already In Jail, Indicted On Charges Of Ripping Off Workers' Comp Clients (TN) - Former Hawkins County Criminal Court Judge James "Jay" Taylor has been indicted on twelve new counts of theft and money laundering. Taylor is accused, while working as a private attorney, of keeping settlement funds that were awarded to his clients in workers compensation claims, and of soliciting money for a display in the Hawkins County Justice Center that was never built because he used the funds to pay his own debts. He was already in jail awaiting trail for forty-one theft charges for submitting false claims to the Administrative Office of the Courts for cases where he was appointed as legal counsel for indigent defendants. Read more
State Workers' Compensation Supervisor Pleads Guilty To Taking Bribes (PA) - James McDonnell faces years in prison after pleading guilty to bribery and conflict of interest for taking more than $80,000 in kickbacks from employers in exchange for reducing their workers' compensation premiums. McDonnell, an audit supervisor for the State Workers' Insurance Fund, would reduce those premiums without any paperwork of documentation to support his decision. His wife, Michelle, is awaiting trial on criminal conspiracy charges because she was placed on the payroll and was a ghost employee for one of the companies that received substantial premium reductions from McDonnell. Read more
Insurance Fraud Trial Of Radiologist, Owner of Three Medical Clinics, and Associates Continued (CA) - The defense in the trial of Dr. Sim Hoffman, who owns Advanced Professional Imaging, Advanced Management Services, and Better Sleeping Medical Center, and Beverly Mitchell, the administrator in charge of billing for the facilities, Louis Santillan, a bill collector for the facilities, and Dr. Thomas Heric, a neurologist, has been granted a three month continuance. Hoffman, who has been indicted on 887 counts of overbilling for sleep study and neurological diagnostic tests, requested the continuance to examine information from the prosecution that the defense intends to use in a motion to dismiss that will claim that the district attorney's office has a conflict of interest because of funding that it receives for insurance fraud prosecutions. Read more
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